Avir at River Valley
1907 Refinery Rd · Gainesville, TX · 76240 · 9406650386
116 certified beds Government - Hospital district Chain: Avir Health Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Potential for harm · D November 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 1, 2025 · Infection Control
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Potential for harm · E February 27, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2025
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 March 12, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
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.
Corrected February 28, 2025 · Nursing and Physician Services
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Potential for harm · D February 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · E February 27, 2025
Provide and implement an infection prevention and control program.
Corrected March 12, 2025 · Infection Control
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Potential for harm · E February 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · E January 16, 2025 · found via complaint
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.
Corrected February 5, 2025 · Resident Rights
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Potential for harm · E January 16, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 22, 2025 · Pharmacy Service
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Potential for harm · E December 22, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · F December 22, 2023
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.
Corrected January 19, 2024 · Nursing and Physician Services
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Potential for harm · D December 22, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 19, 2024 · Pharmacy Service
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Potential for harm · D December 22, 2023
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 January 19, 2024 · Pharmacy Service
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Potential for harm · E December 22, 2023
Keep all essential equipment working safely.
Corrected January 19, 2024 · Environmental
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Potential for harm · D September 1, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 4, 2023 · Infection Control
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Potential for harm · E July 27, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 31, 2023 · Environmental
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Potential for harm · D October 27, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected December 14, 2022 · Resident Rights
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Potential for harm · D October 27, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 14, 2022 · Resident Rights
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Potential for harm · E October 27, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 14, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 27, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected December 14, 2022 · Quality of Life and Care
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Potential for harm · D October 27, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 14, 2022 · Quality of Life and Care
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Potential for harm · E October 27, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 14, 2022 · Nutrition and Dietary
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Potential for harm · E October 27, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 14, 2022 · Nutrition and Dietary
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Potential for harm · D October 27, 2022
Provide and implement an infection prevention and control program.
Corrected December 14, 2022 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455970 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.