1100 Lawrence St, Gainesville, TX 76240
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Prices not published
About Avir at River Valley
When skilled nursing and rehabilitation care becomes necessary, Avir at River Valley brings compassionate medical expertise to Gainesville, Texas. Our team focuses on recovery and restoring independence through personalized treatment plans and professional nursing support.
Community at a glance
Capacity
116 residents
Location
Gainesville, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1907 REFINERY RD, Gainesville, Texas 76240
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 19, 2026, state inspectors cited 7 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 5 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare has not fined Avir at River Valley in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 5 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 13 minutesBelow the Texas average |
| Nursing staff who left in the past year | 76%Above the Texas average |
1 administrator has left the home in the past year.
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 27, 2026 · Complaint investigation · 1 citation
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
May 19, 2026 · Standard inspection · 5 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 26, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 26, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 26, 2026Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jun 26, 2026
November 26, 2025 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Dec 1, 2025
February 27, 2025 · Complaint investigation · 1 citation+
Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Feb 28, 2025
February 27, 2025 · Standard inspection · 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.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 28, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 12, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 28, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 12, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 28, 2025
January 16, 2025 · Complaint investigation · 2 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jan 22, 2025Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 5, 2025
December 22, 2023 · Standard inspection · 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jan 19, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jan 19, 2024Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jan 19, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 19, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 19, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Dallas County Hospital District
- Medicare-certified beds
- 116
- Average residents per day
- 38
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1992
- Part of a chain
- Avir Health Group, 118 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455970
Location
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1907 REFINERY RDGainesville, TX 76240
8 other communities within 10 miles
Senior living near Gainesville
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Prices not published
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Prices not published
Questions about Avir at River Valley
How did Avir at River Valley do on its last inspection?+
State inspectors visited on May 19, 2026 and cited 7 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Avir at River Valley?+
Nurses and aides spend 3 hours 5 minutes with each resident per day, including 13 minutes from registered nurses. 76% of nursing staff left over the past year.
Has Avir at River Valley been fined by Medicare?+
Medicare's records show no fines against Avir at River Valley in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.