Texas › Hill County › Hillsboro
Avir At Hillsboro
411 Old Brandon Rd, Hillsboro, TX 76645
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 105 beds, Avir At Hillsboro serves Hillsboro in Hill County, Texas and has taken Medicare and Medicaid residents since 1992.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (15, 14, 10 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 37.1 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $107K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 90.4%.
Compared with county, state and nation
| Measure | This facility | Hill Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 30 | 25 | 28.7 |
| Citations per 100 beds | 37.1 | 27.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 90.4% | 62.2% | 52.1% | 45.8% |
| Fines listed | $106,866 | $65,850 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Dec 2025, 26 Sep 2024.
Severity mix: J ×3 H ×1 D ×20 E ×12 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 6 Apr 2026 |
| 6 Dec 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard survey | 7 Jan 2026 |
| 6 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Jan 2026 |
| 6 Dec 2025 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard survey | 16 Jan 2026 |
| 6 Dec 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 12 Jan 2026 |
| 6 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 6 Feb 2026 |
| 6 Dec 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 16 Jan 2026 |
| 6 Dec 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 12 Jan 2026 |
| 6 Dec 2025 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard survey | 8 Dec 2025 |
| 6 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Feb 2026 |
| 6 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Feb 2026 |
| 6 Dec 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 6 Feb 2026 |
| 6 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Jan 2026 |
| 6 Dec 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 6 Feb 2026 |
| 6 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Feb 2026 |
| 15 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 9 Jun 2025 |
| 15 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 9 Jun 2025 |
| 17 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint investigation | 19 Mar 2025 |
| 17 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Mar 2025 |
| 19 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Nov 2024 |
| 26 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Sep 2024 |
| 26 Sep 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 27 Sep 2024 |
| 26 Sep 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 28 Sep 2024 |
| 19 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 20 Apr 2024 |
| 19 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 20 Apr 2024 |
| 19 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 20 Apr 2024 |
| 19 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Apr 2024 |
| 17 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 20 Oct 2023 |
| 18 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Sep 2023 |
| 16 Aug 2023 | F0584 | 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. | E | Standard survey | 18 Aug 2023 |
| 16 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 21 Aug 2023 |
| 16 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Aug 2023 |
| 16 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Mar 2025 | Fine | $98,845 | |
| 19 Apr 2024 | Fine | $8,021 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 90.4%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Eastland Memorial Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | 100% | 03/01/2017 |
| 411 Old Brandon Road Property Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 411 Old Brandon Road Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 411 Old Brandon Road Opco, LLC | Adp of the snf | NOT APPLICABLE | 04/21/2025 |
| 411 Old Brandon Road Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hill County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Itasca | Itasca | 51 | 4 | 4 | 3 | 14 | 27.5 | — | 8 Jan 2026 |
| Whitney Nursing and Rehabilitation Center | Whitney | 88 | 2 | 3 | 1 | 15 | 17.0 | $45K | 30 Jan 2026 |
| Town Hall Estates | Hillsboro | 138 | 1 | 1 | 2 | 30 | 21.7 | $66K | 23 Jun 2026 |
All 4 facilities in Hill County
Questions and answers
How many deficiencies has Avir At Hillsboro been cited for?
39 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Hillsboro been fined?
Yes. CMS lists fines totalling $107K in the period covered.
How does staffing at Avir At Hillsboro compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Hillsboro?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Eastland Memorial Hospital District and 411 Old Brandon Road Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Hillsboro last inspected?
The most recent survey or investigation in the CMS record is dated 18 Feb 2026; the most recent standard health survey was 6 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.