Avir At River Valley
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Nursing Homes · Medicare certified
1900 O'neal St · Gainesville, TX 76240 · 112 certified beds
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CMS Care Compare · Updated Jul 2026
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
42
September 13, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-09-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · D
Citation F0561Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2024-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · E
Citation F0679Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2024-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · D
Citation F0657Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · D
Citation F0644Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · E
Citation F0727Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-09-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 13, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-09-13 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-09-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 27, 2024 · E
Citation F0585Federal surveyors cited this nursing home on 2024-08-27 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · K
Citation F0776Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0776 (CMS scope/severity K: pattern, immediate jeopardy) for Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. The deficiency was recorded as corrected on 2024-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · E
Citation F0607Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · D
Citation F0584Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · E
Citation F0609Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · D
Citation F0656Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · K
Citation F0697Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0697 (CMS scope/severity K: pattern, immediate jeopardy) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 22, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-07-22 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 16, 2023 · D
Citation F0677Federal surveyors cited this nursing home on 2023-12-16 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-12-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 16, 2023 · E
Citation F0689Federal surveyors cited this nursing home on 2023-12-16 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 20, 2023 · E
Citation F0921Federal surveyors cited this nursing home on 2023-07-20 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2023-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $99,075
Latest: 3.19 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Government - Hospital district
CMS Care Compare chain: Avir Health Group
Chain ID 719 · 118 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: County Of Throckmorton
parent · PAC 6305067539
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$6,003/moNursing Homes
Median · TX$5,627/moOther licensed providers in Gainesville, with their own public records.
Cost data not yet available
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Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
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