All states › Texas › Hillsboro › Avir at Hillsboro
411 Old Brandon Road Hillsboro, TX 76645 · Hill County
All 2 nursing homes in Hillsboro, TX (2 take Medicaid)
CMS certification number 675096 · See this home on Medicare Care Compare
Is Avir at Hillsboro a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Hillsboro as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.40 hours per resident per day at Avir at Hillsboro, above the Texas median of 3.30 (US median: 3.72). About 0.22 of those hours are from registered nurses. On weekends it falls to 3.08 hours, 9% below its all-week average. 85.4% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at Hillsboro: Medicare and Medicaid
Avir at Hillsboro is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 6, 2025 and found 14 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 39 citations at Avir at Hillsboro across 10 inspection dates, 12 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 19, 2024 (complaint inspection). The most common areas cited were quality of life and care (11) and resident rights (6). The most serious was cited under the CMS rule to "develop and implement policies and procedures to prevent abuse, neglect, and theft" (tag F0607, level J, April 19, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
July 23, 2026 · 1 citation · includes complaint inspection
DEmploy staff that are licensed, certified, or registered in accordance with state laws.
February 18, 2026 · 1 citation · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
December 6, 2025 · 14 citations
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave enough backup water supply for essential areas of the nursing home.
EHonor 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.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
May 15, 2025 · 2 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
March 17, 2025 · 2 citations, includes actual harm · includes complaint inspection
HProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 19, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
September 26, 2024 · 9 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DTry 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
April 19, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection
JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
JRespond appropriately to all alleged violations.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
October 17, 2023 · 1 citation · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
August 16, 2023 · 4 citations
EHonor 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.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of Avir at Hillsboro
- Inspectors cited the home at the immediate-jeopardy level on April 19, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 6, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 85.4% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 56% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $106,866 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 17, 2025 | Fine | $98,845 |
| Apr 19, 2024 | Fine | $8,021 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Avir at Hillsboro
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.