Avir at River Valley

Nursing Home · Gainesville, TX

CMS overall rating 3/5 For profit - Corporation

CMS certification number455970

Contact & location

1907 Refinery RD
Gainesville, TX 76240
Cooke County
Phone
(940) 665-0386
ZIP code
76240 – all care providers

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Facility details

Certified beds
116
Residents per day
38.0 (33% occupied)
Ownership
For profit - Corporation
Legal name
Dallas County Hospital District
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
January 1, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.08 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.22 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.44 (state 0.95 · U.S. 0.86)
Nurse aides
1.42 (state 2.00 · U.S. 2.32)
Weekend total
2.82 (state 2.98 · U.S. 3.42)
Nursing staff turnover
76.0 (state 55.3 · U.S. 45.8)%
RN turnover
—
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 19, 2026
Health deficiencies (last cycle)
6.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
20 health · 21 fire safety
DateCitationSeverityStatus
2026-05-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-19 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-19 Have policies on smoking.
F0926 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2025-11-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-02-27 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-28
2025-02-27 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-28
2025-02-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-28
2025-02-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-12
2025-02-27 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-12
2025-02-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-28
2025-01-16 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.
F0622 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-05
2025-01-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-22
2023-12-22 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.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-12-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-12-22 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-12-22 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-12-22 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-19
2023-09-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-04

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Dallas County Hospital District (organization)5%+ Direct Ownership Interest · 100%
1907 Refinery RD Opco, LLC (organization)Administrator · NOT APPLICABLE
Hatton, Ron (individual)Administrator · NOT APPLICABLE
Sears, Larry (individual)Administrator · NOT APPLICABLE
Welltower INC (organization)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Castaneda, Edmundo (individual)Corporate Officer · NOT APPLICABLE
Dagan, Amitai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Abraham (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Faigy (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Castaneda, Edmundo (individual)Managing Control - Governing Body · NOT APPLICABLE
1907 Refinery RD Opco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Freund, Nochum (individual)Operational/managerial Control · NOT APPLICABLE
Hatton, Ron (individual)Operational/managerial Control · NOT APPLICABLE
Sears, Larry (individual)Operational/managerial Control · NOT APPLICABLE
Travitsky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at River Valley?

Avir at River Valley has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at River Valley have?

It has 116 certified beds and cares for about 38 residents per day.

Has Avir at River Valley been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Avir at River Valley?

It is part of Avir Health Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at River Valley?

(940) 665-0386. The facility is located at 1907 Refinery RD, Gainesville, TX 76240.

Other nursing homes in Gainesville

Compare all nursing homes in Gainesville, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.