ElderGrade
F

27/100

Poor

Avir At Hillsboro

411 Old Brandon Rd, Hillsboro, TX 76645

CMS 1/5 stars #4 of 4 in Hill County (254) 582-8416
Certified beds
105
Occupancy
56%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $106,866 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 90%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 0/30 Staffing 13/30 Stability 0/15 Outcomes 12/15 Enforcement 2/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -6.4 for 35 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.46 total nurse hours per resident per day (national median 3.77)
  • 0.27 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 90% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $106,866 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.24 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.27 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.99 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 90.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 39 citations

Last standard health inspection: December 6, 2025 (8 months ago).

D Feb 18, 2026 F0583 From a complaint

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

F Dec 6, 2025 F0809

Nutrition and Dietary Deficiencies

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 out...

No actual harm, potential for more than minimal harm

F Dec 6, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Dec 6, 2025 F0922

Environmental Deficiencies

Have enough backup water supply for essential areas of the nursing home.

No actual harm, potential for more than minimal harm

E Dec 6, 2025 F0585

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Dec 6, 2025 F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

E Dec 6, 2025 F0806

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

No actual harm, potential for more than minimal harm

D Dec 6, 2025 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVIR HEALTH GROUP, which operates 119 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
411 OLD BRANDON ROAD PROPERTY OWNER, LLC Organization 5% OR GREATER SECURITY INTEREST
WELLTOWER INC Organization 5% OR GREATER SECURITY INTEREST
WELLTOWER NNN GROUP, LLC Organization 5% OR GREATER SECURITY INTEREST
WELLTOWER OP, LLC Organization 5% OR GREATER SECURITY INTEREST
WRIGHT, LABAN Individual CORPORATE DIRECTOR
411 OLD BRANDON ROAD OPCO, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
EARHART, JAMES Individual OPERATIONAL/MANAGERIAL CONTROL
FREUND, NOCHUM Individual OPERATIONAL/MANAGERIAL CONTROL
TRAVITSKY, AARON Individual OPERATIONAL/MANAGERIAL CONTROL
DAGAN, AMITAI Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
GOLDBERGER, ABRAHAM Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
411 OLD BRANDON ROAD OPCO, LLC Organization ADP OF THE SNF

What families say

Write a review

No family reviews yet for Avir At Hillsboro. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Avir At Hillsboro

What is the ElderGrade for Avir At Hillsboro? +

Avir At Hillsboro holds an ElderGrade of F (27 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avir At Hillsboro? +

Residents receive an average of 3.24 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avir At Hillsboro been cited for harming residents? +

Yes. 4 of the 39 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avir At Hillsboro accept Medicaid? +

Yes, Avir At Hillsboro is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.