Avir at Gainesville: Staffing, Turnover, and Inspection Record
Avir at Gainesville is a 112-bed government-run nursing home in Gainesville, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.83 nurse aide hours per resident per day, 9% below the Texas average of 2.00, and 73.8% nursing staff turnover (Texas average 55.3%).
Avir at Gainesville
1900 O'Neal St.Gainesville, TX 76240
Cooke County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Gainesville, nurse aides logged 1.83 hours per resident per day, 9% below the Texas average. With about 60 residents a day, that works out to roughly 110 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.83 | 2.00 | 2.32 |
| Licensed practical nurses | 0.80 | 0.95 | 0.86 |
| Registered nurses | 0.45 | 0.43 | 0.69 |
| All nursing staff | 3.08 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.73 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
73.8% of nursing staff at Avir at Gainesville left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $99,075 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 6, 2025 | Fine | $52,848 |
| Jul 22, 2024 | Fine | $46,227 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Gainesville holds 1 of 5 overall; the Texas average is 2.6.
About Avir at Gainesville
- Ownership: Government - Hospital district
- Chain: Avir Health Group, 116 homes
- Legal name: County of Throckmorton
- Medicare and Medicaid certified since: Jul 23, 1992
- Located inside a hospital
- Councils: resident council
- Area: rural
Nursing homes near Avir at Gainesville
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Pecan Tree Rehab and Healthcare Center Gainesville | 0.8 | 122 | 1.31 | 2.57 | — | 1 | $16,595 |
| Renaissance Care Center Gainesville | 1.0 | 91 | 1.57 | 3.04 | 49.1% | 3 | None |
| Avir at River Valley Gainesville · many days without an RN | 1.8 | 116 | 1.42 | 3.08 | 76.0% | 3 | None |
| Whitesboro Health and Rehabilitation Center Whitesboro | 13.4 | 95 | 1.78 | 2.86 | 90.9% | 2 | $30,253 |
| Cedar Ridge Rehabilitation and Healthcare Center Pilot Point | 18.6 | 108 | 2.24 | 3.57 | 49.5% | 3 | None |
| Avir at Pilot Point Pilot Point | 19.0 | 63 | 1.34 | 2.82 | 40.9% | 4 | None |
| Denton Village by PureHealth Denton · abuse citation | 27.6 | 88 | 1.77 | 3.55 | 41.3% | 3 | $55,112 |
| Cottonwood Nursing & Rehabilitation Denton | 27.8 | 60 | 1.70 | 3.24 | 98.0% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.