Avir at River Valley
1907 Refinery Rd, Gainesville, TX 76240
Phone: 9406650386
CMS ratings and facility information
Avir at River Valley is a Medicare-certified nursing facility in Gainesville, Cooke County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 3 of 5 |
| Certified beds | 116 |
| Ownership | For profit - Corporation |
| CMS certification number | 455970 |
Staffing
| Total nurse hours per resident day | 3.08 |
|---|---|
| RN hours per resident day | 0.22 |
| Nurse aide hours per resident day | 1.42 |
| Total nursing staff turnover percent | 76 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 3.77 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 5.01 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 10.47 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-05-19 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2026-05-19 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2026-05-19 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-05-19 | 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2026-05-19 | 0926 | Have policies on smoking. | D |
| 2025-02-27 | 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2025-02-27 | 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E |
| 2025-02-27 | 0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-02-27 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2025-02-27 | 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2025-02-27 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2023-12-22 | 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F |
| 2023-12-22 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2023-12-22 | 0908 | Keep all essential equipment working safely. | E |
| 2023-12-22 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-12-22 | 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| CASTANEDA, EDMUNDO | Individual | MANAGING CONTROL - GOVERNING BODY |
| CASTANEDA, EDMUNDO | Individual | CORPORATE OFFICER |
| 1907 REFINERY RD OPCO, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| FREUND, NOCHUM | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| HATTON, RON | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| SEARS, LARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| TRAVITSKY, AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| DAGAN, AMITAI | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| GOLDBERGER, ABRAHAM | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| GOLDBERGER, FAIGY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| 1907 REFINERY RD OPCO, LLC | Organization | ADP OF THE SNF |
| WELLTOWER INC | Organization | ADP OF THE SNF |
| WELLTOWER NNN GROUP, LLC | Organization | ADP OF THE SNF |
| WELLTOWER OP LLC | Organization | ADP OF THE SNF |
| WELLTOWER OP, LLC | Organization | ADP OF THE SNF |
| HATTON, RON | Individual | ADP OF THE SNF |
| SEARS, LARRY | Individual | ADP OF THE SNF |
Compare nursing homes in Cooke County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.