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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasRiver Valley Health & Rehabilitation Center

River Valley Health & Rehabilitation Center

1907 Refinery Rd, Gainesville, TX 762409406650386
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
1/5
Quality
3/5
Beds
116
certified

Key Findings

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

• Has 116 certified beds with an average of 44.2 residents per day (38% occupancy)

• Last health inspection found 7 deficiencies (inspected Feb 27, 2025)

• No fines on record

• Total nursing staff: 2.69 hours per resident per day

• Staff turnover rate: 51.9% (high)

• Part of the Slp Operations chain (27 facilities)

River Valley Health & Rehabilitation Center 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
44.2
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)
7
Weighted Score
50.0
Infection Citations
0

Deficiency Citations (25)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0607Potential for Harm

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

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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 27, 2025Corrected: NoCycle: 1
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
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
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
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
F0908Potential for Harm

Keep all essential equipment working safely.

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
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
F0607Potential for Harm

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

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
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
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 Aide1.24 hrs
National avg: 2.35 hrs
LPN1.16 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.68 hrs
Total Nursing2.69 hrs
National avg: 3.89 hrs
Weekend Total2.30 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
51.9%
RN Turnover
0.0%
Administrators Left
0

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
DALLAS COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2019
SLP GAINESVILLE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2019
HATTON, RONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2025
SEARS, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2019
CASTANEDA, EDMUNDOCORPORATE OFFICERIndividualN/AJan 10, 2022

Nearby Nursing Homes

All Texas facilities

Gainesville Convalescent Center

Gainesville, TX · 112 beds

For profit$127,532 in finesAbuse
Health
Staffing
Quality
1.8 mi

Pecan Tree Rehab and Healthcare Center

Gainesville, TX · 122 beds

For profit$21,530 in fines
Health
Staffing
Quality
2.1 mi

Renaissance Care Center

Gainesville, TX · 91 beds

For profit$70,372 in fines
Health
Staffing
Quality
2.3 mi

Frequently Asked Questions

What is the CMS rating for River Valley Health & Rehabilitation Center?▾
River Valley Health & Rehabilitation Center 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.
Has River Valley Health & Rehabilitation Center had any health inspection violations?▾
River Valley Health & Rehabilitation Center had 7 deficiency citations in its most recent health inspection (Feb 27, 2025). The facility has no fines on record.
What are the staffing levels at River Valley Health & Rehabilitation Center?▾
River Valley Health & Rehabilitation Center provides 2.69 total nursing staff hours per resident per day, including 0.29 RN hours, 1.16 LPN hours, and 1.24 nurse aide hours. The total staff turnover rate is 51.9%.
How many beds does River Valley Health & Rehabilitation Center have?▾
River Valley Health & Rehabilitation Center has 116 certified beds with an average of 44.2 residents per day, resulting in approximately 38% occupancy. The facility is Government - Hospital district owned and is part of the Slp Operations chain.
Are there other nursing homes near River Valley Health & Rehabilitation Center?▾
Yes, there are 3 other nursing homes in Gainesville, Texas with an average rating of 2/5. You can compare all facilities on the Gainesville nursing homes page.

Part of Slp Operations

This chain operates 27 facilities. View all →