Avir at River Valley
Nursing home in Gainesville, Texas, CMS certification number 455970
1907 Refinery Rd, Gainesville, TX 76240 · Cooke County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 116
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 19, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- No fines
Does Avir at River Valley take Medicare and Medicaid?
Yes to both. Avir at River Valley is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Avir at River Valley reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.86
- Registered nurse hours
- 0.22
- Licensed practical nurse hours
- 1.24
- Nurse aide hours
- 1.41
- Weekend total hours
- 2.49
- Nursing staff turnover
- 68%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on May 19, 2026 and cited 7 deficiencies, plus 2 from complaint visits.
The visit before, on February 27, 2025, found 5.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Avir at River Valley in the past 3 years.
Beds and residents
On an average day 42.6 residents live here, about 37% of its 116 certified beds.
- Certified beds
- 116
- Average residents per day
- 42.6
- Certified since
- January 1, 1992
- Resident or family council
- Resident
Who owns Avir at River Valley
- Legal business name
- Dallas County Hospital District
- Ownership type
- For profit - Corporation
- Chain
- 118 homes nationally under Avir Health Group, 2.2-star chain average
Other nursing homes near Avir at River Valley
- Avir at Gainesville1900 O'Neal St., Gainesville 76240
- Pecan Tree Rehab and Healthcare Center1900 E California St, Gainesville 76240
- Renaissance Care Center1400 Blackshill Dr, Gainesville 76240
- Whitesboro Health and Rehabilitation Center1204 Sherman Dr, Whitesboro 76273
- Cedar Ridge Rehabilitation and Healthcare Center1700 N Washington St, Pilot Point 76258
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avir at River Valley, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avir at River Valley
What is the CMS star rating of Avir at River Valley?
4 out of 5 stars overall.
Does Avir at River Valley accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avir at River Valley?
7 cited at the last standard visit.
Who owns Avir at River Valley?
Dallas County Hospital District, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.