Home›Browse›Texas›Gainesville›Renaissance Care Center

Nursing homeFAID #14108

Renaissance Care Center

1400 BLACKSHILL DR, GAINESVILLE, TX, 76240

(940) 665-5221

91 licensed beds

CMS rates Renaissance Care Center 3 out of 5 overall. Federal inspectors issued 42 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

1400 Blackshill Dr

Gainesville, TX 76240

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675441

Care type

Nursing home

County

Cooke

Facility name

Renaissance Care Center

Street address

1400 BLACKSHILL DR

City / state / ZIP

Gainesville, TX 76240

Phone

(940) 665-5221

About this facility — Renaissance Care Center

Renaissance Care Center is a Medicare/Medicaid-certified skilled nursing facility in Gainesville, Texas. It is licensed for 91 beds — below 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 Cantex Continuing Care, a group of 37 facilities on this site.

Federal inspectors have cited Renaissance Care Center 42 times across 10 inspections in the last three years, including 3 food-safety citations; 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

What the public record shows.

Ownership & operator

Parent company

Cantex Continuing Care

Ownership type

For profit - Corporation

Registered owners & officers

Dallas County Hospital District

Direct owner — 100% stake — since 2019

Bell, Joseph

Owner of a disclosable party — since 2025

Bratty, Jerry

Owner of a disclosable party — since 2025

Bratty, Rudolph

Owner of a disclosable party — since 2025

Cantex Health Care Centers Llc

Additional disclosable party — since 2024

Castaneda, Edmundo

Officer — since 2022

Cerise, Frederick

Officer — since 2014

Cohnreznick Llp

Additional disclosable party — since 2024

First Cooke Capital Funding Llc

Additional disclosable party — since 2019

Fulkerson, Jon

Operational control · Additional disclosable party — since 2024

Gainesville Health Care Center Ltd. Co

Operational control · Additional disclosable party — since 2019

Jnc Consultant Pharmacy Services, Llc

Additional disclosable party — since 2024

Lee, Mary

Additional disclosable party — since 2025

Longo, Amedeo

Owner of a disclosable party — since 2025

Longo, Dean

Owner of a disclosable party — since 2025

Longo, Lawrence

Owner of a disclosable party — since 2025

Longo, Peter

Owner of a disclosable party — since 2025

Pantalone, Rocco

Owner of a disclosable party — since 2025

Pivot Rehabilitation Services

Additional disclosable party — since 2024

Santos, Jennifer

Owner of a disclosable party — since 2025

Sharma, Neeraj

Additional disclosable party — since 2021

Stephen Duck, Cpa Pc

Additional disclosable party — since 2022

Underhill, Robin

Owner of a disclosable party — since 2025

Regulatory standing

Federal court records

18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1995-01-06

CMS overall rating

3 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-06-04

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$343 per day (≈ $10,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

54% Medicaid · 13% Medicare · 34% private/other

Occupancy

62% (fiscal year 2023)

Vs. state median

24% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. 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 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-04Health inspection6 citations

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 2026-06-25

F-0677

D · No harm found

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

Corrected 2026-06-25

F-0688

E · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2026-06-25

F-0755

D · No harm found

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

Corrected 2026-06-25

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 2026-06-25

F-0842

E · No harm found

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

Corrected 2026-06-25

2025-08-21Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-08-25

6 earlier / fire-safety inspections (35 citations)

2025-04-30Health inspectionComplaint-triggered11 citations

F-0565

E · No harm foundFrom a complaint

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-05-06

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-05-06

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-05-06

F-0677

E · No harm found

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

Corrected 2025-05-06

F-0693

E · No harm found

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 2025-05-06

F-0695

E · No harm found

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

Corrected 2025-05-06

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-06

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 2025-05-06

F-0761

D · No harm found

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.

Corrected 2025-05-07

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 2025-05-07

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

2025-02-05Health inspectionComplaint-triggered7 citations

F-0600

D · No harm foundFrom a complaint

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

Corrected 2024-08-01

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-02-07

F-0690

E · No harm foundFrom a complaint

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 2025-02-07

F-0755

E · No harm foundFrom a complaint

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

Corrected 2025-02-07

F-0812

E · No harm foundFood safetyFrom a complaint

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

Corrected 2025-02-07

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-02-07

F-0908

E · No harm foundFrom a complaint

Keep all essential equipment working safely.

Corrected 2025-02-07

2024-02-15Health inspectionComplaint-triggered5 citations

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-03-30

F-0584

D · 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 2024-03-30

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 2024-03-30

F-0695

D · No harm found

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

Corrected 2024-03-30

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-03-30

2026-06-04Fire-safety inspection6 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2026-06-04

E-0026

F · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2026-06-04

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-06-04

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2026-06-20

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-06-04

K-0918

F · No harm found

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

Corrected 2026-06-11

2025-04-30Fire-safety inspection5 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-05-02

E-0026

F · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2025-05-06

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 2025-05-06

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-05-06

K-0918

F · No harm found

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

Corrected 2025-05-06

2024-02-15Fire-safety inspection1 citation

K-0343

F · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-03-20

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 675441.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 68% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 53% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

54%

Higher than 60% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 11 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	7.5%	15.8%	13.5%	Better than state
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	1.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.3%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	78.0%	96.4%	93.7%	Worse than state
Ability to walk independently worsened	4.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	21.0%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	94.8%	97.0%	95.3%	Near state average
With pressure ulcers	5.2%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	8.1%	12.5%	18.3%	Better than state
Received an antipsychotic medication	10.6%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	4.00	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.82	1.97	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	70.1%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	50.0%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	24.4%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	7.6%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E-0006 2 inspections. Conduct risk assessment and an All-Hazards approach.
E-0026 2 inspections. Establish roles under a Waiver declared by secretary.
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.

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.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

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 15 miles.
Mercy Hospital Marietta, about 22 miles.
Wilson N Jones Regional Medical Center, about 29 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Pecan Tree Rehab and Healthcare Center, Gainesville, about 0.2 miles. CMS rating 1 of 5.
Avir At Gainesville, Gainesville, about 1.0 miles. CMS rating 1 of 5.
Avir At River Valley, Gainesville, about 2.3 miles. CMS rating 4 of 5.
Whitesboro Health and Rehabilitation Center, Whitesboro, about 13 miles. CMS rating 2 of 5.
Cedar Ridge Rehabilitation and Healthcare Center, Pilot Point, about 18 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 42 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

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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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 2026-11-06

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