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Nursing HomeMedicaid Investigative

Llano Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

800 W Haynie St, Llano, TX 7864396 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 10 Google reviews

5
4
3
2
1

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5/ 10
high Risk

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

Source: Medicare data

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 details
FoodN/AStaff7.0CleanN/AActivities10.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • 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

2345.02019(1)5.02020(1)5.02021(2)1.02023(1)1.02024(1)5.02025(3)5.02026(1)

Distribution

5
7
4
0
3
0
2
0
1
2

How They Respond to Reviews

40%response rate
Generic

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.

Long-term resident's family · 2025★★★★★

Staff treat the resident's like family. So much love is poured into making the resident's happy.

Long-term resident's family · 2021☆☆☆☆

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

Long-term resident's family · 2023☆☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
80%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.5%
Mixed vs Avgs
Here
4.5%
US
12.1%
TX
2.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.4%
TX
14.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.6%
Mixed vs Avgs
Here
13.6%
US
15.4%
TX
9.4%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
4.9%
TX
4.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Near state avg (9.1)
9 complaint-triggered
$40,170 in fines

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, 2026Complaint
1
0580MinorCorrected

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, 2025Routine
7
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0346ModerateCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0657ModerateCorrected

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.

0806ModerateCorrected

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.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0810MinorCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0577MinorCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Apr 9, 2025Complaint
2
0578MinorCorrected

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.

0578MinorCorrected

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, 2025Complaint
2
0801ModerateCorrected

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.

0812ModerateCorrected

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, 2024Routine
12
0041ModerateCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0558ModerateCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584ModerateCorrected

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.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690MinorCorrected

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.

0921MinorCorrected

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, 2024Complaint
1
0602MinorCorrected

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

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

SLP LLANO LLC

Administrator

GERALD EGO

Chain Affiliation

Chain Name

Slp Operations

Chain Size

8 facilities nationwide

Chain avg rating: 2.3/5 · Rank 18 of 21 (Worst)

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

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

Llan-tex Facility, LLC5% or Greater Mortgage InterestApolinar, AdamOfficer / DirectorContreras, TerriOfficer / DirectorSlp Llano LLCManagerLeonard, JoshuaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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.

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