Llano Nursing and Rehabilitation Center
Llano Nursing and Rehabilitation Center
4.1 (9 reviews)
Skilled Nursing Facility • 96 Licensed Beds
800 W Haynie St, Llano, TX
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Llano Nursing and Rehabilitation Center

Skilled Nursing Facility • 96 Licensed Beds
800 W Haynie St,
Llano, TX
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Llano Nursing and Rehabilitation Center – Medicare Certified Since 1992

Llano Nursing and Rehabilitation Center is a Medicare and Medicaid certified skilled nursing facility located in Llano, Texas. This facility has been serving the community for 34 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 96 certified beds. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.27 hours of total nursing care per resident per day (1.93 hours from CNAs, 0.76 hours from LPNs, 0.58 hours from RNs). Physical therapy staffing is 0.05 hours per resident per day.

Medicare Quality Ratings: According to CMS, Llano Nursing and Rehabilitation Center has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 2 stars, quality measures: 2 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Llano Nursing and Rehabilit... compares to 328 facilities in Rural TX

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
3.1
Quality Measures
Clinical outcomes & safety
2
3.4
Health Inspections
State survey results
2
3.1
Staffing
Nurse-to-resident ratio
2
2.3
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.58 hrs
0.40 hrs
LPN/LVN Hours
Licensed practical nurses
0.76 hrs
0.93 hrs
CNA Hours
Certified nursing assistants
1.93 hrs
1.98 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.28 hrs
3.31 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
7.5 %
2.3 %
LPN/LVN Agency Use
% of LPN hours from contractors
37.9 %
4.7 %
CNA Agency Use
% of CNA hours from contractors
18 %
4.9 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
86 %
46 %
Occupancy Rate
Percentage of beds filled
27 %
59 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$268
$253
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 328 facilities in Rural TX.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
2/5
Health Inspections
2/5
Staffing
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 328 other nursing homes in Rural TX

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Llano Nursing and Rehabilit...
Rural TX Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Llano Nursing and Rehabilit...
Rural TX Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Llano Nursing and Rehabilit...
Rural TX Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Llano Nursing and Rehabilit...
Rural TX Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
116
minutes/day
CNAs
Certified Nursing Assistants
46
minutes/day
LVNs
Licensed Vocational Nurses
35
minutes/day
RNs
Registered Nurses
0
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Llano Nursing and Rehabilit...
Rural TX Average (59.1%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$268
per resident per day
Compared to 326 facilities in your area
Above local median ($253)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Government Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-41% -5% Below
Net Income
Annual profit or loss
$-772,438 $140,051.5 Below
Staff Cost per Resident
Daily salary expense per resident
$127/day $120/day Higher
Occupancy Rate
Bed utilization percentage
27% 56% Lower
Est. Daily Rate
Average revenue per patient day
$268/day $253/day Higher
Total Beds
Licensed bed capacity
96 100 Smaller

Local comparisons based on 326 skilled nursing facilities in the Texas (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$2,724,575
Operating Expenses
Total operating costs
$3,854,342
Total Salaries
Staff compensation
$1,609,921
Contract Labor
Agency & temp staff
$312,015

Payer Mix

Medicare
4%
Medicaid
75%
Private Pay & Other
21%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
12,665
Medicare
Short-term skilled nursing
4%
Medicaid
Long-term care residents
75%
Private Pay / Other
Self-pay, insurance, VA
21%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
316.63
days
Medicare Stays
40.08
days
Medicaid Stays
860.36
days
Total Admissions
49
Total Discharges
40
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in LLANO

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Reviews

4.1 (9 reviews)
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Laura Rock's profile photo
Laura Rock 2 weeks ago

Everyone is absolutely great my mother has been so happy scents we moved her here. She smiles so much now that she is here. The staff is so attentive to her and her needs, anytime I have a concern they get right on it.

Carla Foth's profile photo
Carla Foth a month ago

Cute place in the Hill Country! Staff very kind and helpful. They all seem happy. Love the culture. The residents also seem happy and appear to be well cared for.

