Nursing home

Avir at River Valley

1907 Refinery Rd, Gainesville, TX, 76240

CMS ownership records associate this facility with Avir Health Group · Government - Hospital district.

CMS overall rating
CMS overall rating: 3 out of 53of 5

At a glance

CMS reports a 3-star overall rating for Avir at River Valley, with 25 inspection citations on record. No federal fine or payment-denial records appear in the current dataset.
CMS overall
3
of 5
Health inspection
4
of 5
Staffing
1
of 5
Quality measures
3
of 5
Certified beds
116
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall3 of 5
Health inspection4 of 5
Staffing1 of 5
Quality measures3 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 3
15
Cooke Co. avg 2.25Texas avg 2.7This facility
This facility: 3 of 5. Cooke Co. avg: 2.25. Texas avg: 2.7.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

25
Citations on record
0
Higher severity (G–L)
6
From complaints
0
Infection control
Citations by inspection year
92022
72023
92025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

No federal penalty records are included in this data for this facility.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)13.68%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)5.2%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)4.14%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Dallas County Hospital District5% OR GREATER DIRECT OWNERSHIP INTEREST
Castaneda, EdmundoMANAGING CONTROL - GOVERNING BODY
Cerise, FrederickMANAGING CONTROL - GOVERNING BODY
Castaneda, EdmundoCORPORATE OFFICER
Slp Gainesville, LLCOPERATIONAL/MANAGERIAL CONTROL
Hatton, RonOPERATIONAL/MANAGERIAL CONTROL
Sears, LarryOPERATIONAL/MANAGERIAL CONTROL
Eden, JamesINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Whitworth, GaryINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Carlisle Taylor Whitworth 2020 Irrevocable TrustADP OF THE SNF
Gary Scott Whitworth 2019 Irrevocable TrustADP OF THE SNF
Lqcp Management, LLCADP OF THE SNF
Wm 41 Gainesville Re, LLCADP OF THE SNF
Wm-Lqc Mm, LLCADP OF THE SNF
Wt Holdings, LPADP OF THE SNF
Boswell, DarrenADP OF THE SNF
Hatton, RonADP OF THE SNF
Sears, LarryADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Cooke County.

1907 Refinery Rd, Gainesville
Cooke County · TX · 76240
116 certified beds33.6420, -97.1530

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Avir at Beaumont
CCN 455001
Beaumont, TX121Shown$52,494
Avir at New Braunfels
CCN 455020
New Braunfels, TX112Not shown$147,263
Baylor Scott & White Continuing Care Hospital Skil
CCN 455069
Temple, TX555Not shown$0
Knopp Healthcare and Rehab Center Inc
CCN 455278
Fredericksburg, TX443Not shown$0
Sharpville Residence and Rehabilitation Center
CCN 455333
Houston, TX443Not shown$8,431
Legacy Nursing and Rehabilitation
CCN 455351
Bryan, TX222Not shown$12,375

Related research

Frequently asked questions

What is Avir at River Valley's CMS rating?

Avir at River Valley has a 3-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 4 for health inspections, 1 for staffing, and 3 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Avir at River Valley located?

Avir at River Valley is located at 1907 Refinery Rd, Gainesville, TX, 76240 in Cooke County, and CMS lists 116 certified beds.

Does Avir at River Valley have federal penalties or payment denials on record?

The current CMS data shows no federal penalty amounts or payment denials for Avir at River Valley over roughly the past three years. Records can change; confirm current status on CMS Care Compare.

How does Avir at River Valley's rating compare to nearby facilities?

Avir at River Valley's CMS overall rating is 3 of 5. For comparison, the average CMS overall rating is 2.25 across 4 facilities in Cooke County, and 2.7 across Texas. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Avir at River Valley's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Avir at River Valley's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
455970
Ownership type
Government - Hospital district
Certified beds
116
Data snapshot
2026-07-17
All 25 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Nov 26, 20250880DComplaintDeficient, Provider has date of correctionDec 1, 2025
Feb 27, 20250607EStandardDeficient, Provider has date of correctionFeb 28, 2025
Feb 27, 20250690DStandardDeficient, Provider has date of correctionMar 12, 2025
Feb 27, 20250727EStandardDeficient, Provider has date of correctionFeb 28, 2025
Feb 27, 20250812DStandardDeficient, Provider has date of correctionFeb 28, 2025
Feb 27, 20250880EStandardDeficient, Provider has date of correctionMar 12, 2025
Feb 27, 20250760EComplaintDeficient, Provider has date of correctionFeb 28, 2025
Jan 16, 20250622EComplaintDeficient, Provider has date of correctionFeb 5, 2025
Jan 16, 20250755EComplaintDeficient, Provider has date of correctionJan 22, 2025
Dec 22, 20230656EStandardDeficient, Provider has date of correctionJan 19, 2024
Dec 22, 20230727FStandardDeficient, Provider has date of correctionJan 19, 2024
Dec 22, 20230755DStandardDeficient, Provider has date of correctionJan 19, 2024
Dec 22, 20230761DStandardDeficient, Provider has date of correctionJan 19, 2024
Dec 22, 20230908EStandardDeficient, Provider has date of correctionJan 19, 2024
Sep 1, 20230880DComplaintDeficient, Provider has date of correctionSep 4, 2023
Jul 27, 20230925EComplaintDeficient, Provider has date of correctionAug 31, 2023
Oct 27, 20220558DStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220580DStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220607EStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220657DStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220692DStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220695DStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220804EStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220812EStandardDeficient, Provider has date of correctionDec 14, 2022
Oct 27, 20220880DStandardDeficient, Provider has date of correctionDec 14, 2022

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.