Gainesville and Cooke County
Avir at River Valley
1907 REFINERY RD, Gainesville, TX, 76240 | 9406650386
Chapter 1 of 4
Ratings
- Overall4 of 5
- Health inspections4 of 5
- Staffing1 of 5
- Quality of care5 of 5
Last state inspection: May 19, 2026
Chapter 2 of 4
Staffing
Nursing hours per resident per day.
- All nurses and aides
- Registered nurses
- Licensed practical nurses
- Nurse aides
- Weekend, all nurses
- Nurse turnover
- Registered nurse turnover
Administrators who left in the past year: 1
Chapter 3 of 4
Fines timeline
No fines on record
Medicare lists no fines for this home in the last 3 years.
Chapter 4 of 4
Citations, last 3 years
Jul 27, 20261 citation
- F0727potential for more than minimal harmComplaint
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.
Deficient, Provider has date of correction, Sep 5, 2026
May 19, 20265 citations
- F0656potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction, Jun 26, 2026
- F0689potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction, Jun 26, 2026
- F0755potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction, Jun 26, 2026
- F0761potential for more than minimal harm
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.
Deficient, Provider has date of correction, Jun 26, 2026
- F0926potential for more than minimal harm
Have policies on smoking.
Deficient, Provider has date of correction, Jun 26, 2026
Nov 26, 20251 citation
- F0880potential for more than minimal harmComplaint
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction, Dec 1, 2025
Feb 27, 20256 citations
- F0607potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction, Feb 28, 2025
- F0690potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction, Mar 12, 2025
- F0727potential for more than minimal harm
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.
Deficient, Provider has date of correction, Feb 28, 2025
- F0760potential for more than minimal harmComplaint
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction, Feb 28, 2025
- F0812potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction, Feb 28, 2025
- F0880potential for more than minimal harm
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction, Mar 12, 2025
Jan 16, 20252 citations
- F0622potential for more than minimal harmComplaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Deficient, Provider has date of correction, Feb 5, 2025
- F0755potential for more than minimal harmComplaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction, Jan 22, 2025
Dec 22, 20235 citations
- F0656potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction, Jan 19, 2024
- F0727potential for more than minimal harm
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.
Deficient, Provider has date of correction, Jan 19, 2024
- F0755potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction, Jan 19, 2024
- F0761potential for more than minimal harm
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.
Deficient, Provider has date of correction, Jan 19, 2024
- F0908potential for more than minimal harm
Keep all essential equipment working safely.
Deficient, Provider has date of correction, Jan 19, 2024
Data from Medicare's Care Compare, updated October 2026