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    Nursing home · GAINESVILLE, TX

    Avir at River Valley

    1907 REFINERY RD, GAINESVILLE, TX 76240

    CMS certification number: 455970 · Updated October 1, 2026

    Request care assistance9406650386Directions

    At a glance

    Official CMS profile

    CMS overall rating

    4 / 5

    Certified beds

    116

    Residents / day

    42.6

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Cooke
    Certified beds
    116
    Average residents per day
    42.6
    First certified
    January 1, 1992

    CMS quality ratings

    Overall
    4 / 5
    Health inspections
    4 / 5
    Staffing
    1 / 5
    Quality measures
    5 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Cooke, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    4.00
    County peers
    1.67
    n=3
    State peers
    2.75

    Nurse hours / resident / day

    This home
    2.86
    County peers
    3.09
    n=3
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.49
    County peers
    2.62
    n=3
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    68.00
    County peers
    67.65
    n=2
    State peers
    50.79
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 13.1% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 68.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    21
    Health citations
    20
    Resident measures
    17
    Ownership records
    17
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    2.86238
    Reported RN Staffing Hours per Resident per Day
    0.21621
    Reported LPN Staffing Hours per Resident per Day
    1.23714
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.40902
    Total number of nurse staff hours per resident per day on the weekend
    2.48826
    Registered Nurse hours per resident per day on the weekend
    0.21675
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03804
    Total nursing staff turnover
    68.0
    Registered Nurse turnover
    Not reported
    Number of administrators who have left the nursing home
    1
    Chain Name
    AVIR HEALTH GROUP
    Number of Facilities in Chain
    118
    Chain Average Overall 5-star Rating
    2.2
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    N
    Chain ID
    719
    Latitude
    33.642
    Location
    1907 REFINERY RD,GAINESVILLE,TX,76240
    ZIP Code
    76240
    City/Town
    GAINESVILLE
    Longitude
    -97.153
    QM Rating
    5
    Abuse Icon
    N
    Chain Name
    AVIR HEALTH GROUP
    County/Parish
    Cooke
    Provider Name
    Avir at River Valley
    Provider Type
    Medicare and Medicaid
    Overall Rating
    4
    Ownership Type
    For profit - Corporation
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    1907 REFINERY RD
    Telephone Number
    9406650386
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    DALLAS COUNTY HOSPITAL DISTRICT
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.50182
    Chain Average QM Rating
    3.8
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    116
    Provider SSA County Code
    340
    Staffing Rating Footnote
    24
    Number of Payment Denials
    0
    Registered Nurse turnover
    Not reported
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.06493
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    68.0
    Chain Average Staffing Rating
    1.5
    Number of Facilities in Chain
    118
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    455970
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    48
    Registered Nurse turnover footnote
    27
    Total Weighted Health Survey Score
    50.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    42.6
    Chain Average Overall 5-star Rating
    2.2
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    56
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.4
    Rating Cycle 1 Health Deficiency Score
    48
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    56
    Rating Cycle 1 Standard Survey Health Date
    2026-05-19
    Rating Cycle 2 Standard Health Survey Date
    2025-02-27
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.20144
    Case-Mix RN Staffing Hours per Resident per Day
    0.73654
    Reported RN Staffing Hours per Resident per Day
    0.21621
    Adjusted LPN Staffing Hours per Resident per Day
    1.15260
    Case-Mix LPN Staffing Hours per Resident per Day
    0.91782
    Reported LPN Staffing Hours per Resident per Day
    1.23714
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    7
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    8
    Rating Cycle 1 Number of Standard Health Deficiencies
    5
    Rating Cycle 2 Number of Standard Health Deficiencies
    5
    Reported Licensed Staffing Hours per Resident per Day
    1.45336
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    2
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.31273
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.49976
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.40902
    Adjusted Total Nurse Staffing Hours per Resident per Day
    2.66677
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.15412
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    3
    Reported Total Nurse Staffing Hours per Resident per Day
    2.86238
    Registered Nurse hours per resident per day on the weekend
    0.21675
    Date First Approved to Provide Medicare and Medicaid Services
    1992-01-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03804
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.31822
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.65593
    Total number of nurse staff hours per resident per day on the weekend
    2.48826

    COMMUNITY EXPERIENCE

    Reviews of Avir at River Valley

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026