GoodStanding

Nursing home report

Avir at River Valley

GAINESVILLE, TX · Medicare-certified · 116 beds

In good standing
Government-runChain member
Data as of July 1, 2026
3 of 5 overall

Avir at River Valley in Gainesville, TX has a 3-star overall rating, with a 4-star health inspection rating, 3-star quality measures, and a 1-star staffing rating. Reported nurse staffing is 3.08 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.0777 hrs/resident/day

Quality measures

Last inspection: November 26, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0777.

Staffing detail

Registered nurses
0.22
Licensed practical nurses
1.44
Nurse aides
1.42
Weekend nursing
2.82

Hours per resident per day.

Total staff turnover: 76%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

16.7%11.1%Improving

Residents with a fall causing major injury

2.6%0%Improving

Residents with pressure ulcers (bedsores)

5.7%3.2%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%7.4%Worsening

Residents whose ability to walk got worse

2.4%

Long-stay residents on antianxiety or sleep medication

9.1%22.2%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

10.8%8.5%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%

What the inspectors found

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: E

The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E

The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited January 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 622 — 42 CFR §483.15 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Apr 1, 2017

Now operated by Avir at River Valley, previously River Valley Health & Rehabilitation Center.

Ownership
Government - Hospital district
Chain
Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
Occupancy
38 residents on an average day (33% of 116 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.