Deficiency Index

Avir at Hillview

Goldthwaite, Texas · CCN 675388

15 surveys since 2010. The first finding at harm level was recorded in 2014.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
38
Surveys
15
Harm or worse
2
Immediate jeopardy
2
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
52
Ownership
Government - Hospital district
Chain
HAMILTON COUNTY HOSPITAL DISTRICT
County
Mills · rural
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Feb 28, 2025

619 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.104.31
Registered-nurse hours per resident day0.67—
Annual nurse turnover30.3%52.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD642.9%E642.9%F214.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 38 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5821×

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

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

In the surveyor’s words

From the most serious findings on record at Avir at Hillview, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Sep 26, 2024

    Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with profession standards for food safety for 1 of 1 kitchen reviewed for food and safety and sanitation. 1. The facility failed to ensure dietary staff practiced proper hand hygiene and glove use. 2. The facility failed to seal, label, and date tortillas and failed to label and date two large bags of ice-covered chicken in one of one freezer located in the dry storage area. These failures could place residents at risks for health complications and foodborne illnesses. Findings included: 1. Observation on 09/24/2024 at 9:15 AM Dietary [NAME] was not wearing gloves. She touched her shirt and touched a cleaning towel. […]

  • No harm, potential for more than minimal, widespreadF812Jul 26, 2023

    Based on observation interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure injectable insulin of the staff was not stored with food items in the refrigerator. The facility failed to ensure food items in the refrigerator were not expired. These failures could place residents at risk for transmittable diseases, food-borne illness, and food contamination. Findings included: A.Observations and interview of the refrigerator in the kitchen on [DATE] beginning at 9:30 AM revealed there was an insulin injection syringe in a plastic bag stored with other food products in the refrigerator. […]

  • No harm, potential for more than minimal, widespreadF812Jun 3, 2022

    Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure food items in the refrigerator were dated, labeled, sealed appropriately, and had not expired. The facility failed to ensure 1 of 2 of the freezers were cleaned and free of debris a moderate amount of food crumbs and various frozen vegetables on the inside of the freezer floor. This failure could affect residents, who received their meals from the facility's kitchen, by placing them at risk for food-borne illness and food contamination. Findings included: Observations of the facility's kitchen refrigerator on [DATE] at 9:15 A.M. […]

  • No harm, potential for more than minimal, patternF584Sep 26, 2024

    Based on observations, interviews, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for the 27 residents, in the memory care unit, reviewed for a safe, clean, comfortable, and homelike environment The facility failed to report maintenance issues to the MNTD and make repairs to a loose hand railing, in the memory care unit community bathroom . This failure could have placed the residents in the memory care unit to falls. Findings included: Observation on 9/24/2024 at 11:38 AM revealed a handrail, inside the community bathroom on the facility's memory care unit, was loose. The handrail was still attached firmly to the wall in the bathroom but had 1 to 2 inches of vertical movement. There were no sharp edges. […]

  • No harm, potential for more than minimal, patternF677Sep 26, 2024

    Based on observations, interviews, and record review, the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene for four of eight residents (Resident # 23, Resident # 29, and Resident #104) reviewed quality of life. The facility failed to ensure Resident #23's, Resident #29's, and Resident #104's nails were cleaned. These failures could place residents at risk for poor hygiene, dignity issues, and decreased quality of life. 1. […]

Read 22 findings in full →The most serious and the most recent: 22 of 38 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 28, 2025Complaint1 finding
  • Sep 26, 2024Standard7 findings
  • Jul 16, 2024Complaint1 finding
  • Jul 26, 2023Standard5 findings
  • Jun 3, 2022Standard3 findings
  • Feb 26, 2020Standard1 finding
  • Feb 26, 2019Standard2 findings
  • Mar 28, 2018Standard3 findings
Show the 7 earlier surveys
  • Feb 16, 2017Standard2 findings
  • Mar 4, 2015Standard1 finding
  • Jul 3, 2014Complaint2 findings · 2 harm
  • Apr 9, 2014Standard1 finding
  • Mar 27, 2013—6 findings
  • Feb 23, 2012—1 finding
  • Dec 8, 2010—2 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction