Avir at River Valley
A Medicare-certified nursing home in Gainesville, TX with 116 certified beds. Ownership: government, hospital district. CMS rates it 3 of 5 overall (average).
- Health inspections4 of 5
- Staffing1 of 5
- Quality measures3 of 5
- Long-stay quality5 of 5
- Short-stay quality1 of 5
This home against the U.S. average
| Measure | This home | U.S. average |
|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 |
| Health inspections | 4 of 5 | 2.8 of 5 |
| Staffing | 1 of 5 | 2.9 of 5 |
| Quality measures | 3 of 5 | 3.6 of 5 |
| RN hours per resident per day | 0.22 | 0.685 |
| Deficiencies, latest survey | 6 | 9.2 |
Source: CMS Five-Star Quality Rating System, file processed Jul 1, 2026; U.S. averages across all 14,693 certified homes. The inspection rating compares homes within their state; staffing and quality use national thresholds.
Facility details
- CMS Certification Number455970
- Address1907 Refinery Rd, Gainesville, TX, 76240
- CountyCooke
- OwnershipGovernment, hospital district
- Certified beds116
- Residents per day, average38
- Phone(940) 665-0386
Inspections, fines and penalties
- Deficiencies, latest survey6 (U.S. average 9.2)
- From complaints1
- FinesNone on record
- Payment denials and other penalties0
Survey cycles
| Survey | Date | Standard | Complaint | Score |
|---|---|---|---|---|
| Latest (cycle 1) | Feb 27, 2025 | 5 | 1 | 46 |
Source: The deficiency score weights each citation by scope and severity; a higher score is worse.
0.22 registered-nurse hours per resident per day
Source: Reported RN hours from CMS Payroll-Based Journal, file processed Jul 1, 2026.
What the record shows
Avir at River Valley is a Medicare-certified skilled nursing facility in Gainesville, TX (CCN 455970) operating under government - hospital district ownership, with 116 certified beds and an average daily census of about 38 residents. CMS assigned it a 3-star Overall rating on the Five-Star Quality Rating System (average), built from a 4/5 Health Inspection component, a 1/5 Staffing component, and a 3/5 Quality Measures component. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.
On compliance, CMS records show 6 total deficiencies on the most recent survey cycle (1 complaint-based) - the national average is 9.2 deficiencies per facility, so Avir at River Valley currently sits at or below that baseline. RN staffing is 0.22 hours per resident per day, which is 68% below the national average of 0.685 hours, a CMS-reported figure derived from payroll-based journal (PBJ) submissions.
Use the rating breakdown and inspection cycles above to look past the single headline star, the Overall rating is a weighted composite, and facilities with identical headline stars can have very different underlying Health Inspection or Quality Measures profiles. Important: PlainDoctor presents CMS Five-Star Quality Rating data exactly as published at data.cms.gov (file processed Jul 1, 2026) and does not calculate custom scores or rankings. This page is a directory of publicly available government data, not medical advice, a placement recommendation, or a substitute for visiting the facility in person. Before selecting a nursing home for yourself or a family member, read the full CMS survey reports, tour the property, interview staff, and consult licensed clinicians and elder-care advisors about medical and financial implications.
Other nursing homes near Gainesville
- Renaissance Care CenterGainesville · 91 beds3 of 5
- Pecan Tree Rehab And Healthcare CenterGainesville · 122 beds1 of 5
- Frank M. Tejeda Texas State Veterans HomeFloresville · 160 beds5 of 5
- Coronado AT Stone OakSan Antonio · 112 beds5 of 5
- Veranda Rehabilitation And HealthcareHarlingen · 100 beds5 of 5
Common questions
What is Avir at River Valley's overall CMS rating?
Avir at River Valley has a 3-star overall CMS rating (Average). Health inspection: 4/5. Staffing: 1/5. Quality measures: 3/5.
How many beds does Avir at River Valley have?
Avir at River Valley has 116 Medicare-certified beds with an average of 38 residents per day.
What are CMS Five-Star ratings?
CMS rates nursing homes on a 1-5 star scale based on health inspections, quality measures, and staffing. Five stars means much above average; one star means much below average. Ratings are updated monthly based on the most recent survey data.
How does Avir at River Valley's staffing compare to the national average?
Avir at River Valley has 0.22 RN hours per resident per day, which is 68% below the national average of 0.685 hours.
How many deficiencies does Avir at River Valley have?
Avir at River Valley has 6 total deficiencies, which is at or below the national average of 9.2. Of these, 1 are complaint-based deficiencies.
Who owns Avir at River Valley?
Avir at River Valley is operated under Government - Hospital district ownership. The facility has 116 certified beds and is located in Gainesville, Texas.
Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov); facility identified by CMS Certification Number 455970. A directory of public records, not medical advice: visit the home and read its survey reports before deciding.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Jul 1, 2026.