Avir At River Valley
CMS rates Avir At River Valley 4 out of 5 overall. Federal inspectors issued 41 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.
Public record summary
About this facility — Avir At River Valley
Avir At River Valley is a Medicare/Medicaid-certified skilled nursing facility in Gainesville, Texas. It is licensed for 116 beds — close to the median for skilled nursing facilities in Texas (120 beds).
It is one of 6 senior care facilities in Gainesville and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
It is listed as part of Avir Health Group, a group of 118 facilities on this site.
Federal inspectors have cited Avir At River Valley 41 times across 10 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. 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 November 6, 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
Inspection record
Quality of care & staffing
Cited more than once
The same rule cited at separate inspections can point to a problem that wasn't fully fixed.
- F-0727 3 inspections. 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.
- F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-0761 2 inspections. 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.
What its owners also hold
- Dallas County Hospital District has an ownership stake on file at 36 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
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Who to contact in Texas
- Licensing: Texas Health and Human Services
- File a complaint: 800-458-9858 · Online
- Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
- Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
- Eldercare Locator: 800-677-1116, a federal service for local aging help.
Nearest emergency hospitals
- Muenster Memorial Hospital, about 13 miles.
- Mercy Hospital Marietta, about 21 miles.
- Wilson N Jones Regional Medical Center, about 30 miles. CMS rating 2 of 5.
Nearby facilities with inspection records
- Avir At Gainesville, Gainesville, about 1.8 miles. CMS rating 1 of 5.
- Pecan Tree Rehab and Healthcare Center, Gainesville, about 2.1 miles. CMS rating 1 of 5.
- Renaissance Care Center, Gainesville, about 2.3 miles. CMS rating 3 of 5.
- Whitesboro Health and Rehabilitation Center, Whitesboro, about 15 miles. CMS rating 2 of 5.
- Cedar Ridge Rehabilitation and Healthcare Center, Pilot Point, about 20 miles. CMS rating 3 of 5.