Avir at Hillsboro
Hillsboro, Texas · CCN 675096
39 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 129
- Surveys
- 39
- Harm or worse
- 8
- Immediate jeopardy
- 7
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 105
- Ownership
- For profit - Corporation
- Chain
- AVIR HEALTH GROUP
- County
- Hill · rural
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 23, 2026
109 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.24 | 3.25 |
| Registered-nurse hours per resident day | 0.27 | — |
| Annual nurse turnover | 90.4% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $106,866 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J37.5% | K— | L— |
| Actual harm | G— | H12.5% | I— |
| No harm, potential for more than minimal | D2152.5% | E1230.0% | F37.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8062×
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Avir at Hillsboro, in the surveyor’s own words.
- Immediate jeopardy, isolatedF607Apr 19, 2024
Based on interview, and record review the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse/neglect and investigate such allegations for 1 (Resident # 1) of 6, residents reviewed for accidents and supervision. The facility failed to investigate a serious injury that occurred when Resident # 1 sustained a wrist fracture and other injuries CNA A left her unsupervised and she fell out the bed on 4/14/2024. This failure resulted in an identification of an (IJ) Immediate Jeopardy on 4/18/2024 at 6:07pm. The IJ Immediate Jeopardy template was provided to the ADM on 4/18/2024 at 6:07pm. […]
- Immediate jeopardy, isolatedF610Apr 19, 2024
Based on interview, and record review the facility failed to thoroughly investigate the incident of how Resident #1 was left unsupervised and fell from the bed. There was no evidence to show the incident had been investigated at all. The facility failed to investigate a serious injury that occurred when Resident # 1 sustained a wrist fracture and other injuries CNA A left her unsupervised and she fell out the bed on 4/14/2024. This failure resulted in an identification of an (IJ) Immediate Jeopardy on 4/18/2024 at 6:07pm. The IJ Immediate Jeopardy template was provided to the ADM on 4/18/2024 at 6:07pm. […]
- Immediate jeopardy, isolatedF689Apr 19, 2024
Based on observation, interview, and record review the facility failed to ensure adequate supervision and assistive devices to prevent accidents for 1(Resident #1) of 6 residents reviewed for accidents and supervision. The facility failed to ensure on 4/14/2024 that Resident # 1 was repositioned in her bed by CNA A, who placed her too close to the edge of the bed. The lack of supervision resulted in that Resident # 1 fell out her bed and sustained a fractured right wrist, swollen right side of her face, and other scratches to her legs from the fall. Resident # 1's right wrist was placed in a brace, and she was prescribed pain medication as needed. This failure resulted in an identification of an (IJ) Immediate Jeopardy on 4/18/2024 at 6:07 p.m. […]
- Actual harm, patternF684Mar 17, 2025
Based on observation, interviews and record review, the facility failed to ensure based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of six residents reviewed for quality of care. The facility failed to administer triamcinolone acetonide (a medication utilized for pain/itch relief) when Resident #1 was experiencing increased itching from 12/16/24 through 03/17/25. This failure could place residents at risk of not receiving medical care for conditions that cause stress and irritation, and significantly impact quality of life. […]
- No harm, potential for more than minimal, widespreadF809Dec 6, 2025
Based on observations, interviews, and record reviews , the facility failed to ensure no more than 14 hours between a substantial evening meal and breakfast the following day, except when a nourishing snack is served at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span for 61 of 61 residents reviewed for meal frequency . The facility failed to ensure the timing/hours between the supper and breakfast meal was no more than 14 hours. The current schedule was for 14.25 hours between dinner and breakfast the following day. This failure could place all 61 residents who received meals served from the facility's only kitchen at risk of decreased intake and meal dissatisfaction. […]
Read 27 findings in full →The most serious and the most recent: 27 of 129 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 23, 2026Complaint1 finding
- Feb 18, 2026Complaint1 finding
- Dec 6, 2025Standard14 findings
- May 15, 2025Complaint2 findings
- Mar 17, 2025Complaint2 findings · 1 harm
- Nov 19, 2024Complaint1 finding
- Sep 26, 2024Standard9 findings
- Apr 19, 2024Complaint4 findings · 3 harm
Show the 31 earlier surveys
- Oct 17, 2023Complaint1 finding
- Sep 18, 2023Complaint1 finding
- Aug 16, 2023Standard4 findings
- Dec 5, 2022Complaint2 findings
- Nov 22, 2022Infection control1 finding
- May 26, 2022Standard3 findings
- Apr 13, 2022Complaint2 findings
- Jan 26, 2022Infection control1 finding
- Oct 12, 2021Infection control1 finding
- Aug 30, 2021Infection control1 finding
- Jun 6, 2019Standard6 findings
- Aug 15, 2018Complaint1 finding
- May 2, 2018Standard1 finding
- Oct 18, 2017Complaint1 finding
- Jun 14, 2017Complaint1 finding
- Feb 23, 2017Standard and complaint9 findings
- May 23, 2016Complaint1 finding
- Jan 14, 2016Standard5 findings
- Nov 23, 2015Complaint1 finding
- Oct 8, 2015Complaint9 findings
- Mar 4, 2015Complaint1 finding
- Jan 28, 2015Complaint4 findings · 4 harm
- Oct 29, 2014Standard7 findings
- Feb 6, 2014Complaint1 finding
- Oct 28, 2013—5 findings
- Sep 25, 2013—6 findings
- Sep 4, 2013—2 findings
- Oct 31, 2012—6 findings
- Aug 23, 2012—2 findings
- Apr 27, 2012—4 findings
- Nov 9, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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