Avir at River Valley
Nursing Home Facility
1907 Refinery Rd, Gainesville, TX 76240
Avir at River Valley 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) 665-0386.
Operated by Avir Health Group, which runs 88 communities in our directory.
Avir at River Valley is licensed for 116 beds, about typical for the area, where senior care communities in Gainesville average about 98 beds.
Federal reporting puts occupancy at about 33% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Gainesville average of roughly 57%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gainesville average about 2.0 stars. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2026 and recorded 6 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 76%, which is high and can affect continuity of care.
The community is located in Cooke County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 20 problems at Avir at River Valley. None of them caused harm to a resident. 5 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Environmental
Have policies on smoking.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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.
Avir at River Valley offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 116
- Occupancy 33%
- Nursing hours per resident/day 3.1
- Annual staff turnover 76%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Avir at River Valley yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.