Texas nursing homes › Gainesville › Avir At River Valley
Avir At River Valley
1907 Refinery Rd, Gainesville, TX 76240 · Cooke County · (940) 665-0386
Fewer inspection deficiencies (7) than 54% of nursing homes in Texas. Rated #1 of 4 nursing homes in Gainesville by overall CMS stars. Nursing hours per resident day: 3.1 — below the Texas average of 3.39.
Quality details (CMS data, Oct 2026 release)
| Certified beds | 116 |
| Average residents per day | 38.0 |
| Ownership | For-profit |
| Participation | Medicare and Medicaid |
| Provider chain | AVIR HEALTH GROUP |
| Nursing hours per resident per day | 3.08 (Texas average: 3.39) |
| — of which RN hours | 0.22 |
| — of which nurse aide hours | 1.42 |
| Staff turnover | 76% |
| RN turnover | — |
| Most recent health inspection | May 19, 2026 |
| Deficiencies cited (latest cycle) | 7 (Texas average: 9.4) |
| Weighted inspection score (lower is better) | 51 |
| Federal fines in past 3 years | 0 fine(s) totaling $0 |
| Payment denials / penalties | 0 |
Compare homes before you choose
Ratings change with every inspection cycle. Compare Avir At River Valley side by side with other homes in Gainesville and check the latest red flags:
See all nursing homes in Gainesville →More nursing homes in Gainesville
Plan the cost of care in Texas
What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.
Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.