Hill County, Texas · Nursing home
Avir at Hillsboro
1 of 5 overall from CMS
411 Old Brandon Road, Hillsboro, TX 76645
At a glance
- Overall rating 1 of 5 Below the state average of 2.7
- Nurse time per resident, per day 3.24 hours Below the state average of 3.39
- Nursing staff who left in a year 90.4% Above the state average of 55.3%
- Health citations, last 3 inspection cycles 40 4 at the harm level or above
- Fines in 3 years $106,866 2 fines
- Certified beds in use 55.9% of 105 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avir at Hillsboro is a 105-bed nursing home in Hillsboro, Texas (Hill County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.24 nurse staffing hours per resident per day, below the Texas average of 3.39. CMS lists 2 fines totaling $106,866 in the past three years.
- Certified beds
- 105
- Residents per day (average)
- 58.7
- Certified since
- 1992 (34 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Avir Health Group (118 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avir at Hillsboro
Chosen from this home's public data.
- CMS lists 2 fines totaling $106,866 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Dec 6, 2025 plus complaint and infection-control inspections); the Texas average is 9.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 90.4%, above the Texas average of 55.3%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Texas average 2.7
- Health inspections 1 of 5 Texas average 2.8
- Staffing 1 of 5 Texas average 1.9
- Quality measures 4 of 5 Texas average 3.7
The vertical line marks the Texas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.24 h Texas average 3.39
- Nurse aides 2.18 h Texas average 2.01
- Licensed practical nurses 0.79 h Texas average 0.95
- Registered nurses 0.27 h Texas average 0.43
- All staff, weekends 2.99 h Texas average 2.98
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Texas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover90.4%
- Texas average55.3%
- Registered nurse turnoverNot reported
- Texas average54.6%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Texas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.0% | 3.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 2.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 96.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.7% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.3% | 18.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 3.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.4% | 13.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.3% | 9.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.53 | 2.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.30 | 2.06 | 1.78 |
Short-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 88.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.2% | 88.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.2% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.5% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 40 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 13 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 17, 2025: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Dec 6, 2025 | 16 | 0 |
| Sep 26, 2024 | 14 | 4 |
| Aug 16, 2023 | 10 | 8 |
Texas homes averaged 9.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (40)
-
DPotential for more than minimal harm, isolated
Employ staff that are licensed, certified, or registered in accordance with state laws.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 25, 2026)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 6, 2026)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Jan 7, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 16, 2026)
-
FPotential for more than minimal harm, widespread
Have enough backup water supply for essential areas of the nursing home.
Environmental · Deficient, Provider has date of correction (Jan 16, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jan 12, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Feb 6, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 16, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Jan 12, 2026)
-
DPotential for more than minimal harm, isolated
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 6, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 6, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 9, 2025)
-
HActual harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 19, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 28, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Sep 28, 2024)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Sep 28, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 28, 2024)
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EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 28, 2024)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Sep 28, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Sep 28, 2024)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 27, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 28, 2024)
Showing the 30 most recent of 40.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 17, 2025 | Fine | $98,845 |
| Apr 19, 2024 | Fine | $8,021 |
Texas homes averaged 1.5 fines and $44,141 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Texas
- Size768 of 1177 by certified beds
- Texas average residents per day75.8
- ChainAvir Health Group
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Hill County4
Common questions
What is the CMS star rating for Avir at Hillsboro?
Avir at Hillsboro has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 4.
How many beds does Avir at Hillsboro have?
Avir at Hillsboro has 105 certified beds. It averages 58.7 residents per day, about 55.9% of its certified beds.
How much nursing care do residents get at Avir at Hillsboro?
The home reports 3.24 hours of nurse staffing per resident per day, including 0.27 hours from registered nurses. The Texas average is 3.39 hours and 0.43 hours from registered nurses.
Has Avir at Hillsboro been fined?
Yes. CMS lists 2 fines totaling $106,866 in the past three years.
Does Avir at Hillsboro accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Town Hall Estates 138beds 31.7%in use 3.07nurse hours a day
- 4 of 5 Avir at Itasca 51beds 89.6%in use 2.97nurse hours a day
- 2 of 5 Whitney Nursing and Rehabilitation Center 88beds 80.5%in use 2.88nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hill County
Who to call in Texas
These offices serve residents of every nursing home in Texas.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-252-2412 An advocate for residents and their families.
- File a complaint about a nursing home Complaint and Incident Intake 1-800-458-9858 (Monday to Friday, 7 a.m. to 7 p.m. Central) The state agency that inspects nursing homes.
Texas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 675096. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.