Avir at Hillsboro
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 21 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
- High staff turnover (71%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in AVIR HEALTH GROUP chain · $106,740 in fines
What this means for your family
This facility offers a beautiful environment and many staff members are described as exceptionally compassionate. However, families must be extremely vigilant about communication, as multiple reviewers have experienced significant difficulty getting updates on resident health and being notified of incidents like falls.
Google Reviews
Google Reviews
21 reviews on Google“Families considering Avir at Hillsboro will find a facility praised for its beautiful, clean, and inviting building and a compassionate nursing staff that treats residents like family. However, there are serious, recurring allegations regarding poor communication, lack of notification regarding medical incidents or falls, and significant understaffing issues.”
Quality Themes
Tap a score for detailsStrengths
- Beautiful and clean facility
- Compassionate and professional nursing staff
- Welcoming and inviting atmosphere
- High-quality amenities
Concerns
- Poor communication and difficulty reaching staff by phone (mentioned by 2 reviewers)
- Failure to notify families of medical changes or incidents (mentioned by 2 reviewers)
- Understaffing leading to delayed hygiene care
Rating Trends
Tap a year to see what changed
Distribution · 23 analyzed
How They Respond to Reviews
The owner relies heavily on repetitive, templated responses. Positive reviews are met with the exact same paragraph, and even detailed praise is rarely acknowledged with specific details.
Questions for Your Tour
- 1We've heard such wonderful things about how beautiful and clean the facility is; could you show us some of the common areas where residents relax?
- 2What is your specific process for ensuring family members are notified immediately if there is a change in a resident's medical condition or an unexpected incident?
- 3Since we want to make sure we can stay in close contact, what is the best way for us to reach the nursing team if we have a quick question during the day?
- 4With the recent focus on improving staffing levels, how are you ensuring that residents receive timely assistance with their daily hygiene and personal care needs?
- 5Could you tell us about the types of daily activities or amenities available to keep the residents engaged and social?
- 6How does the nursing team manage medical emergencies or changes in care during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“The staff are compassionate and professional, and the facility offers great support. The nurses go out of their ways to make the residents and families comfortable and informed.”
“When my mother was at end of life this aide was so supportive of our mothers needs as well as ours. She went over and beyond.”
“My grandma has been here for about 2 years loves the ladies and the activities and enjoys it. my grandpa went for therapy and when it was time to come home he said no he wanted to stay , he loved the nurses and aides and claimed them as his family.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
1
measures
5
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Multiple families have filed complaints against this facility, triggering 11 deficiency citations over safety concerns, medication management, and care planning issues. The facility shows recurring problems with accident prevention and safety hazards, appearing in complaints as recently as 2025. While all deficiencies have correction dates, the pattern of repeated safety violations and ongoing family complaints suggests persistent care quality challenges that warrant careful consideration before choosing this facility.
Feb 18, 2026Complaint1
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Dec 6, 2025Routine14
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 15, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 17, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 19, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 26, 2024Routine13
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
Mar 17, 2025
$98,845
Fine
Apr 19, 2024
$8,021
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
411 OLD BRANDON ROAD OPCO LLC
HELENA JONES
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 67 of 90 (Worst)
Ownership & Management
Owners
Eastland Memorial Hospital District
Owner · Organization
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
21 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.