Texas › Cooke County › Gainesville
Renaissance Care Center
1400 Blackshill Dr, 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.
Renaissance Care Center is a For-profit, corporation nursing home in Gainesville, Texas, certified for 91 beds and caring for about 66 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 1 and quality measures 5.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (7, 18, 5 by cycle, most recent first), none at the actual-harm level. That is 33.0 per 100 beds, more 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 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 49.1%.
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 | 30 | 30 | 25 | 28.7 |
| Citations per 100 beds | 33.0 | 33.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 49.1% | 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: 4 Jun 2026, 30 Apr 2025.
Severity mix: D ×12 E ×16 F ×2
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 |
|---|---|---|---|---|---|
| 4 Jun 2026 | 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 | 25 Jun 2026 |
| 4 Jun 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 25 Jun 2026 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Aug 2025 |
| 30 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 6 May 2025 |
| 30 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 May 2025 |
| 30 Apr 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 6 May 2025 |
| 30 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 May 2025 |
| 30 Apr 2025 | 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. | E | Standard survey | 6 May 2025 |
| 30 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 6 May 2025 |
| 30 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 May 2025 |
| 30 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 May 2025 |
| 30 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 May 2025 |
| 30 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 May 2025 |
| 30 Apr 2025 | 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 | 7 May 2025 |
| 5 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. | E | Complaint investigation | 7 Feb 2025 |
| 5 Feb 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 | 7 Feb 2025 |
| 5 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Feb 2025 |
| 5 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 7 Feb 2025 |
| 5 Feb 2025 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 7 Feb 2025 |
| 5 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Aug 2024 |
| 5 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Feb 2025 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 30 Mar 2024 |
| 15 Feb 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 30 Mar 2024 |
| 15 Feb 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 | Standard survey | 30 Mar 2024 |
| 15 Feb 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 | Standard survey | 30 Mar 2024 |
| 15 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Mar 2024 |
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 49.1%, RNs 80.0%; 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 | 14.2% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 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 | 8.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.2% | 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: Cantex Continuing Care (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 09/01/2019 |
| Gainesville Health Care Center Ltd. Co | Operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| Cantex Health Care Centers LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cohnreznick LLP | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| First Cooke Capital Funding LLC | Adp of the snf | NOT APPLICABLE | 04/05/2019 |
| Gainesville Health Care Center Ltd. Co | Adp of the snf | NOT APPLICABLE | 04/04/2025 |
| Jnc Consultant Pharmacy Services, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Pivot Rehabilitation Services | Adp of the snf | NOT APPLICABLE | 07/01/2024 |
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 |
| 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 Renaissance Care Center been cited for?
30 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 Renaissance Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Renaissance Care Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Renaissance Care Center?
It is part of the Cantex Continuing Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Dallas County Hospital District and Gainesville Health Care Center Ltd. Co. Individual owners and managers are not listed on this site.
When was Renaissance Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 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.