Avir At Gainesville
1900 O'Neal St., Gainesville, TX 76240 · Cooke County
Government · 112 certified beds · 54% occupancy · (940) 665-2826
Avir At Gainesville reviews: what the government record shows
The U.S. government (CMS) rates Avir At Gainesville 1 out of 5 stars overall, much below average. Its nurse staffing is 6% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.08 hrs/resident/day (-6% vs TX median)
- Antipsychotic drug use
- 8.9% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.5% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $99,075
- Inspection findings
- 51 cited, 4 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.08 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $99,075 in federal fines in roughly the last three years.
- !Pressure-ulcer (bedsore) rate of 6.7% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Gainesville
Is Avir At Gainesville a good nursing home?
Avir At Gainesville in Gainesville, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Avir At Gainesville staffed?
Avir At Gainesville reports 3.08 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Avir At Gainesville been fined or flagged for abuse?
Avir At Gainesville has paid approximately $99,075 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.08 nurse hours per resident per day. 6% below the Texas median of 3.27.
Nursing staff turnover: 73.8%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0584 · Dec 11, 2025ComplaintCorrected Jan 10, 2026
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.
Resident Rights Deficiencies
- Potential for harmTag F0628 · Dec 11, 2025Corrected Jan 10, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0695 · Dec 11, 2025Corrected Jan 10, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Dec 11, 2025Corrected Jan 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0921 · Jun 10, 2026ComplaintCorrected Jun 11, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0584 · Feb 17, 2026ComplaintCorrected Mar 11, 2026
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.
Resident Rights Deficiencies
- Potential for harmTag F0657 · Feb 17, 2026ComplaintCorrected Mar 11, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0677 · Feb 17, 2026ComplaintCorrected Mar 11, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0800 · Feb 17, 2026ComplaintCorrected Mar 11, 2026
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0656 · Dec 11, 2025Corrected Jan 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 51 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.