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HomeTexasAvir at River Valley

Avir at River Valley

1907 Refinery Rd, Gainesville, TX 762409406650386WebsiteGoogle Maps
4.0on Google(28 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
1/5
Quality
3/5
Beds
116
certified

Key Findings

• CMS rates this facility 3/5 stars (average)

• Google users rate it 4.0/5 based on 28 reviews

• Has 116 certified beds with an average of 38 residents per day (33% occupancy)

• Last health inspection found 6 deficiencies (inspected Feb 27, 2025)

• No fines on record

• Total nursing staff: 3.08 hours per resident per day

• Staff turnover rate: 76.0% (high)

• Part of the Avir Health Group chain (119 facilities)

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Cooke County 65+
7,928
18.9% of county
County Population
41,860
Cooke County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Avir at River Valley is a 3-star Medicare and Medicaid certified nursing home in Gainesville, Texas with 116 certified beds. It has been operating since 1992. The facility scored at average compared to Texas facilities.

Beds
116
Avg Residents/Day
38
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1992
Sprinklers
Yes
Council
Resident
County
Cooke
Last Inspection
Feb 27, 2025
Deficiencies (Cycle 1)
6
Weighted Score
46.0
Infection Citations
0

Deficiency Citations (25)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 27, 2025Corrected: NoCycle: 2
F0622Potential for Harm

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.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Dec 22, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 1, 2023Corrected: NoCycle: 3
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jul 27, 2023Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 27, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 27, 2022Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.42 hrs
National avg: 2.32 hrs
LPN1.44 hrs
National avg: 0.86 hrs
RN0.22 hrs
National avg: 0.69 hrs
Total Nursing3.08 hrs
National avg: 3.86 hrs
Weekend Total2.82 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
76.0%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (18)

NameRoleTypeOwnership %Since
DALLAS COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2019
CASTANEDA, EDMUNDOMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 10, 2022
CASTANEDA, EDMUNDOCORPORATE OFFICERIndividualN/AJan 10, 2022
1907 REFINERY RD OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2025
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
HATTON, RONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2025
SEARS, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2019
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 14, 2026
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 14, 2026
GOLDBERGER, FAIGYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 14, 2026
1907 REFINERY RD OPCO, LLCADP OF THE SNFOrganizationN/AMar 10, 2026
WELLTOWER INCADP OF THE SNFOrganizationN/AOct 1, 2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationN/AOct 1, 2025
WELLTOWER OP LLCADP OF THE SNFOrganizationN/AOct 1, 2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationN/AOct 1, 2025
HATTON, RONADP OF THE SNFIndividualN/ANov 10, 2025
SEARS, LARRYADP OF THE SNFIndividualN/AJun 1, 2019

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Frequently Asked Questions

What is the CMS rating for Avir at River Valley?▾
Avir at River Valley has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated average.
How much does Avir at River Valley cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Avir at River Valley participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avir at River Valley had any health inspection violations?▾
Avir at River Valley had 6 deficiency citations in its most recent health inspection (Feb 27, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Avir at River Valley?▾
Avir at River Valley provides 3.08 total nursing staff hours per resident per day, including 0.22 RN hours, 1.44 LPN hours, and 1.42 nurse aide hours. The total staff turnover rate is 76.0%.
How many beds does Avir at River Valley have?▾
Avir at River Valley has 116 certified beds with an average of 38 residents per day, resulting in approximately 33% occupancy. The facility is Government - Hospital district owned and is part of the Avir Health Group chain.
Are there other nursing homes near Avir at River Valley?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Gainesville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avir at River Valley?▾
On Google Maps, Avir at River Valley has a rating of 4.0 out of 5 based on 28 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Avir Health Group

This chain operates 119 facilities. View all →