Texas › Cooke County › Gainesville
Avir At Gainesville
1900 O'Neal St., Gainesville, TX 76240
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Gainesville, in Gainesville, Texas, is certified for 112 beds under government, hospital district ownership and belongs to the Avir Health Group chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 51 health deficiencies across the three most recent survey cycles (13, 18, 20 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 45.5 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $99K.
Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 73.8%.
Compared with county, state and nation
| Measure | This facility | Cooke Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 51 | 30 | 25 | 28.7 |
| Citations per 100 beds | 45.5 | 33.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 73.8% | 73.8% | 52.1% | 45.8% |
| Fines listed | $99,075 | $16,595 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Dec 2025, 13 Sep 2024.
Severity mix: J ×2 K ×2 D ×23 E ×20 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 11 Jun 2026 |
| 17 Feb 2026 | 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. | D | Complaint investigation | 11 Mar 2026 |
| 17 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 11 Mar 2026 |
| 17 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Mar 2026 |
| 17 Feb 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 11 Mar 2026 |
| 11 Dec 2025 | 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. | E | Complaint investigation | 10 Jan 2026 |
| 11 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 10 Jan 2026 |
| 11 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Jan 2026 |
| 11 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Jan 2026 |
| 11 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Jan 2026 |
| 11 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Jan 2026 |
| 11 Dec 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 10 Jan 2026 |
| 11 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jan 2026 |
| 6 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 7 Jun 2025 |
| 6 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 7 Jun 2025 |
| 6 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 7 Jun 2025 |
| 6 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 7 Jun 2025 |
| 13 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Sep 2024 |
| 13 Sep 2024 | 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. | E | Standard survey | 17 Sep 2024 |
| 13 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 18 Sep 2024 |
| 13 Sep 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 18 Sep 2024 |
| 13 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 18 Sep 2024 |
| 13 Sep 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 17 Sep 2024 |
| 13 Sep 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 16 Sep 2024 |
| 13 Sep 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 18 Sep 2024 |
| 13 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Sep 2024 |
| 13 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Sep 2024 |
| 13 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Sep 2024 |
| 13 Sep 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 18 Sep 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Sep 2024 |
| 27 Aug 2024 | F0585 | 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. | E | Complaint investigation | 30 Aug 2024 |
| 22 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint investigation | 23 Jul 2024 |
| 22 Jul 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | K | Complaint investigation | 23 Jul 2024 |
| 22 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 26 Jul 2024 |
| 22 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 26 Jul 2024 |
| 22 Jul 2024 | 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. | D | Complaint investigation | 26 Jul 2024 |
| 22 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Jul 2024 |
| 22 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Jul 2024 |
| 16 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 19 Dec 2023 |
| 16 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Dec 2023 |
| 20 Jul 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | 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. | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 18 Aug 2023 |
| 20 Jul 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Jun 2025 | Fine | $52,848 | |
| 22 Jul 2024 | Fine | $46,227 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 73.8%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: County Of Throckmorton. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Throckmorton | 5% or greater direct ownership interest | 100% | 04/01/2018 |
| 1900 O'Neal Street Property Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 1900 O'Neal Street Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 1900 O'Neal Street Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cooke County
| 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 |
| Pecan Tree Rehab and Healthcare Center | Gainesville | 122 | 1 | 1 | 1 | 30 | 24.6 | $17K | 12 May 2026 |
All 4 facilities in Cooke County
Questions and answers
How many deficiencies has Avir At Gainesville been cited for?
51 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Gainesville been fined?
Yes. CMS lists fines totalling $99K in the period covered.
How does staffing at Avir At Gainesville compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Gainesville?
It is part of the Avir Health Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include County of Throckmorton and 1900 O'Neal Street Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Gainesville last inspected?
The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 11 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.