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411 OLD BRANDON RD, HILLSBORO, TX, 76645
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This Medicare-certified nursing home has 105 certified beds and reports 2.7 total nursing hours per resident per day, below the state median of 3.3. Nursing staff turnover of 91% per year is above the state median of 52%. CMS records show 39 health citations in the last 3 years and 7 substantiated complaints; most recent inspection February 2026. Inspections in this period included an immediate jeopardy citation — CMS's most serious finding — and the facility was assessed $106,866 in fines in the last 3 years.
Summary generated from this facility's CMS inspection, staffing, and enforcement records. Every statement is derived directly from federal data — nothing is estimated or invented.
These rates come from clinical assessments (the federal Minimum Data Set) that nursing homes are required to submit for every resident, covering long-stay residents over the most recent reporting period. Lower rates are better for every measure shown here. Use them to ask pointed questions on a tour — for example, how the facility prevents falls or limits antipsychotic use.
Residents who experienced a fall with major injury
Residents with pressure ulcers (bed sores)
Residents who received an antipsychotic medication
Residents who were physically restrained
Residents who lost too much weight
Residents with a urinary tract infection
Residents with a catheter inserted and left in their bladder
Residents with new or worsened bowel or bladder incontinence
Residents who have symptoms of depression
Residents whose need for help with daily activities increased
Residents whose ability to walk independently worsened
Source: CMS quality measures, as of June 2026. Rates reflect resident populations that differ between facilities, so compare them alongside staffing and inspection results rather than in isolation.
Staffing levels are one of the strongest predictors of nursing home quality. These figures are reported by the facility to CMS through payroll records, as hours of care available per resident per day.
Weekend nursing coverage drops about 6% versus a typical weekday at this facility.
Low staffing reliability (31/100)
CMS Payroll-Based Journal, CY2025 Q4
State inspectors survey every nursing home roughly once a year and after complaints. Citations and fines below come from federal inspection records for the last three years.
Health citations, last 3 years
39
Most recent inspection
February 18, 2026
Federal fines, last 3 years
$106,866
Keep residents' personal and medical records private and confidential.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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…
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Citations are common — what matters is severity and pattern. Learn how to read inspection reports →
Talk to a senior-living advisor about costs, availability, and alternatives near you — free for families.
Always confirm current inspection status with your state regulatory agency. SunsetWell compiles public CMS and state data but encourages families to tour facilities and speak directly with administrators.