Nursing homes in Cooke County, Texas
There are 4 certified nursing homes in Cooke County, Texas, with 441 beds between them.
50% of them are rated 1 or 2 stars overall, about the same share as the state (48%). Inspectors recorded 131 health deficiencies over three cycles, 29.7 per 100 beds against 24.4 statewide.
Fines in the period covered total $116K across 3 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Cooke County | Texas | US |
|---|---|---|---|
| Facilities | 4 | 1177 | 14690 |
| Rated 1–2 stars overall | 50% | 48% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 29.7 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.1 | 3.3 | 3.7 |
| Fines listed | $116K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At River Valley | Gainesville | 116 | 3 | 4 | 1 | 20 | 17.2 | — | 19 May 2026 |
| Renaissance Care Center | Gainesville | 91 | 3 | 3 | 1 | 30 | 33.0 | — | 4 Jun 2026 |
| Avir At Gainesville | Gainesville | 112 | 1 | 1 | 1 | 51 | 45.5 | $99K | 10 Jun 2026 |
| Pecan Tree Rehab and Healthcare Center | Gainesville | 122 | 1 | 1 | 1 | 30 | 24.6 | $17K | 12 May 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 14 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 10 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 9 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 8 |
| F0584 | 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. | 7 |
Ownership
| Type | Facilities |
|---|---|
| Government | 2 |
| For profit | 2 |
Chains present: Avir Health Group (2), Creative Solutions In Healthcare (1), Cantex Continuing Care (1).
Questions and answers
How many nursing homes are in Cooke County, Texas?
4 Medicare-certified nursing homes with 441 certified beds.
Which nursing homes in Cooke County have the highest CMS ratings?
Avir At River Valley (3 stars), Renaissance Care Center (3 stars), Avir At Gainesville (1 stars)
How do Cooke County nursing homes compare with Texas?
50% are rated 1–2 stars overall against 48% statewide; citations run at 29.7 per 100 beds against 24.4 statewide.