Llano Nursing And Rehabilitation Center
800 W HAYNIE ST, Llano, TX, 78643
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Slp Operations
- Certified beds
- 96 · avg 25 residents/day
- Total nursing staff turnover
- 80.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $40,170 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 147511
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 36 Medicare-only · 60 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 17, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Slp Llano Llc
- Administrator
- Gerald Ego
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Slp Operations chain — 22 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (8 on record)
- Joshua Leonard
Operational/managerial Control · since 2024
- Terri Contreras
Corporate Officer · since 2019
- Adam Apolinar
Corporate Officer · since 2017
- Asif s Syed
Adp of The Snf · since 2017
- Slp Llano Llc
Operational/managerial Control · since 2017
- Susan Trocino
Adp of The Snf · since 2017
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- F0812·Sep 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0810·Sep 4, 2025
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E0806·Sep 4, 2025
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.
- E0657·Sep 4, 2025
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.
- C0577·Sep 4, 2025
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D0550·Sep 4, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0578·Apr 9, 2025Complaint
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.
- F0812·Jan 17, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20231 fine · $40K · 1 payment denial
Most recent events
- Dec 15, 2023Payment denial · 3 days · starting Jan 23, 2024
- Dec 15, 2023Fine · $40K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Sep 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Llano Nursing And Rehabilitation Center is a 96-bed Medicare/Medicaid nursing home in Llano, TX, managed by Slp Llano Llc under a hospital district licensee. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing rating and a $40,170 fine on record. The facility is currently operating at roughly 26% of licensed capacity, with about 25 residents on-site daily.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — a rating shared by about 38% of Texas nursing homes. Each resident receives roughly 196 minutes of nursing care per day, about 45 minutes less than at a 4-star-staffing facility in Texas. Of those 196 minutes, only 26 involve a registered nurse. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Roughly 8 in 10 nursing staff left in the past year — above the 75th percentile for Texas, meaning turnover is worse here than at least three-quarters of nursing homes in the state. Every 10 in 10 registered nurses turned over in the same period. At that pace, a long-stay resident will likely cycle through two or three primary caregivers and an entirely different RN roster within a year.
Three administrators have turned over in the past year. That level of leadership churn reaches residents and families through shifting policies, inconsistent care coordination, and frequent introductions to new decision-makers.
CMS recorded one fine totaling $40,170 — nearly double the Texas state median fine of $20,699. About 30% of Texas nursing homes received no fines at all in the same period.
The facility is operating at roughly 26% of its 96 licensed beds, with an average of about 25 residents per day. That figure, combined with a 1-star overall rating, high turnover, and above-median fines, describes a facility under significant strain.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 196 daily nursing minutes per resident — 45 below the Texas 4-star threshold — ask how many nurses and aides are on duty during evenings, nights, and weekends.
Three administrators in one year
Three administrators left in the past 12 months; ask who is currently in charge, how long they have been in the role, and what changed operationally with each transition.
RN turnover at 100 percent
Every registered nurse on staff turned over in the past year; ask how many RNs are currently employed, how long each has been there, and how care oversight is maintained during vacancies.
Why occupancy is so low
About 25 of 96 beds are occupied; ask whether the low census reflects a planned reduction, discharge patterns, or staffing constraints limiting admissions.
The $40,170 CMS fine
One fine of $40,170 was assessed — roughly twice the Texas median; ask what the citation was for and what specific changes were made in response.
Resident Council participation
The facility has a Resident Council but no Family Council; ask how family members are formally notified of concerns raised in Resident Council meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.