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Nursing homeFAID #13958

Avir At Hillsboro

411 Old Brandon Road, HILLSBORO, TX, 76645

(254) 582-8416

105 licensed beds

CMS rates Avir At Hillsboro 1 out of 5 overall. Federal inspectors issued 51 citations across 14 inspections in the last three years, with $106,866 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

411 Old Brandon Road

Hillsboro, TX 76645

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Public record summary

What we can show you for free.

Bed capacity

105

CMS facility ID

675096

Care type

Nursing home

County

Hill

Facility name

Avir At Hillsboro

Street address

411 Old Brandon Road

City / state / ZIP

Hillsboro, TX 76645

Phone

(254) 582-8416

Website

avirhg.com/avir-at-hillsboro

About this facility — Avir At Hillsboro

Avir At Hillsboro is a Medicare/Medicaid-certified skilled nursing facility in Hillsboro, Texas. It is licensed for 105 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Hillsboro and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Hillsboro 51 times across 14 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $106,866 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

For profit - Corporation

Registered owners & officers

Eastland Memorial Hospital District

Direct owner — 100% stake — since 2017

411 Old Brandon Road Opco, Llc

Operational control · Additional disclosable party — since 2025

411 Old Brandon Road Property Owner, Llc

Security-interest holder · Additional disclosable party — since 2025

Dagan, Amitai

Owner of a disclosable party — since 2025

Earhart, James

Operational control · Additional disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2025

Lopez, Roxsand

Additional disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Security-interest holder · Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Security-interest holder · Additional disclosable party — since 2025

Welltower Op Llc

Security-interest holder · Additional disclosable party — since 2025

Wright, Laban

Director — since 2021

Regulatory standing

Licensed / certified since

1992-11-20

CMS overall rating

1 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$106,866 total

Last standard inspection

2025-12-06

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$364 per day (≈ $11,070/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 19% Medicare · 20% private/other

Occupancy

43% (fiscal year 2023)

Vs. state median

31% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

105

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-23Health inspectionComplaint-triggered1 citation

F-0839

D · No harm foundFrom a complaint

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2026-07-25

2026-02-18Health inspectionComplaint-triggered1 citation

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2026-04-06

10 earlier / fire-safety inspections (49 citations)

2025-12-06Health inspection14 citations

F-0582

D · No harm found

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

Corrected 2026-01-12

F-0585

E · No harm found

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 2026-01-12

F-0600

E · No harm found

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

Corrected 2026-02-06

F-0606

D · No harm found

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2025-12-08

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-02-06

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-02-06

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-02-06

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-06

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-02-06

F-0806

E · No harm foundFood safety

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

Corrected 2026-01-16

F-0809

F · No harm foundFood safety

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 2026-01-07

F-0812

F · No harm foundFood safety

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

Corrected 2026-01-16

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-06

F-0922

F · No harm found

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

Corrected 2026-01-16

2025-05-15Health inspectionComplaint-triggered2 citations

F-0657

D · No harm foundFrom a 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 2025-06-09

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-09

2025-03-17Health inspectionComplaint-triggered2 citations

F-0684

H · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-19

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-19

2024-11-19Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-20

2024-09-26Health inspection9 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-28

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-28

F-0700

D · No harm found

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 2024-09-27

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-28

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-28

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-09-28

F-0806

D · No harm foundFood safety

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

Corrected 2024-09-28

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-28

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-09-28

2024-04-19Health inspectionComplaint-triggered4 citations

F-0607

J · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-20

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-20

F-0610

J · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-04-20

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-20

2023-10-17Health inspectionComplaint-triggered1 citation

F-0558

E · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-20

2023-08-16Health inspection4 citations

F-0584

E · No harm found

Honor 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.

Corrected 2023-08-18

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-18

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-08-18

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-08-21

2024-09-26Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-02

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-26

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-09-26

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-26

2023-08-16Fire-safety inspection8 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-04-27

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-04-27

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-27

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-04-27

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-04-27

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-27

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-29

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-04-27

Federal penalties

2025-03-17Fine$98,845

2024-04-19Fine$8,021

Total fines$106,866

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675096.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 80% of nursing homes in the state

State median: 33

Federal fines, 3 years

$106,866

More than 87% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 62% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

85%

Higher than 99% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	12.4%	15.8%	13.5%	Better than state
Lose too much weight	0.5%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.9%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	13.7%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	18.5%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	3.2%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	5.5%	12.5%	18.3%	Better than state
Received an antipsychotic medication	14.3%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.47	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	3.72	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	64.7%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	19.3%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	20.8%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0806 2 inspections. Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.

What its owners also hold

Eastland Memorial Hospital District has an ownership stake on file at 34 nursing homes, averaging 2.8 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Texas Health Harris Methodist Hospital Cleburne, about 29 miles. CMS rating 5 of 5.
Ennis Regional Medical Center, about 34 miles.
Ascension Providence, about 35 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Town Hall Estates, Hillsboro, about 0.5 miles. CMS rating 1 of 5.
Avir At Itasca, Itasca, about 10 miles. CMS rating 4 of 5.
Whitney Nursing and Rehabilitation Center, Whitney, about 14 miles. CMS rating 2 of 5.
West Rest Haven, West, about 14 miles. CMS rating 2 of 5.
Renaissance Rehabilitation and Healthcare Center, Italy, about 17 miles. CMS rating 5 of 5.

Visitor reviews

What people say on Google.

3.422 ratings on Google

★Jessica Whitworth · 2026-06-13 · via Google
“Make sure you're checking on your loved ones! Got there to visit and before I left I hit the call light which did not work at all! How is anyone supposed to call for help if the call button doesn't work?”

★★★★★Julie Bare · 2025-10-07 · via Google
“My experience with Avir at Hillsboro was very positive. The building is clean and comfortable, and the rooms offer a nice level of privacy. The staff are compassionate and professional, and the facility offers great support. The nurses go out of their way to make the residents and families comfortable and informed. I’d recommend this facility if you're looking for short-term rehab or long-term car…”

★★★★★Cadie Ayres · 2025-09-25 · via Google
“This building is not only beautiful and inviting but the staff is so welcoming and makes everyone feel right at home! The amenities offered are top tier and they really treat their residents like part of the family. I highly recommend this beautiful place for your loved ones!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 51 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered