Avir at River Valley: Staffing, Turnover, and Inspection Record
Avir at River Valley is a 116-bed for-profit nursing home in Gainesville, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.42 nurse aide hours per resident per day, 29% below the Texas average of 2.00, and 76.0% nursing staff turnover (Texas average 55.3%).
Avir at River Valley
1907 Refinery RdGainesville, 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 River Valley, nurse aides logged 1.42 hours per resident per day, 29% below the Texas average. With about 38 residents a day, that works out to roughly 54 aide hours a day, or about 7 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.42 | 2.00 | 2.32 |
| Licensed practical nurses | 1.44 | 0.95 | 0.86 |
| Registered nurses | 0.22 | 0.43 | 0.69 |
| All nursing staff | 3.08 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.82 | 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
76.0% of nursing staff at Avir at River Valley 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 May 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at River Valley holds 3 of 5 overall; the Texas average is 2.6.
About Avir at River Valley
- Ownership: For profit - Corporation
- Chain: Avir Health Group, 116 homes
- Legal name: Dallas County Hospital District
- Medicare and Medicaid certified since: Jan 1, 1992
- Councils: resident council
- Area: rural
Nursing homes near Avir at River Valley
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Gainesville Gainesville | 1.8 | 112 | 1.83 | 3.08 | 73.8% | 1 | $99,075 |
| Pecan Tree Rehab and Healthcare Center Gainesville | 2.1 | 122 | 1.31 | 2.57 | — | 1 | $16,595 |
| Renaissance Care Center Gainesville | 2.3 | 91 | 1.57 | 3.04 | 49.1% | 3 | None |
| Whitesboro Health and Rehabilitation Center Whitesboro | 15.1 | 95 | 1.78 | 2.86 | 90.9% | 2 | $30,253 |
| Cedar Ridge Rehabilitation and Healthcare Center Pilot Point | 20.0 | 108 | 2.24 | 3.57 | 49.5% | 3 | None |
| Avir at Pilot Point Pilot Point | 20.3 | 63 | 1.34 | 2.82 | 40.9% | 4 | None |
| Denton Village by PureHealth Denton · abuse citation | 28.0 | 88 | 1.77 | 3.55 | 41.3% | 3 | $55,112 |
| Cottonwood Nursing & Rehabilitation Denton | 28.2 | 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.