Sherri Crawford's profile photo
Sherri Crawford 2 years ago

This does not even deserve a -1 star. Our relative has been in this facility for over 15 years and up to 2 years ago it was fantastic. 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 to the point of her being moved 2 different times to different rooms and us not being notified of the move. The last move resulted in her custom wheelchair which she has had for over 15 yrs, and it now has disappeared. The excuse they use for not taking her out of her bed was because she did not have a chair. When we ask questions on what has happened to her chair and that they need to find it or buy her another one. They mysteriously call and say they found it. It was not hers at all she is 5’8 and this is small chair with a hard plastic foot brace that they are forcing her left paralyzed leg and foot into. We received a call from her crying in pain because her ankle is killing her and they are forcing her to stay in this wheelchair and will not put her in her recliner. We do a no notice visit to see what is the problem with her ankle pain and let the administrator know of the issue. Upon our visit we could hardly stand to walk through the halls due to the stench coming from every room. We get to our loved ones room to find her in her recliner in her depends that have not been changed since taking her out of bed at 7 am. It is now 3 pm and she has soiled herself, her clothing, and her lap blanket as well as her chair. This was very humiliating to her and she was very upset. Not only is she being neglected, we also approach a gentleman walking the hallway by the nurses station and he is in filthy socks without shoes and the socks have feces on them. Not one staff member cares. When you pass the public restroom the smell from that area smells like a backed up sewage system and makes us want to gag. There are flies everywhere. I can go on and on with more stories regarding how horrible this place is. We were able to find another long term care facility for our loved one and it turns out over a dozen of staff there were once at this nursing facility. They were the one there over 2 yrs ago when things there were good. The really sad thing is there are people having to live in this filth and they may not have family members to look out for them or the families, like us are not notified of changes that are being made and assume that it is still the great facility is once was. We have reached out to corporate and have had zero response after leaving over 4 messages. I seriously hope this Senior Living Group will be inspected and major changes made for the remaining residents. Our senior citizens are being abused and neglected and it has to stop.

Brianna Page's profile photo
Brianna Page a year ago

This review is long overdue. For those reading, please know that my review is based on our experience from over a year ago, so staff changes and upgrades may have taken place since then. I'm going to be blunt. If you love your family member, don't send them here unless you absolutely have to. I will say we had one good nurse, who I believe was an occupational therapist, and unfortunately I don't remember her name. However, she was stretched incredibly thin which prevented her from being able to do her job as thoroughly as needed. This is not her fault, but the fault of staffing and probably a lack of funding. The rest of the nurses were fine I guess, but none of them are actually focused on rehabilitation. They come in, give a pill or two, check blood pressure, bring food and go away. The fact that they even refer the themselves as a rehabilitation center is actually laughable, because they essentially just served as an adult baby sitting service. They really didn't do anything at all. And worse, a few nurses in particular were absolutely horrible. They would huff and puff every time my father asked for help to use the restroom, one nurse completely forgot about him and left him in his room to wait and wait and wait, and another one threw a fit and told him to just pee in his medical urinal bottle. The facility itself is run down, smells horrible, is very dingy, and has very little for the patients to do. The rooms are small and many of the rooms do not have anything except a bed. My father was alone, staring at a blank wall for days. I still want to cry when I think about it. He couldn't walk on his own at the time, and no one bothered to help him outside for fresh air or to sit with other people until I came in and did it myself. We had to beg for a TV, and the one we received didn't work. Then we got a new one, and it was so tiny he couldn't even see the screen because his eyes are bad. But it was better than sitting in that old dusty room alone, waiting for me to drive in all the way from Temple to see him (unfortunately I was not the one in charge of where he was located at the time). Look, I get that there's a lack of funding. I understand and empathize with that. But maybe if they cared about their patients they would do more community outreach. Do events. Make requests for donations. Do SOMETHING. Do more, do better. Please please please if you're reading this, considere donating to this place. TVs, board games, room decorations and art, outdoor activities, anything for the patients to enjoy. Medical equipment would be helpful too (that's another thing, they had limited equipment and the walker my dad received was broken. Wheel chairs were too small). Consider asking a local choir or school to volunteer here or perform here for the patients. I wish I lived in town so I could do more. But what's really sad to me is that whoever runs this place doesn't seem to care at all about doing any of that themselves, like reaching out to the community, to make this place a little less sad and depressing. Just do your loved ones a favor and find somewhere else to go unless you're desperate.

Reta Hunt's profile photo
Reta Hunt 4 years ago

Staff treat the resident's like family. So much love is poured into making the resident's happy. For example a resident has a daughter that is graduating high school and the resident cannot go to graduation due to poor health so the staff pulled together to make a private graduation ceremony at the facility so the resident can see her daughter in her cap and gown and the school has agreed to present her diploma.

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