Gainesville Convalescent Center
1900 O'Neal St · Gainesville, TX · 76240 · 9406652826
112 certified beds Government - Hospital district Chain: Avir Health Group Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $99,075 in fines in the last 24 months.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$99,075 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 2 · $99,075 |
Inspection citations (50 in the current record)
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Potential for harm · D February 17, 2026 · found via complaint
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 March 11, 2026 · Resident Rights
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Potential for harm · D February 17, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected March 11, 2026 · Nutrition and Dietary
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Potential for harm · E December 11, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 10, 2026 · Resident Rights
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Potential for harm · D December 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 10, 2026 · Quality of Life and Care
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Potential for harm · E December 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2026 · Nutrition and Dietary
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Potential for harm · D December 11, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected January 10, 2026 · Administration
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Potential for harm · D December 11, 2025
Provide and implement an infection prevention and control program.
Corrected January 10, 2026 · Infection Control
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Potential for harm · E December 11, 2025 · found via complaint
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 January 10, 2026 · Resident Rights
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Immediate jeopardy · J June 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 6, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 6, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 7, 2025 · Resident Rights
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Potential for harm · D June 6, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 7, 2025 · Resident Rights
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Potential for harm · D September 13, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 16, 2024 · Resident Rights
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Potential for harm · E September 13, 2024
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 September 17, 2024 · Resident Rights
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Potential for harm · E September 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 18, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Provide activities to meet all resident's needs.
Corrected September 18, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 18, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 18, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
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 September 17, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 6, 2025 | Fine | $52,848 |
| July 22, 2024 | Fine | $46,227 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675067 · certified since July 23, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.