Nursing homes across Fayette County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Schulenburg Regency runs 146 beds under corporate ownership, and its state inspection record is the strongest part of the picture, a recent survey, a four-star health inspection rating, and modest fines totaling under $9,000. The trouble sits in the day-to-day staffing. At 3.71 nurse hours per resident day, it falls short of the national average, weekend coverage drops about 14% below its own weekday levels, and the two-star staffing rating reflects that gap. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover, at least, runs below the national figure.
Monument Rehabilitation and Nursing Center is a 104-bed hospital-district home in La Grange, and its numbers pull in different directions. The clinical quality measures look solid at 4 out of 5 stars, but staffing sits at just 1 star with an annual turnover rate of 54.5 percent, nearly nine points above the national average of 45.8 percent. That churn matters. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with $8,281 in fines. The last inspection was September 11, 2025, so the record is recent enough to take seriously. Quality marks alone don't tell you who's showing up to provide the care.
Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.
Flatonia Healthcare Center runs 70 certified beds in Fayette County under corporate for-profit ownership, and its staffing is the one part of the picture that holds up: 4.04 nurse hours per resident day, about 5% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover at 43.6% is a touch better than the national 45.8%. The trouble sits elsewhere. Fifteen deficiencies on the current record, two of them at harm or jeopardy level and two abuse-related, plus two fines totaling $15,098. The most recent inspection was December 4, 2025, so that record is recent. Staffing keeps residents attended to; the inspection history is what a family should ask about directly.
Paradigm At The Oak runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. That thin coverage shows up in the inspection record: 60 deficiencies, eight of them at the harm or jeopardy level and eight tied to abuse, with four fines totaling $103,606 and a one-star health inspection rating from CMS. Staff turnover sits at 39%, which is actually below the 45.8% national figure, so the problem here isn't retention so much as how few hands are on the floor. The last inspection was April 2026. For-profit corporate ownership.