Avir at River Valley
1907 Refinery Rd, Gainesville, TX 76240 · (940) 665-0386
For profit - Corporation · 116 certified beds
Avir at River Valley has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 5 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
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. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above 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. | ★★★★★ 3 out of 5 stars · 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 May 19, 2026 found 5 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 19, 2026 · 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 · F0755 · 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.May 19, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 19, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have policies on smoking.May 19, 2026 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 5 citations.
- 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 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.November 26, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 27, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.January 16, 2025 · F0622 · 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.January 16, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
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) | 0.22 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.44 | 0.95 | 0.86 |
| Nurse aides | 1.42 | 2.01 | 2.32 |
| Total nursing staff turnover | 76% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 116 |
| Average residents per day | 38 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Renaissance Care Center Gainesville · ★★★★★ 3 out of 5 stars
- Avir at Gainesville Gainesville · ★★★★★ 1 out of 5 stars
- Pecan Tree Rehab and Healthcare Center Gainesville · ★★★★★ 1 out of 5 stars
Compare every nursing home in Gainesville, TX · Nursing homes in Texas · Home health agencies in Gainesville, TX
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Data from Medicare (CMS), updated October 2026, from Avir at River Valley on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.