Nursing HomeInspections

Avir at Gainesville

Nursing home in Gainesville, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (940) 665-2826Send a messageMap ↗

Public-record details

Address
1900 O'Neal St., Gainesville, TX 76240
Phone
(940) 665-2826
Listed under
Government-owned
Medicare CCN
675067
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
112
Average residents per day
60
Ownership
Government, hospital district
Legal business name
County of Throckmorton
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 23, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675067. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 11, 2025. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 20, 2023 to Jun 10, 2026): 23 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 10, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 11, 2025Develop 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
Dec 11, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 11, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Dec 11, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 11, 2025Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 11, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 11, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 51. 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 2 fines totalling $99,075 in the last three years.

Jun 6, 2025Fine: $52,848
Jul 22, 2024Fine: $46,227

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
0.45 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.73 hours
Nursing staff turnover (yearly)
74%
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

Avir at River Valley1907 Refinery Rd · Gainesville, TX 76240 · (940) 665-0386 · For-profit20 health citations in 3 inspection cycles · last standard inspection May 19, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)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)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)

All 4 in Gainesville →