Avir At River Valley
Avir At River Valley is a 3-star rated nursing home in Gainesville, TX with 116 beds. CMS sub-ratings: health inspections 4/5, staffing 1/5, quality measures 3/5.
The facility has 52 health violations on record. Federal fines total $253,576 across 6 enforcement actions. Most recent inspection: February 27, 2025.
Data synthesized from CMS.gov and Texas public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Our Coverage of Avir At River Valley
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
2022 4 penalties totaling $240,576
Fine
Fine
Fine
Fine
2021 2 penalties totaling $13,000
Fine
Payment Denial
Health Violations by Year
2025 8 violations
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023 7 violations
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Keep all essential equipment working safely.
Provide and implement an infection prevention and control program.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
2022 18 violations
Reasonably accommodate the needs and preferences of each resident.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide enough food/fluids to maintain a resident's health.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2021 9 violations
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
2019 2 violations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
2018 6 violations
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2017 2 violations
Have a program that investigates, controls and keeps infection from spreading.
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Frequently Asked Questions About Avir At River Valley
- What violations has Avir At River Valley received?
- Avir At River Valley has 52 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Avir At River Valley?
- Avir At River Valley has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
- When was Avir At River Valley last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Avir At River Valley safe?
- Safety at Avir At River Valley should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Avir At River Valley?
- Phone: (940) 665-0386. Address: 1907 Refinery Rd, Gainesville, TX. For visiting hours and admission information, call the facility directly.
- What services does Avir At River Valley offer?
- Avir At River Valley is a skilled nursing facility with 116 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Gainesville, TX?
- Compare Avir At River Valley with other nursing homes in Gainesville, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Gainesville, TX
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Avir At River Valley (this facility) | ★★★☆☆ | 52 | 116 |
| Gainesville Convalescent Center | ★★☆☆☆ | 35 | 112 |
| Renaissance Care Center | ★★☆☆☆ | 54 | 91 |
| Pecan Tree Rehab And Healthcare Center | ★☆☆☆☆ | 37 | 122 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
This page is maintained by NursingHomeNews.org and is not affiliated with Avir At River Valley.