Nursing homes in Gainesville, TX
Gainesville, TX has 4 Medicare-certified nursing homes. None has a 5-star overall rating, and 2 have been fined in the last three years.
Medicare data updated October 2026. Sorted by Medicare's overall rating.
| Nursing home | Overall rating | Health inspections | Staffing | Quality measures | Beds | Fines |
|---|---|---|---|---|---|---|
| Avir at River Valley1907 Refinery Rd · For profit - Corporation | ★★★★★ 3 out of 5 stars | ★★★★★ 4 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 3 out of 5 stars | 116 | None |
| Renaissance Care Center1400 Blackshill Dr · For profit - Corporation | ★★★★★ 3 out of 5 stars | ★★★★★ 3 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 5 out of 5 stars | 91 | None |
| Avir at Gainesville1900 O'Neal St. · Government - Hospital district | ★★★★★ 1 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 4 out of 5 stars | 112 | 2 ($99,075) |
| Pecan Tree Rehab and Healthcare Center1900 E California St · Government - Hospital district | ★★★★★ 1 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 2 out of 5 stars | 122 | 1 ($16,879) |
How to read the ratings. Medicare's overall rating starts from the health inspection rating, which compares each home with others in Texas, then moves up or down a star for very high or very low staffing and quality measure ratings. Ratings are one source among several: Medicare suggests visiting too. How to read a nursing home's star ratings
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Recent inspection problems in Gainesville
Citations from each home's latest standard inspection and from complaint inspections in the last three years, newest first. What an inspection citation means
- 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.July 27, 2026 · Avir at River Valley · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 10, 2026 · Avir at Gainesville · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 4, 2026 · Renaissance Care Center · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 4, 2026 · Renaissance Care Center · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 4, 2026 · Renaissance Care Center · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 4, 2026 · Renaissance Care Center · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 4, 2026 · Renaissance Care Center · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 4, 2026 · Renaissance Care Center · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 19, 2026 · Avir at River Valley · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 19, 2026 · Avir at River Valley · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Questions about nursing homes in Gainesville
Which nursing home in Gainesville has the highest Medicare rating?
Avir at River Valley and Renaissance Care Center share the highest overall rating in Gainesville: 3 stars out of 5.
How many nursing homes in Gainesville have been fined?
2 of the 4 have been fined in the last three years, $115,954 in all. The most was $99,075, at Avir at Gainesville.
Does Medicare flag any nursing homes in Gainesville?
No. None of the 4 is a Special Focus Facility or carries Medicare's abuse icon.
Which nursing home in Gainesville is the largest?
Pecan Tree Rehab and Healthcare Center, with 122 certified beds.
Data from Medicare (CMS), updated October 2026, from Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.