Llano Nursing and Rehabilitation Center

800 W Haynie St · Llano, TX · 78643 · 3252474194

96 certified beds For profit - Corporation Chain: Slp Operations

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

80% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 66
Staffing 20% 48
Federal penalties 15% 49
Trend 10% 91
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.113.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day2.98≈ weekday level
Nursing turnover / year80%median 45%
Fines (3-yr window)1 · $40,170

Inspection citations (27 in the current record)

  • Potential for harm · D March 19, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 10, 2026 · Resident Rights

  • Potential for harm · D September 4, 2025

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

    Corrected October 10, 2025 · Resident Rights

  • Potential for harm · E September 4, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected October 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E September 4, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected October 10, 2025 · Nutrition and Dietary

  • Potential for harm · D September 4, 2025

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

    Corrected October 10, 2025 · Nutrition and Dietary

  • Potential for harm · F September 4, 2025

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

    Corrected October 10, 2025 · Nutrition and Dietary

  • No harm found · C September 4, 2025

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

    Corrected October 10, 2025 · Resident Rights

  • Potential for harm · D April 9, 2025 · found via complaint

    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.

    Corrected June 5, 2025 · Resident Rights

  • Potential for harm · F January 17, 2025 · found via complaint

    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.

    Corrected February 15, 2025 · Nutrition and Dietary

  • Potential for harm · F January 17, 2025 · found via complaint

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

    Corrected February 15, 2025 · Nutrition and Dietary

  • Potential for harm · E August 8, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected September 18, 2024 · Resident Rights

  • Potential for harm · E August 8, 2024

    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.

    Corrected September 18, 2024 · Resident Rights

  • Potential for harm · D August 8, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 8, 2024

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

    Corrected September 18, 2024 · Quality of Life and Care

  • Potential for harm · D August 8, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 18, 2024 · Quality of Life and Care

  • Potential for harm · E August 8, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 18, 2024 · Pharmacy Service

  • Potential for harm · E August 8, 2024

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

    Corrected September 18, 2024 · Nutrition and Dietary

  • Potential for harm · E August 8, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 18, 2024 · Infection Control

  • Potential for harm · D August 8, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected September 18, 2024 · Environmental

  • Potential for harm · D August 8, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K December 15, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 17, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K December 15, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 26, 2024 · Resident Assessment and Care Planning

  • Actual harm · G August 16, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected August 17, 2023 · Pharmacy Service

  • Actual harm · G June 28, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected July 28, 2023 · Quality of Life and Care

  • Potential for harm · D June 28, 2023

    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.

    Corrected July 28, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 15, 2023Fine$40,170
December 15, 2023Payment Denial3 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675076 · certified since August 28, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.