Avir At River Valley
Gainesville, TX · Medicare and Medicaid-certified nursing home (CCN 455970) · 116 certified beds
Health inspection: 4 · Quality measures: 3 · Staffing: 1
Federal fines: none on current record
Phone: (940) 665-0386 · Verify on Medicare Care Compare ↗
Avir At River Valley has a CMS overall star rating of 3 out of 5, which is above the Texas state average of 2.65 stars. Its health inspection rating is 4 stars and its staffing rating is 1 star.
Avir At River Valley reports total nurse staffing of 3.08 hours per resident per day, including 0.22 RN hours per resident per day, with a nursing staff turnover rate of 76.0%. CMS gives the facility a 1-star staffing rating, the lowest possible.
Avir At River Valley has no federal fines on record, with 0 fines totaling $0.00 and 0 payment denials reported by CMS. There is no abuse icon flag and no Special Focus Facility status noted for this facility.
About this facility
Avir At River Valley is a Medicare and Medicaid certified nursing home in Gainesville, Texas (Cooke County), operated as a for-profit corporation. The facility is certified for 116 beds, though average daily occupancy is reported at 38.0 residents. It has been certified since 1992.
According to CMS Care Compare, Avir At River Valley holds an overall star rating of 3 out of 5, which is above the Texas state average of 2.65. Its component ratings are: health inspection 4 stars, quality measures 3 stars, and staffing 1 star.
Nurse staffing data show total nurse hours per resident per day of 3.08, with registered nurse (RN) hours per resident per day of 0.22. Nursing staff turnover is reported at 76.0%. These figures underlie the facility's 1-star staffing rating.
On penalties, CMS records show 0 federal fines totaling $0.00, and 0 payment denials — no federal fines on record. There is no abuse icon flag and no Special Focus Facility designation reported for this facility in the data provided.
Avir At River Valley is part of the Avir Health Group chain, which comprises 116 facilities with an average chain rating of 2.3 stars. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Source: CMS Medicare Care Compare data.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avir At River Valley has an overall rating of 3 out of 5 stars, above the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.08 hours per resident per day, including 0.22 RN hours per resident per day, with 76.0% nursing turnover, resulting in a 1-star staffing rating.
Does this facility have federal fines or penalties on record?
No, CMS records show 0 fines totaling $0.00 and 0 payment denials — no federal fines on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon or Special Focus Facility designation is recorded for this facility in the available CMS data.
How large is this facility and how many residents live there?
The facility is certified for 116 beds with an average daily occupancy of 38.0 residents.
Who owns this facility — and is it part of a chain?
It is owned as a for-profit corporation and is part of the Avir Health Group chain, which includes 116 facilities with an average chain rating of 2.3 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since 1992.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; Avir At River Valley scores 3, 4, 1, and 3 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the CMS data provided; contact the facility at 9406650386 and verify on Medicare Care Compare.
What should I look for when touring this facility?
This is not addressed in the CMS data provided; contact the facility at 9406650386 to arrange a tour and verify details on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's current record at https://www.medicare.gov/care-compare/details/nursing-home/455970?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.