Llano Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 10 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (81%)
- High RN turnover (100%)
Bottom 25% in Texas · Below recommended RN staffing · Very high staff turnover · Worst in SLP OPERATIONS chain · $40,170 in fines
What this means for your family
Recent feedback indicates a much more positive environment with attentive staff and happy residents. However, because there was a period of significant neglect and staffing instability reported in 2023-2024, you should verify current staffing levels and communication protocols during your visit.
Google Reviews
Google Reviews
10 reviews analyzed“Recent reviews from 2025 suggest a significant positive turnaround, with families reporting very happy residents and attentive staff. However, older reviews from 2023 and 2024 highlight serious historical concerns regarding neglect, high staff turnover, and poor communication regarding resident room changes.”
Quality Themes
Tap a score for detailsStrengths
- Attentive and caring nursing staff
- Positive and happy resident culture
- Compassionate community-building efforts
Concerns
- High staff turnover and revolving door of caregivers
- Lack of communication regarding resident room moves
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on repetitive, templated responses that fail to acknowledge the specific details or sentiments shared in the reviews. Most responses use a standardized mission statement regarding care and resources.
Questions for Your Tour
- 1We've heard wonderful things about the caring and happy culture among the residents here; what kind of community-building activities do you have planned for the upcoming month?
- 2Since we want to stay closely connected to our loved one's care, what is your preferred process for keeping families updated on any changes to room assignments or daily care plans?
- 3With the nursing staff being such a vital part of the community, how do you approach training and supporting your team to ensure consistency in care?
- 4How does the medical team handle unexpected health changes or emergencies during the overnight hours?
- 5Can you walk us through how the facility manages staffing levels to ensure every resident receives the attentive care they need?
- 6How do you ensure that communication remains seamless between the nursing staff and the families regarding day-to-day updates?
Personalized based on this facility's data
Key Review Excerpts
“The staff is so attentive to her and her needs, anytime I have a concern they get right on it.”
“Staff treat the resident's like family. So much love is poured into making the resident's happy.”
“After Covid it has gone down so fast that it is a revolving door of caregivers and especially staff. Our loved one has been neglected to the point of not being taken out of her bed for days on end”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
11
measures
2
measures
3
measures
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering federal inspections, revealing concerning patterns in resident protection from abuse, care planning, and food safety. The facility shows recurring issues across nutrition and dietary services, resident rights, and medication management that persist across multiple surveys from 2023 through 2025. While all deficiencies show correction dates, the pattern of repeated violations in core care areas warrants careful consideration during your visit.
Mar 19, 2026Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Sep 4, 2025Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Apr 9, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Jan 17, 2025Complaint2
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 8, 2024Routine12
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Aug 8, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Federal Penalties
Fine
Dec 15, 2023
$40,170
Payment Denial
Dec 15, 2023
3-day denial
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
SLP LLANO LLC
GERALD EGO
Chain Affiliation
Slp Operations
8 facilities nationwide
Chain avg rating: 2.3/5 · Rank 18 of 21 (Worst)
Ownership & Management
Owners
Uvalde County Hospital Authority
Owner · Organization
Boswell, Darren
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Eden, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Whitworth, Gary
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit slpoperations.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.