Ellery Care
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Avir At Hillsboro

411 Old Brandon Rd, Hillsboro, TX 76645 · Hill County

For-profit · 105 certified beds · 56% occupancy · (254) 582-8416

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Avir At Hillsboro reviews: what the government record shows

The U.S. government (CMS) rates Avir At Hillsboro 1 out of 5 stars overall, much below average. Its nurse staffing is 1% below the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.24 hrs/resident/day (-1% vs TX median)
Antipsychotic drug use
12.3% of long-stay residents (TX median 8.3%)
Falls with major injury
5.3% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$106,866
Inspection findings
39 cited, 3 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.24 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $106,866 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Hillsboro

Is Avir At Hillsboro a good nursing home?

Avir At Hillsboro in Hillsboro, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Avir At Hillsboro staffed?

Avir At Hillsboro reports 3.24 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Hillsboro been fined or flagged for abuse?

Avir At Hillsboro has paid approximately $106,866 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.

Total nurse
3.24 hrs
RN
0.27 hrs
LPN
0.79 hrs
Aide
2.18 hrs

Nursing staff turnover: 90.4%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

39
total findings
3
immediate jeopardy
1
caused actual harm
12
from complaints
  • Potential for harmTag F0809 · Dec 6, 2025Corrected Jan 7, 2026

    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

  • Potential for harmTag F0812 · Dec 6, 2025Corrected Jan 16, 2026

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0922 · Dec 6, 2025Corrected Jan 16, 2026

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

    Environmental Deficiencies

  • Potential for harmTag F0585 · Dec 6, 2025Corrected Jan 12, 2026

    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

  • Potential for harmTag F0600 · Dec 6, 2025Corrected Feb 6, 2026

    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

  • Potential for harmTag F0806 · Dec 6, 2025Corrected Jan 16, 2026

    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

  • Potential for harmTag F0583 · Feb 18, 2026ComplaintCorrected Apr 6, 2026

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0582 · Dec 6, 2025Corrected Jan 12, 2026

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

    Resident Rights Deficiencies

  • Potential for harmTag F0606 · Dec 6, 2025Corrected Dec 8, 2025

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0641 · Dec 6, 2025Corrected Feb 6, 2026

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

12.3%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is below the national median but above the Texas median, roughly middle of the pack for the state.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
5.3%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
2.7%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$106,866
Number of fines
2
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.