Community Leadership

Advena Living on Tenth celebrates the importance of ethics, compassion and commitment in the healthcare profession as we honor our nurses, volunteers and staff, who demonstrate such passion and dedication to our community members every day.

Our staff works side-by-side with families and physicians to ensure our community members are in the most appropriate care setting, customized for their needs and preferences. Our licensed professionals are available to answer questions and address any concerns you or your family may have.

We have a special relationship with the Veterans Administration of Northeast Kansas, and we welcome questions and discussions about our care for those who have served.

Please feel free to contact our key staff members about our services:

Bianca Neal, Administrator

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Bianca Neal is the Administrator at Advena Living on Tenth, where she leads with compassion, integrity, and a strong commitment to those she serves. With over a decade of experience in long-term care and a foundation in social work, Bianca brings a well-rounded perspective to skilled nursing leadership. Her background includes roles in social services, admissions, marketing and activities.

Bianca embodies Advena’s core values in her daily leadership. She is loyal and dedicated to supporting both her team and the residents entrusted to her care. She leads with integrity by upholding high standards while encouraging a respectful, inclusive environment. With fortitude, she adapts to challenges with a solution-focused mindset and encourages her team to grow. Through genuine engagement, she stays connected with staff, families, and residents to promote meaningful, purpose-driven lives.

Krystal Llamas, Director of Nursing

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With nearly 20 years of experience in nursing, Krystal has dedicated her career to providing the highest standard of care for her patients. Over the past 10 years, she has taken on leadership roles, guiding her team with passion and a commitment to excellence. Krystal’s leadership is marked by her deep respect for her colleagues and her drive to ensure that the residents under her care receive the best possible support in a compassionate environment.

Krystal is a firm believer in the importance of teamwork and works tirelessly to foster a culture of collaboration and trust within her team. Her focus remains on ensuring every resident’s needs are met with empathy and expertise.

Outside of her professional life, Krystal is a devoted wife, mother, and grandmother. She cherishes her time spent with her husband, children, and grandchildren. Krystal and her husband share a love for live music and seize every opportunity to attend performances together.

Brenna Kramer, Assistant Director of Nursing and MDS Assessment Coordinator

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With nearly 15 years of experience in healthcare, I’m currently pursuing my RN degree to further my passion for patient care. As a dedicated dog mom, I cherish the time I spend with my furry friend. When I’m not studying or working, I love making lasting memories with friends and family, relaxing at the lake and enjoy sitting by the fire. I’m excited for what the future holds in my nursing career!

Marissa Gilliland, Senior Business Office Manager

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I got my CNA when I was 16, then my CMA when I was 21. I have been around long-term care facilities since I was 9 years old. My mom would bring me to work with her and do activities with residents at the nursing homes where she worked. I knew at a young age that working withthe elderly was my calling. To hear them say they are glad to see me, or just to get a smile when I walk by, is what I strive for every day. Working in medical records gives me knowledge and experience that I use daily.

Tameka Dillard, Director of Nursing Assistants

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More information coming soon!