Nursing home report
HILLSBORO, TX · Medicare-certified · 105 beds
1 out of 5 stars overall. Avir at Hillsboro has 1-star health inspection and staffing ratings, 4-star quality measures, reported nurse staffing below the federal benchmark (3.24 vs 4.1 hours per resident per day), and nearly $98,845 in fines in the last 24 months, with a recent federal penalty.
Health inspections
Staffing
3.2416 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2416.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 809 — 42 CFR §483.60 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 14 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $98,845 was recorded.
On record with Medicare: 2 fines · $106,866 in total fines.
Federal fine
Mar 17, 2025
Federal fine
Apr 19, 2024
Now operated by Avir at Hillsboro, previously Homestead Nursing and Rehabilitation of Hillsboro.
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.
