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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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Nursing Homes / Texas / Gainesville / Avir At River Valley
Fonteum Care Compare · Nursing Home · CCN 455970

Avir At River Valley

1907 Refinery Rd, Gainesville, Texas 76240 · Cooke County

View on Medicare.gov →All Gainesville facilities →
Data source May 6, 2026·1 CCN 455970 · Medicare-certified nursing home·CMS Care Compare — NH Provider Info (4pq5-n9py)·Methodology →·Module overview →·Audit Pack →·CMS dataset →·NH deficiency study →

CMS star ratings

3★
Overall
out of 5
4★
Health Inspection
out of 5
1★
Staffing
out of 5
3★
Quality Measures
out of 5

Source: CMS Care Compare NH Provider Information dataset (4pq5-n9py). Star ratings reflect CMS quarterly refresh cadence. View current ratings at Medicare.gov.

Facility identity

CCN
455970
Provider type
Medicare and Medicaid
Ownership type
Government - Hospital district
County
Cooke
Certified beds
116
Avg. daily residents
37.0
Last standard survey
February 27, 2025
RN hours / resident day
0.25
Total nurse hours / resident day
3.05

Daily staffing — weekend coverage & contractor reliance

From the CMS Payroll-Based Journal (PBJ) daily nurse-staffing submission — direct-care RN + LPN + CNA hours per resident day. Weekend dips and contractor reliance are not captured by the CMS five-star staffing rating above.

Weekday nurse hrs / resident day (2025Q2)
2.56
Weekend nurse hrs / resident day
2.70
Contractor share of nurse hours
0%
Daily records observed
91

Source: CMS Payroll-Based Journal — Daily Nurse Staffing. Related Fonteum data: PBJ staffing hub · SNF ownership · OIG exclusions · source registry.

Source: CMS Care Compare — Nursing Home Provider Information·Snapshot: 2026-05-07·Method: CMS Five-Star Quality Rating System; PBJ daily nurse staffing·ID: 4pq5-n9py

Frequently asked questions

What is the CMS overall star rating for Avir At River Valley?

Avir At River Valley has a CMS overall star rating of 3 out of 5. This rating combines health inspection, staffing, and quality measure sub-ratings per CMS Care Compare methodology.

Who owns Avir At River Valley?

Avir At River Valley is classified as "Government - Hospital district" per the CMS Care Compare NH Provider Information dataset. Ownership records are self-reported to CMS and updated periodically.

How many beds does Avir At River Valley have?

Avir At River Valley has 116 Medicare/Medicaid-certified beds per CMS Care Compare data. Average daily resident census is 37.0.

What is the staffing rating at Avir At River Valley?

Avir At River Valley has a CMS staffing star rating of 1 / 5. Reported RN hours per resident day: 0.25. Total nurse hours per resident day: 3.05.

Is Avir At River Valley a Special Focus Facility?

Avir At River Valley is not listed in the CMS Special Focus Facility program in the current snapshot.

When was Avir At River Valley last inspected?

The most recent standard health inspection on record for Avir At River Valley was February 27, 2025. For the most current inspection results, visit Medicare.gov.

Related research and data

All nursing homes in GainesvilleAll nursing homes in TexasNursing homes overviewNH deficiency & harm rate studyNH penalties enforcement studyCare Compare methodology

Reviewed by Dr. Jennifer Montecillo, MD, non-practicing medical reviewer. Content is informational only and does not constitute medical advice, endorsement, or recommendation. Star ratings and facility data are sourced from CMS Care Compare (4pq5-n9py) and reflect the most recently available public snapshot. View current status at Medicare.gov before making care decisions.

External sources: CMS NH Provider Information (4pq5-n9py) · CMS NH Health Deficiencies (r5ix-sfxw) · CMS NH Penalties (g6vv-u9sr) · Medicare.gov profile for CCN 455970 · CMS certification & compliance · HHS-OIG exclusions program. All data is US Government Works (public domain per 17 U.S.C. 105).

Compliance posture

Methodology · Corrections log · Editorial policy

SFF status
Not designated

Does Avir At River Valley accept Medicare and Medicaid?

Avir At River Valley is classified as "Medicare and Medicaid" per the CMS Care Compare dataset. Contact the facility directly to confirm current enrollment and acceptance of new residents.