Avir at Hillsboro in Hillsboro, TX has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) but a 5-star quality measures rating. It reported 2.69 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $98,845 in fines in the last 24 months with a recent federal penalty.
Last inspection: February 18, 2026Penalties, last 24 months: $98,845recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6873.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
0.60
Nurse aides
1.78
Weekend nursing
2.57
Hours per resident per day.
Total staff turnover: 91%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.3%13.9%Worsening
Residents with a fall causing major injury
5.6%3.5%Improving
Residents with pressure ulcers (bedsores)
5.1%5.4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%12.2%Worsening
Residents whose ability to walk got worse
7.8%12.4%Worsening
Long-stay residents on antianxiety or sleep medication
18.8%22%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
1.4%4.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—74.2%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $98,845 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $106,866 in total fines.
Federal fine
Mar 17, 2025
$98,845
Federal fine
Apr 19, 2024
$8,021
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
64.7 residents on an average day (62% of 105 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.