Nursing home
Avir at Hillsboro
411 Old Brandon Rd, Hillsboro, TX 76645 · Map
For profit - Limited Liability company · Part of Avir Health Group (90 facilities) · 105 certified beds
Avir at Hillsboro is a Medicare-certified nursing home in Hillsboro, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.04 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Sep 26, 2024 cited 13 deficiencies.
- 2 fines totaling $106,740In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Hillsboro compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.04 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.25 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.06 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 70.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $106,740, 2 total penalties.
What inspectors found at Avir at Hillsboro
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Feb 18, 2026 · Full report (PDF) - Potential for harm
Have enough backup water supply for essential areas of the nursing home.
Environmental Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
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 · Dec 6, 2025 · Full report (PDF) - Potential for harm
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 · Dec 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Dec 6, 2025 · Full report (PDF) - Potential for harm
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 · Dec 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 411 Old Brandon Rd
Hillsboro, TX 76645 - CMS certification #
- 675096
- Ownership
- For profit - Limited Liability company
- Certified beds
- 105
- Avg residents/day
- 67.7
- Provider type
- Medicare and Medicaid
- First certified
- 1992-11-20
- Chain
- Avir Health Group (90 facilities)
- Setting
- Rural
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Hillsboro using Google Maps.
Other public records
- Website says Respite stays
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Hillsboro says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Memory Care & Respite Support
(page, checked Oct 12, 2026) - Apartment types named: private room.
Our community-style skilled nursing and rehab center opened in 2019 and offers a boutique environment with modern private rooms, cozy lounges, and community dining.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Hill Regional Hospital, Hillsboro. 1.3 miles away, straight line. CMS overall hospital rating: 1 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Town Hall Estates, Hillsboro. 0.5 miles away, straight line.
- Nearest home health agency office
- Paradigm Home Health, Whitney. 13.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Eagle Drug. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76645 as small town (small town core).
- Dialysis within 15 miles
- Fmc Hillsboro Kidney Center, Hillsboro, 0.7 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 76645.
- Nearest geriatric medicine practice
- Healthtexas Provider Network, Waxahachie. 30.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Avir at Hillsboro a good nursing home?
CMS gives Avir at Hillsboro an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Hillsboro staffed?
Avir at Hillsboro reports 3.04 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Hillsboro had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Avir at Hillsboro have?
Avir at Hillsboro is certified for 105 beds.