Gainesville Convalescent Center
1900 O'Neal St, Gainesville, TX 76240 · Cooke County
Government · 112 certified beds · 54% occupancy · (940) 665-2826
The U.S. government (CMS) rates Gainesville Convalescent Center 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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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 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
- Potential for harmTag F0842 · Dec 11, 2025Corrected Jan 10, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 50 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 2026-08-09. See the Texas 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 2026-08-09. 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 119 facilities, with a chain-average CMS rating of 2.3 stars.