Kingsland, TX · Llano County
★★☆☆☆CMS 2/5122 bedsGovernmentMedicaid
- Nurse hours
- 2.67 /day
- Staff turnover
- 43%
- Serious cites
- 0
Avir At Kingsland runs on thin nursing coverage: 2.67 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays. That staffing level is the main reason the federal staffing rating lands at 1 out of 5, even though turnover at 42.5% is slightly better than the 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated May 2026. It's a hospital-district home with 122 certified beds, and its health inspection and quality measure ratings both sit at 3 out of 5.
Horseshoe Bay, TX · Llano County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 58%
- Serious cites
- 0
The Brixton at Horseshoe Bay runs 3.69 nurse hours per resident day, about 4% under the national average, and weekend coverage drops roughly 13% below its own weekday level, so the thinnest staffing tends to land when families visit. Annual turnover sits at 57.8%, well above the 45.8% national figure, which at 120 beds means a lot of unfamiliar faces. Inspectors cited 10 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a single fine of $85,007. The most recent inspection was June 26, 2025. A for-profit LLC operates the home.
Llano, TX · Llano County
★☆☆☆☆CMS 1/596 bedsFor-profitMedicaid
- Nurse hours
- 3.00 /day
- Staff turnover
- 70%
- Serious cites
- 0
Llano Nursing and Rehabilitation Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin coverage shows up in the numbers: 70.4% annual staff turnover against a national average of 45.8%, and 27 deficiencies on the current record, four serious enough to cause harm or jeopardy and two tied to abuse, with one fine totaling $40,170. The most recent inspection was September 2025. The 4/5 quality measure rating reflects resident care data, but it sits alongside a 1/5 staffing rating, and that gap is worth asking about directly.