Avir at Gainesville
1900 O'Neal St., Gainesville, TX 76240 · (940) 665-2826
Government - Hospital district · 112 certified beds
Avir at Gainesville has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 8 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $99,075 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 11, 2025 found 8 citations. What an inspection citation means
- 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.December 11, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.December 11, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.December 11, 2025 · F0695 · 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.December 11, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 11, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 11, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.December 11, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 11, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 23 citations.
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 10, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 17, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 17, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 17, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.February 17, 2026 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 11, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 6, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 6, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 6, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 6, 2025 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.September 13, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 13, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.August 27, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.July 22, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.July 22, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 22, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.July 22, 2024 · F0697 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.July 22, 2024 · F0776 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide and implement an infection prevention and control program.July 22, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 16, 2023 · F0677 · 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.December 16, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $52,848June 6, 2025
- Fine of $46,227July 22, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.08 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.45 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.80 | 0.95 | 0.86 |
| Nurse aides | 1.83 | 2.01 | 2.32 |
| Total nursing staff turnover | 73.8% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 112 |
| Average residents per day | 60.1 |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at River Valley Gainesville · ★★★★★ 3 out of 5 stars
- Renaissance Care Center Gainesville · ★★★★★ 3 out of 5 stars
- Pecan Tree Rehab and Healthcare Center Gainesville · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avir at Gainesville on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.