Federal inspection record · CMS data as of October 1, 2026
Llano Nursing And Rehabilitation Center
800 W Haynie St, Llano, TX · (325) 247-4194
- Certified beds
- 96
- Residents per day
- 26
- Ownership
- For-Profit
- Chain
- Slp Operations
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 28, 1992
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Llano Nursing And Rehabilitation Center carries 122.25 inspection points. That is fewer than 26% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Nutrition and Dietary8F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights7E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
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.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
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.
- D
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.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service2E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning2E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-09-04
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-08-08
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2023-06-28
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 2 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 2 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 72% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$40,170 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-15 | Fine | $40,170 |
| 2023-12-15 | Payment Denial · 3 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 0.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts better | 1.1% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts worse | 6.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse | 21.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.7 pts worse | 12.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.5 pts better | 12.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts worse | 15.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 10.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 0.7% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Apolinar, Adam | Corporate Officer · Individual | 0% | 38 facilities |
| Boswell, Darren | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Contreras, Terri | Corporate Officer · Individual | 0% | 19 facilities |
| Eden, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Leonard, Joshua | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Llan-Tex Facility, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Llan-Tex Facility, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Slp Llano LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Syed, Asif | Adp Of The SNF · Individual | 0% | 6 facilities |
| Trocino, Susan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Whitworth, Gary | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
Avir at Kingsland
Kingsland, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 49 min
- Fines
- $0
-
The Brixton At Horseshoe Bay
Horseshoe Bay, TX · Oakbend Medical Center
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 48 min
- Fines
- $85,007
-
Avir At Burnet
Burnet, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0