Avir at Hillsboro
411 Old Brandon Rd · Hillsboro, TX · 76645 · 2545828416
105 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $98,845 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$98,845 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.69 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
91% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.57 | ≈ weekday level |
| Nursing turnover / year | 91% | median 45% |
| Fines (3-yr window) | 2 · $106,866 |
Inspection citations (39 in the current record)
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Potential for harm · D February 18, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 6, 2026 · Resident Rights
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Potential for harm · D December 6, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 12, 2026 · Resident Rights
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Potential for harm · E December 6, 2025
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.
Corrected January 12, 2026 · Resident Rights
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Potential for harm · E December 6, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2025
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2025
Ensure each resident receives an accurate assessment.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D December 6, 2025
Provide activities to meet all resident's needs.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D December 6, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 6, 2026 · Quality of Life and Care
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Potential for harm · D December 6, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 6, 2026 · Pharmacy Service
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Potential for harm · E December 6, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · F December 6, 2025
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.
Corrected January 7, 2026 · Nutrition and Dietary
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Potential for harm · F December 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · D December 6, 2025
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
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Potential for harm · F December 6, 2025
Have enough backup water supply for essential areas of the nursing home.
Corrected January 16, 2026 · Environmental
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Potential for harm · D May 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 9, 2025 · Quality of Life and Care
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Actual harm · H March 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 19, 2025 · Quality of Life and Care
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Potential for harm · D March 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 19, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 20, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 28, 2024 · Resident Rights
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Potential for harm · E September 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 28, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024
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.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · E September 26, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 28, 2024 · Pharmacy Service
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Potential for harm · E September 26, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 28, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 17, 2025 | Fine | $98,845 |
| April 19, 2024 | Fine | $8,021 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675096 · certified since November 20, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.