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Avir at Gainesville

Nursing Home Facility

1900 O'neal St, Gainesville, TX 76240

Nursing Home Care Senior Living
Avir at Gainesville

Avir at Gainesville is a senior care community located in Gainesville, TX. It provides nursing home care and senior living for older adults in the Gainesville area. To learn more or schedule a tour, call (940) 665-2826.

Operated by Avir Health Group, which runs 88 communities in our directory.

Employer rating 2.4 out of 5 33 reviews from their own employees on Indeed. See what they say.

Avir at Gainesville is licensed for 112 beds, about typical for the area, where senior care communities in Gainesville average about 98 beds.

Federal reporting puts occupancy at about 54% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gainesville average about 2.0 stars. Its most recent standard health inspection was in December 2025 and recorded 13 deficiencies.

Residents receive about 3.1 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 74%, which is high and can affect continuity of care.

The community is located in Cooke County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 51 problems at Avir at Gainesville. 4 findings involved harm to a resident, including 4 that put residents in immediate danger. 23 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $99,075.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected June 2026, after a complaint. Corrected by June 11, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected February 2026, after a complaint. Corrected by March 11, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected February 2026, after a complaint. Corrected by March 11, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected February 2026, after a complaint. Corrected by March 11, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Inspected February 2026, after a complaint. Corrected by March 11, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected December 2025, after a complaint. Corrected by January 10, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected December 2025. Corrected by January 10, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected December 2025. Corrected by January 10, 2026.

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  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected December 2025. Corrected by January 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected December 2025. Corrected by January 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected December 2025. Corrected by January 10, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Inspected December 2025. Corrected by January 10, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by January 10, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Avir at Gainesville offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 112
  • Occupancy 54%
  • Nursing hours per resident/day 3.1
  • Annual staff turnover 74%
  • Last health inspection December 2025

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