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Avir at River Valley

1907 Refinery Rd, Gainesville, Texas 76240

Overview

Avir at River Valley has a Medicare overall rating of 4 out of 5, above the Texas average of 2.8. Among the 4 nursing homes in Gainesville, it ranks first. Its strongest area is quality of care (5 of 5), and its weakest is staffing (1 of 5).

Residents receive about 2.9 hours of nursing care per day, fewer than at 90% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.2 hours come from registered nurses.

Its most recent standard inspection, on May 19, 2026, found 7 health deficiencies, fewer than the Texas average of 9.6. 2 of them came from complaint investigations. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.

Avir at River Valley is a for-profit facility with 116 certified beds, caring for about 43 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1992.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In Gainesville1st of 4 facilities

Top 25%

Within 100 miles46th of 330 facilities

Top 14%

In Texas166th of 1,166 facilities

Top 15%

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Inspections and penalties

Most recent standard inspection
May 19, 2026
Health deficiencies cited
7
Complaint-related deficiencies
2
Fines in the last 3 years
0
Payment denials
0
Total penalties
0

Staffing

Average hours of care each resident receives per day.

  • All nursing staff2.86 hrs
  • Registered nurses (RN)0.22 hrs
  • Licensed practical nurses (LPN)1.24 hrs
  • Nurse aides1.41 hrs
  • Physical therapists0.04 hrs

Facility details

Ownership
For profit - Corporation
Certified beds
116
Average residents per day
43
Participates in
Medicare and Medicaid
Medicare/Medicaid since
January 1, 1992
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes