Nursing homes in Fayette County, Texas
All 5 Medicare/Medicaid-certified nursing homes across 3 cities in Fayette County, with the government's own quality ratings, nurse staffing versus the state median, and any federal safety flags. We take no money from any facility.
Among 5 rated homes in Fayette, 0 have a five-star CMS overall rating and 2 have one star. Local median nurse staffing is 3.23 hours per resident per day, compared with the Texas median of 3.27. 2 carry a federal abuse-warning flag. Open the report cards to compare staffing, inspections, fines, drug use, and preventable-harm measures before deciding.
What the CMS records show in Fayette County
- Fayette County ranks 77 of 146 Texas counties we cover for median nurse staffing.
- 3 of 5 homes report fewer nurse hours than the Texas median of 3.27. The range runs from 2.57 hours per resident per day at Monument Rehabilitation And Nursing Center to 4.04 at Flatonia Healthcare Center.
- 4 of 5 homes paid federal fines in roughly the last three years, about $135,812 in total; the most, $103,606, was at Paradigm At The Oak.
- 60% of homes here are for-profit, below the Texas share of 71%. How ownership tracks quality.
- 2 homes give long-stay residents antipsychotic drugs at twice the Texas median (8.3%) or more, highest at Flatonia Healthcare Center (21.8%).
How to narrow 5 homes down
- ·The 5 homes below are ordered best-first by CMS overall rating, so start at the top. 2 of them are rated 4 or 5 stars.
- ·2 homes in Fayette County carry a federal abuse-warning flag. Open each report card's safety section before you tour.
Once you have a shortlist, our free nursing-home tour checklist covers the 30 questions to ask and the red flags to watch for on a visit.
All 5 homes in Fayette County
- BSchulenburg Regency Nursing CenterSchulenburg, TX4★ overall
- BMonument Rehabilitation And Nursing CenterLa Grange, TX4★ overall22% below median staffing
- CAvir At La GrangeLa Grange, TX3★ overall1% below median staffing
- FFlatonia Healthcare CenterFlatonia, TX1★ overall⚠ Abuse
- FParadigm At The OakSchulenburg, TX1★ overall3% below median staffing⚠ Abuse
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-10-05. Educational information only, not advice. See our methodology.