Avir at Hillsboro

Nursing Home · Hillsboro, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number675096

Contact & location

411 Old Brandon RD
Hillsboro, TX 76645
Hill County
Phone
(254) 582-8416
ZIP code
76645 – all care providers

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Facility details

Certified beds
105
Residents per day
58.7 (56% occupied)
Ownership
For profit - Corporation
Legal name
Eastland Memorial Hospital District
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
November 20, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.24 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.27 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.79 (state 0.95 · U.S. 0.86)
Nurse aides
2.18 (state 2.00 · U.S. 2.32)
Weekend total
2.99 (state 2.98 · U.S. 3.42)
Nursing staff turnover
90.4 (state 55.3 · U.S. 45.8)%
RN turnover
—
Administrators who left
2 in the last year

Inspections

Last standard inspection
December 6, 2025
Health deficiencies (last cycle)
15.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
39 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-18 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2025-12-06 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.
F0809 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-01-07
2025-12-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-01-16
2025-12-06 Have enough backup water supply for essential areas of the nursing home.
F0922 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-01-16
2025-12-06 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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2025-12-06 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-16
2025-12-06 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-12
2025-12-06 Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-12-06 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2025-12-06 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2025-12-06 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2025-12-06 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2025-12-06 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2025-12-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2025-05-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-09
2025-05-15 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-09
2025-03-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
H
Actual harm
Corrected 2025-03-19
2025-03-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-19
2024-11-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-20
2024-09-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-09-26 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2024-09-26 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-28
2024-04-19 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-04-20
2024-04-19 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-04-20
2024-04-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-04-20
2024-04-19 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-20
2023-10-17 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-18 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-20
2023-08-16 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-18
2023-08-16 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-21
2023-08-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-18
2023-08-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $106,866 in fines.

DateTypeAmount
2025-03-17Fine$98,845
2024-04-19Fine$8,021

Ownership & management

NameRoleSince
Eastland Memorial Hospital District (organization)5%+ Direct Ownership Interest · 100%
411 Old Brandon Road Property Owner, LLC (organization)5%+ Security Interest · NOT APPLICABLE
Welltower INC (organization)5%+ Security Interest · NOT APPLICABLE
Welltower NNN Group, LLC (organization)5%+ Security Interest · NOT APPLICABLE
Welltower Op, LLC (organization)5%+ Security Interest · NOT APPLICABLE
411 Old Brandon Road Opco, LLC (organization)Administrator · NOT APPLICABLE
411 Old Brandon Road Property Owner, LLC (organization)Administrator · NOT APPLICABLE
Earhart, James (individual)Administrator · NOT APPLICABLE
Lopez, Roxsand (individual)Administrator · NOT APPLICABLE
Welltower INC (organization)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Wright, Laban (individual)Corporate Director · NOT APPLICABLE
Dagan, Amitai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Abraham (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
411 Old Brandon Road Opco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Earhart, James (individual)Operational/managerial Control · NOT APPLICABLE
Freund, Nochum (individual)Operational/managerial Control · NOT APPLICABLE
Travitsky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at Hillsboro?

Avir at Hillsboro has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at Hillsboro have?

It has 105 certified beds and cares for about 59 residents per day.

Has Avir at Hillsboro been fined?

Yes. CMS lists 2 penalties totaling $106,866 in the last three years.

Who owns Avir at Hillsboro?

It is part of Avir Health Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at Hillsboro?

(254) 582-8416. The facility is located at 411 Old Brandon RD, Hillsboro, TX 76645.

Other nursing homes in Hillsboro

Compare all nursing homes in Hillsboro, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.