Nursing HomeInspections

Avir at River Valley

Nursing home in Gainesville, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (940) 665-0386Send a messageMap ↗

Public-record details

Address
1907 Refinery Rd, Gainesville, TX 76240
Phone
(940) 665-0386
Listed under
For-profit, No fines in 3 years
Medicare CCN
455970
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
116
Average residents per day
38
Ownership
For-profit, corporation
Legal business name
Dallas County Hospital District
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455970. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 19, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 1, 2023 to May 19, 2026): 5 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 19, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 19, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 19, 2026Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
May 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 19, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Nov 26, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 27, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 27, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 27, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Feb 27, 2025Have 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.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Feb 27, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 27, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.08 hours
Registered nurse (RN) time per resident per day
0.22 hours
Nurse aide time per resident per day
1.42 hours
Total nurse staffing on weekends
2.82 hours
Nursing staff turnover (yearly)
76%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Gainesville

Renaissance Care Center1400 Blackshill Dr · Gainesville, TX 76240 · (940) 665-5221 · For-profit30 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Avir at Gainesville1900 O'Neal St. · Gainesville, TX 76240 · (940) 665-2826 · Government-owned51 health citations in 3 inspection cycles · last standard inspection Dec 11, 2025 · $99,075 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)Pecan Tree Rehab and Healthcare Center1900 E California St · Gainesville, TX 76240 · (940) 668-6263 · Government-owned30 health citations in 3 inspection cycles · last standard inspection Feb 18, 2026 · $16,595 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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