Avir At Hillsboro
411 Old Brandon Rd, Hillsboro, TX 76645 · Hill County
For-profit · 105 certified beds · 56% occupancy · (254) 582-8416
The U.S. government (CMS) rates Avir At Hillsboro 1 out of 5 stars overall, much below average. Its nurse staffing is 1% below the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 90.4%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0809 · Dec 6, 2025Corrected Jan 7, 2026
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.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Dec 6, 2025Corrected Jan 16, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0922 · Dec 6, 2025Corrected Jan 16, 2026
Have enough backup water supply for essential areas of the nursing home.
Environmental Deficiencies
- Potential for harmTag F0585 · Dec 6, 2025Corrected Jan 12, 2026
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.
Resident Rights Deficiencies
- Potential for harmTag F0600 · Dec 6, 2025Corrected Feb 6, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0806 · Dec 6, 2025Corrected Jan 16, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0583 · Feb 18, 2026ComplaintCorrected Apr 6, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0582 · Dec 6, 2025Corrected Jan 12, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
- Potential for harmTag F0606 · Dec 6, 2025Corrected Dec 8, 2025
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0641 · Dec 6, 2025Corrected Feb 6, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Avir Health Group chain, which operates 119 facilities, with a chain-average CMS rating of 2.3 stars.