Avir At Hillsboro
411 OLD BRANDON ROAD, Hillsboro, TX, 76645
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 105 · avg 68 residents/day
- Total nursing staff turnover
- 70.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $106,740 total
State licensing & capacity
- License number
- 147285
- Service type
- Medicare/medicaid
- Licensed capacity
- 105 beds
- Bed type breakdown
- 27 Medicare-only · 78 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- March 1, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 411 Old Brandon Road Opco Llc
- Administrator
- Helena Jones
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- 411 Old Brandon Road Opco, Llc
Adp of The Snf · since 2025
- 411 Old Brandon Road Property Owner, Llc
5% or Greater Security Interest · 100% · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Hccf Management Group xi Llc
5% or Greater Security Interest · 100% · since 2025
- James m Earhart
Adp of The Snf · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 27)
- D0695·May 15, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0657·May 15, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0689·Mar 17, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- H0684·Mar 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0684·Nov 19, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0925·Sep 26, 2024
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0880·Sep 26, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0806·Sep 26, 2024
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Federal penalties
By year
- 20251 fine · $99K
- 20241 fine · $8,021
Most recent events
- Mar 17, 2025Fine · $99K
- Apr 19, 2024Fine · $8,021
Largest single fine on record: $99K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Sep 26, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Hillsboro is a 105-bed nursing home in Hillsboro, Texas, operated under Avir Health Group. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and $106,740 in fines across two citations. Quality-of-care measures rate 4 stars for long-stay residents, a contrast worth understanding in context. The facility is running at roughly 64% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Residents receive approximately 182 minutes of nursing care per day, about 59 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on daily care than at a typical facility — more dependent or medically complex on average — so those 182 minutes stretch thinner than the number alone suggests.
Roughly 7 in 10 nursing staff left in the past year. At that pace, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
Two CMS fines totaling $106,740 have been issued — more than five times the Texas median fine amount of $20,699, and about 30% of facilities in the state have received no fines at all.
The facility is operating at roughly 64% of its 105 licensed beds, paired with 1-star staffing and significant fines. Low occupancy alongside those signals can reflect difficulty attracting new residents.
CMS rates quality-of-care measures at 4 stars for long-stay residents and 4 stars overall for quality measures — the highest signal in this record. That rating reflects specific clinical outcomes such as rates of pressure wounds, falls, and medication management, drawn from Medicare claims and assessment data.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.87 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are on the floor during nights and weekends specifically.
Details behind the two CMS fines
Two fines totaling $106,740 were issued by CMS; ask what deficiencies triggered them and what corrective steps have been completed.
Why the facility is running well below capacity
Only about 68 of 105 beds are filled; ask what accounts for the vacancy and whether it has affected staffing levels or service availability.
Nursing staff retention over the past year
CMS data shows roughly 7 in 10 nursing staff left in the past year; ask what the facility is doing to retain staff and what the current vacancy rate is.
Management company's role in daily operations
The licensed owner is a hospital district but day-to-day management runs through a separate company; ask which entity makes staffing and care decisions.
How the quality-measure ratings are maintained
Long-stay quality measures rate 5 stars despite 1-star staffing; ask which specific outcomes drive that score and how care plans are reviewed.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.