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Llano Nursing And Rehabilitation Center

800 W HAYNIE ST, Llano, TX, 78643

Type
Nursing home
State-licensedCMS certified · CCN 675076

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.

Full report →

CMS Star Ratings

Overall1/5
Health inspections2/5
Staffing1/5
Quality measures3/5

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 departednear 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 HHS 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 HHS licensing registry · as of April 16, 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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 HHS 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.