Texas › Cooke County › Gainesville
Avir At River Valley
1907 Refinery Rd, 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 River Valley is a For-profit, corporation nursing home in Gainesville, Texas, certified for 116 beds and caring for about 38 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 3.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (6, 8, 6 by cycle, most recent first), none at the actual-harm level. That is 17.2 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 76.0%.
Compared with county, state and nation
| Measure | This facility | Cooke Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 30 | 25 | 28.7 |
| Citations per 100 beds | 17.2 | 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 | 0.2 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 76.0% | 73.8% | 52.1% | 45.8% |
| Fines listed | $0 | $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: 19 May 2026, 27 Feb 2025.
Severity mix: D ×9 E ×10 F ×1
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 |
|---|---|---|---|---|---|
| 19 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 26 Jun 2026 |
| 19 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 26 Jun 2026 |
| 19 May 2026 | 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 | 26 Jun 2026 |
| 19 May 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 26 Jun 2026 |
| 19 May 2026 | F0926 | Have policies on smoking. | D | Standard survey | 26 Jun 2026 |
| 26 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 1 Dec 2025 |
| 27 Feb 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 28 Feb 2025 |
| 27 Feb 2025 | 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 | 28 Feb 2025 |
| 27 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 28 Feb 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Mar 2025 |
| 27 Feb 2025 | 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 | 12 Mar 2025 |
| 27 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 28 Feb 2025 |
| 16 Jan 2025 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | Complaint investigation | 5 Feb 2025 |
| 16 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Jan 2025 |
| 22 Dec 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. | F | Standard survey | 19 Jan 2024 |
| 22 Dec 2023 | 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 | 19 Jan 2024 |
| 22 Dec 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 19 Jan 2024 |
| 22 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Jan 2024 |
| 22 Dec 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 19 Jan 2024 |
| 1 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 4 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 76.0%, 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 | 4.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 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 | 2.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.5% | 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: for-profit, corporation. Legal business name: Dallas County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 06/01/2019 |
| 1907 Refinery Rd Opco, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 1907 Refinery Rd Opco, LLC | Adp of the snf | NOT APPLICABLE | 03/10/2026 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
All 4 facilities in Cooke County
Questions and answers
How many deficiencies has Avir At River Valley been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At River Valley been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avir At River Valley 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 River Valley?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Dallas County Hospital District and 1907 Refinery Rd Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At River Valley last inspected?
The most recent survey or investigation in the CMS record is dated 19 May 2026; the most recent standard health survey was 19 May 2026.
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.