Nursing home · SNF / NF

Avir at Hillsboro

Federal · CMSActive CMS certificationCCN 675096For profit CMS overall

411 Old Brandon Road, Hillsboro, TX 76645 · Operated by Eastland Memorial Hospital District · Chain Avir Health Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

105

Avg residents / day

Inspections

Citations

Harm-level

Fines

$107k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 105 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 58.5 CMS, MDS-derived
CMS Certification Number: 675096
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 20, 1992
Ownership type: For profit - Corporation
Operator (legal business name): Eastland Memorial Hospital District
CMS chain: Avir Health Group 118 facilities
Phone: (254) 582-8416
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 23, 2026

Citations

39 health · 12 fire

Harm or worse

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J3	K·	L·
Actual harm	G·	H1	I·
Potential harm	D21	E17	F9
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$106,866

Payment denials

Latest

Mar 17, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Jul 23, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 18, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 6, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 6, 2025	Health	Health Standard	14	Potential harm	—	Open →
May 15, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Mar 17, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Nov 19, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 26, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Sep 26, 2024	Health	Health Standard	9	Potential harm	—	Open →
Apr 19, 2024	Health	Health Complaint	4	Immediate jeopardy	—	Open →
Feb 2, 2024	Health	Infection Control	0	No citations	—	Open →
Oct 17, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Aug 16, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Aug 16, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 17, 2025	Civil money penalty (fine)	$98,845	—	675096\|Fine\|113686
Apr 19, 2024	Civil money penalty (fine)	$8,021	—	675096\|Fine\|112735

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J3	K·	L·
Actual harm	G·	H1	I·
Potential harm	D21	E17	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 23, 2026	F-0839	Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 25, 2026	Complaint
Feb 18, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 6, 2026	Complaint
Dec 6, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 12, 2026
Dec 6, 2025	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 12, 2026
Dec 6, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 6, 2026
Dec 6, 2025	F-0606	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 8, 2025
Dec 6, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2026
Dec 6, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2026
Dec 6, 2025	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2026
Dec 6, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 6, 2026
Dec 6, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 6, 2026
Dec 6, 2025	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 16, 2026
Dec 6, 2025	F-0809	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 · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 7, 2026
Dec 6, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 16, 2026
Dec 6, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 6, 2026
Dec 6, 2025	F-0922	Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 16, 2026
May 15, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2025	Complaint
May 15, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2025	Complaint
Mar 17, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	H · Actual harm Pattern	Corrected Mar 19, 2025	Complaint
Mar 17, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 19, 2025	Complaint
Nov 19, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2024	Complaint
Sep 26, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 2, 2024
Sep 26, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 26, 2024
Sep 26, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 26, 2024
Sep 26, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 26, 2024
Sep 26, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 28, 2024
Sep 26, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 28, 2024
Sep 26, 2024	F-0700	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 27, 2024
Sep 26, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 28, 2024
Sep 26, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 28, 2024
Sep 26, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 28, 2024
Sep 26, 2024	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Sep 28, 2024
Sep 26, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 28, 2024
Sep 26, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 28, 2024
Apr 19, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Apr 20, 2024	Complaint
Apr 19, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Apr 20, 2024	Complaint
Apr 19, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Apr 20, 2024	Complaint
Apr 19, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 20, 2024	Complaint
Oct 17, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 20, 2023	Complaint
Aug 16, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Apr 27, 2024
Aug 16, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 27, 2024
Aug 16, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 27, 2024
Aug 16, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 27, 2024
Aug 16, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 27, 2024
Aug 16, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 27, 2024
Aug 16, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2024
Aug 16, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 27, 2024
Aug 16, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 18, 2023
Aug 16, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 18, 2023
Aug 16, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 18, 2023
Aug 16, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Aug 21, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Eastland Memorial Hospital District

CMS legal business name of the certified provider. Operates 34 facilities.

VerifiedLinked by exact legal name

CMS chain

Avir Health Group

118 facilities in 1 states. CMS chain ID 719.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2017
Amitai Dagan	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 21, 2025
Abraham Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 21, 2025
411 Old Brandon Road Opco, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
James Earhart	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
Nochum Freund	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
Aaron Travitsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2025
Laban Wright	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 10, 2021
411 Old Brandon Road Property Owner, LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Mar 1, 2025
Welltower Inc	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Mar 1, 2025
Welltower Nnn Group, LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Mar 1, 2025
Welltower Op LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Mar 1, 2025
411 Old Brandon Road Opco, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 21, 2025
411 Old Brandon Road Property Owner, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2025
Welltower Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2025
Welltower Nnn Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2025
Welltower Op LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2025
James Earhart	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2025
Roxsand Lopez	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2025

Other facilities operated by Eastland Memorial Hospital District

All 33 →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Ridgecrest Retirement and Healthcare Community 1900 W. State Hwy 6, Waco, TX 76712 CCN 455670	90	Jun 15, 2025	341 IJ	$14k
Rowlett Health and Rehabilitation Center 9300 Lakeview Pkwy, Rowlett, TX 75088 CCN 455904	163	Jul 24, 2025	20	—
Northern Oaks Living & Rehabilitation Center 2722 Old Anson Rd, Abilene, TX 79603 CCN 455934	96	Jul 2, 2026	43	—
Avir at Woodlands 125 Inspiration Blvd, Eastland, TX 76448 CCN 675001	76	Aug 13, 2025	443 IJ	$86k
Mckinney Healthcare and Rehabilitation Center 253 Enterprise Drive, Mckinney, TX 75069 CCN 675004	125	Jul 16, 2026	23	—
Golden Acres Living and Rehabilitation Center 2525 Centerville Rd, Dallas, TX 75228 CCN 675081	264	Aug 27, 2026	631 open	$13k

Same chain in Texas

All 117 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon	214	Aug 24, 2026	582 IJ2 open	$40k
Avir at New Braunfels 821 US Hwy 81 W, New Braunfels, TX 78130 CCN 455020Abuse icon	154	Jul 10, 2026	755 IJ	$158k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489	95	Apr 9, 2026	452 IJ	$22k
Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522	104	Dec 18, 2025	312 IJ1 open	$7,257
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555	116	Aug 14, 2025	33	—

Coordinates as published by CMS.

Address: 411 Old Brandon Road, Hillsboro, TX 76645
ZIP: 76645
County: Hill County FIPS 48217
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Town Hall Estates 300 Happy Ln, Hillsboro, TX 76645 CCN 676033	0.7 km	138		Aug 29, 2026	554 IJ1 harm	$52k
Avir at Itasca 409 S Files St, Itasca, TX 76055 CCN 675712	16.4 km	51		Jul 30, 2026	20	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675096	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675096	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675096

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Avir at Hillsboro

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Eastland Memorial Hospital District

Same chain in Texas

Nearby nursing homes

Avir at Hillsboro

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Eastland Memorial Hospital District

Same chain in Texas

Nearby nursing homes