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Avir at Hillsboro

Nursing Home Facility

411 Old Brandon Road, Hillsboro, TX 76645

Nursing Home Care Senior Living
Avir at Hillsboro

Avir at Hillsboro is a senior care community located in Hillsboro, TX. It provides nursing home care and senior living for older adults in the Hillsboro area. To learn more or schedule a tour, call (254) 582-8416.

Operated by Avir Health Group, which runs 88 communities in our directory.

Employer rating 2.4 out of 5 33 reviews from their own employees on Indeed. See what they say.

Avir at Hillsboro is licensed for 105 beds, about typical for the area, where senior care communities in Hill County average about 81 beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Hill County average about 2.0 stars. Its most recent standard health inspection was in December 2025 and recorded 15 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 90%, which is high and can affect continuity of care.

The community is located in Hill County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 39 problems at Avir at Hillsboro. 4 findings involved harm to a resident, including 3 that put residents in immediate danger. 12 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $106,866.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected February 2026, after a complaint. Corrected by April 6, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    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.

    Inspected December 2025. Corrected by January 7, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected December 2025. Corrected by January 16, 2026.

  • Could cause more than minimal harm, widespread Environmental

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

    Inspected December 2025. Corrected by January 16, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected December 2025. Corrected by January 12, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

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

    Inspected December 2025. Corrected by February 6, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected December 2025. Corrected by January 16, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected December 2025. Corrected by January 12, 2026.

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  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected December 2025. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2025. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected December 2025. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 6, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected December 2025. Corrected by February 6, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by February 6, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Avir at Hillsboro offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 105
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 90%
  • Last health inspection December 2025

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