Avir at Gainesville
Nursing Home · Gainesville, TX
CMS certification number675067
Contact & location
1900 O'Neal St.Gainesville, TX 76240
Cooke County
- Phone
- (940) 665-2826
- ZIP code
- 76240 – all care providers
Facility details
- Certified beds
- 112
- Residents per day
- 60.1 (54% occupied)
- Ownership
- Government - Hospital district
- Legal name
- County of Throckmorton
- Chain
- Avir Health Group (116 facilities, avg 2.3★)
- Medicare certified since
- July 23, 1992
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
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)
- 0.45 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.80 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.83 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.73 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 73.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- December 11, 2025
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 6
- Infection control citations
- 2
- Citations on record (3 years)
- 51 health · 29 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-11 |
| 2026-02-17 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-11 |
| 2026-02-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-11 |
| 2026-02-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-11 |
| 2026-02-17 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-11 |
| 2025-12-11 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-12-11 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-12-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-12-11 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-12-11 | 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 2026-01-10 |
| 2025-12-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-12-11 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-12-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-10 |
| 2025-06-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-06-07 |
| 2025-06-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-06-07 |
| 2025-06-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-07 |
| 2025-06-06 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-07 |
| 2024-09-13 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-19 |
| 2024-09-13 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-09-13 | 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 2024-09-18 |
| 2024-09-13 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | 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 2024-09-17 |
| 2024-09-13 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-16 |
| 2024-09-13 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-18 |
| 2024-09-13 | 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 2024-09-18 |
| 2024-08-27 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-07-22 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-07-23 |
| 2024-07-22 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. F0776 · Administration Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-07-23 |
| 2024-07-22 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-26 |
| 2024-07-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-26 |
| 2024-07-22 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-26 |
| 2024-07-22 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-26 |
| 2024-07-22 | 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 2024-07-26 |
| 2023-12-16 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-19 |
| 2023-12-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-19 |
| 2023-07-20 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | 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 2023-08-18 |
| 2023-07-20 | 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 2023-08-18 |
| 2023-07-20 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-07-20 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
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
2 penalties in the last three years, including $99,075 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-06 | Fine | $52,848 |
| 2024-07-22 | Fine | $46,227 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| County of Throckmorton (organization) | 5%+ Direct Ownership Interest · 100% | |
| 1900 O'neal Street Property Owner, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| 1900 O'neal Street Property Owner, LLC (organization) | Administrator · NOT APPLICABLE | |
| Clemens, Erin (individual) | Administrator · NOT APPLICABLE | |
| Watson, Nathan (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 | |
| Gober, Kirby (individual) | Corporate Director · 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 | |
| 1900 O'neal Street Opco, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freund, Nochum (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Travitsky, Aaron (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Watson, Nathan (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avir at Gainesville?
Avir at Gainesville has a 1-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 Gainesville have?
It has 112 certified beds and cares for about 60 residents per day.
Has Avir at Gainesville been fined?
Yes. CMS lists 2 penalties totaling $99,075 in the last three years.
Who owns Avir at Gainesville?
It is part of Avir Health Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avir at Gainesville?
(940) 665-2826. The facility is located at 1900 O'Neal St., Gainesville, TX 76240.
Other nursing homes in Gainesville
-
Avir at River Valley
Nursing Home · Gainesville, TX · 116 beds
★★★ -
Renaissance Care Center
Nursing Home · Gainesville, TX · 91 beds
★★★ -
Pecan Tree Rehab and Healthcare Center
Nursing Home · Gainesville, TX · 122 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.