Home›Browse›Texas›Gainesville›Avir At Gainesville

Nursing homeFAID #13944

Avir At Gainesville

1900 O'Neal St., GAINESVILLE, TX, 76240

(940) 665-2826

112 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1900 O'neal St.

Gainesville, TX 76240

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Public record summary

What we can show you for free.

Bed capacity

112

CMS facility ID

675067

Care type

Nursing home

County

Cooke

Facility name

Avir At Gainesville

Street address

1900 O'Neal St.

City / state / ZIP

Gainesville, TX 76240

Phone

(940) 665-2826

About this facility — Avir At Gainesville

Avir At Gainesville is a Medicare/Medicaid-certified skilled nursing facility in Gainesville, Texas. It is licensed for 112 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 6 senior care facilities in Gainesville and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avir At Gainesville 85 times across 15 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $99,075 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

Government - Hospital district

Registered owners & officers

County of Throckmorton

Direct owner — 100% stake — since 2018

1900 O'neal Street Opco, Llc

Operational control — since 2025

1900 O'neal Street Property Owner, Llc

Security-interest holder · Additional disclosable party — since 2025

Clemens, Erin

Additional disclosable party — since 2025

Dagan, Amitai

Owner of a disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Gober, Kirby

Director — since 2018

Goldberger, Abraham

Owner of a disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Watson, Nathan

Operational control · Additional disclosable party — since 2025

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op, Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1992-07-23

CMS overall rating

1 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$99,075 total

Last standard inspection

2025-12-11

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$294 per day (≈ $8,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

69% Medicaid · 17% Medicare · 14% private/other

Occupancy

46% (fiscal year 2023)

Vs. state median

6% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

112

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily 9:00 AM – 5:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-10Health inspectionComplaint-triggered1 citation

F-0921

D · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-06-11

2026-02-17Health inspectionComplaint-triggered4 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-03-11

F-0657

D · No harm foundFrom a complaint

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

Corrected 2026-03-11

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-03-11

F-0800

D · No harm foundFood safetyFrom a complaint

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2026-03-11

10 earlier / fire-safety inspections (80 citations)

2025-12-11Health inspectionComplaint-triggered8 citations

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-01-10

F-0628

E · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-01-10

F-0656

D · No harm found

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

Corrected 2026-01-10

F-0695

E · No harm found

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

Corrected 2026-01-10

F-0812

E · No harm foundFood safety

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

Corrected 2026-01-10

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-10

F-0849

D · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2026-01-10

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-10

2025-06-06Health inspectionComplaint-triggered4 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-07

F-0580

D · No harm foundFrom a complaint

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

Corrected 2025-06-07

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-07

F-0609

J · Immediate jeopardyFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-07

2024-09-13Health inspectionComplaint-triggered13 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-09-16

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-09-17

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-09-18

F-0656

E · No harm found

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

Corrected 2024-09-18

F-0657

D · No harm found

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

Corrected 2024-09-18

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-09-18

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-09-18

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-18

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-09-18

F-0695

E · No harm found

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

Corrected 2024-09-18

F-0727

E · No harm found

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.

Corrected 2024-09-17

F-0812

F · No harm foundFood safety

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

Corrected 2024-09-19

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-09-18

2024-08-27Health inspectionComplaint-triggered1 citation

F-0585

E · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-08-30

2024-07-22Health inspectionComplaint-triggered7 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-07-26

F-0607

E · No harm foundFrom a complaint

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

Corrected 2024-07-26

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-26

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-07-26

F-0697

K · Immediate jeopardyFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-07-23

F-0776

K · Immediate jeopardyFrom a complaint

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-07-23

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-07-26

2023-12-16Health inspectionComplaint-triggeredInfection control2 citations

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-19

F-0689

E · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-19

2023-07-20Health inspection11 citations

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-08-18

F-0690

D · No harm found

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

Corrected 2023-08-18

F-0727

E · No harm found

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.

Corrected 2023-08-18

F-0755

E · No harm found

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

Corrected 2023-08-18

F-0801

F · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-08-18

F-0812

F · No harm foundFood safety

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

Corrected 2023-08-18

F-0868

E · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-08-18

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-08-18

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2023-08-18

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-08-18

F-0925

E · No harm found

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

Corrected 2023-08-18

2025-12-11Fire-safety inspection6 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-24

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-01-24

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-01-24

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0522

F · No harm found

Have an externally vented heating system.

Corrected 2026-01-24

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-24

2024-09-13Fire-safety inspection16 citations

E-0007

E · No harm found

Address patient/client population and determine types of services needed.

Corrected 2024-09-18

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-09-18

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2024-09-24

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2024-09-20

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-10-24

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-09-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-16

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-09-16

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-16

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-20

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-09-14

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-09-13

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-10-24

K-0900

F · No harm found

Meet Health Care Facilities Code mechanical requirements.

Corrected 2024-09-13

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-24

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-13

2023-07-20Fire-safety inspection12 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-08-25

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-08-25

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-08-25

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-21

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-08-25

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-08-25

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-25

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-21

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-08-25

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-08-25

K-0900

F · No harm found

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-08-25

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-25

Federal penalties

2025-06-06Fine$52,848

2024-07-22Fine$46,227

Total fines$99,075

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675067.

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 85 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered