Avir at Gainesville
Gainesville, Texas · CCN 675067
26 surveys since 2011. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 84
- Surveys
- 26
- Harm or worse
- 4
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 112
- Ownership
- Government - Hospital district
- Chain
- AVIR HEALTH GROUP
- County
- Cooke · rural
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.
Last survey on record
Jun 10, 2026
152 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.08 | 3.25 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 73.8% | 48.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $99,075 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J23.9% | K23.9% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2345.1% | E2039.2% | F47.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5845×
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.
- F8804×
Provide and implement an infection prevention and control program.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at Avir at Gainesville, in the surveyor’s own words.
- Immediate jeopardy, patternF697Jul 22, 2024
Based on observation, interview and record review, the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Residents #1) of six residents reviewed for pain management. 1. The facility failed to ensure Resident #1 was assessed, monitored and received effective pain management by LVN A after Resident #1 was found on the floor with indications of pain when mumbling and grumbling during transfer at time of unwitnessed fall on 02/24/24 at 12:17 AM. Resident #1 received no pain management from LVN A. 2. […]
- Immediate jeopardy, patternF776Jul 22, 2024
Based on interview and record review the facility failed to provide radiology or other diagnostic services to meet the needs of its residents in a timely manner for one (Resident #1) of six residents reviewed for radiology services. 1. The facility failed to ensure that a stat x-ray was completed in a timely manner for Resident #1 on 02/24/24. 2. The facility failed to follow up to get Resident #1's stat x-ray results in a timely manner on 02/24/24. Resident #1 had an unwitnessed fall on 02/24/24 at 12:17 AM and sustained an injury. LVN A failed to ensure x-ray physician order was placed stat and not routine 12 hours after the unwitnessed fall, X-ray tech was at facility to complete stat x-ray for Resident #1. […]
- Immediate jeopardy, isolatedF600Jun 6, 2025
Based on observations, interview, and record review, the facility failed to protect a resident's right to be free from neglect for one (Resident #1) of 8 residents reviewed for resident neglect. The facility failed to ensure Resident #1 was free from neglect by RN A on 05/31/25. RN A failed to perform an assessment on 05/31/25 when Resident #1 reported he needed to go to the hospital complaining of leg pain. RN A failed to notify and follow-up to ensure Resident #1 was sent to the hospital. RN A failed to notify the physician or any licensed nurse of Resident #1 requesting to go to the hospital. RN A called 911 to report Resident #1's behavior, but RN A failed to report Resident #1 wanted to go to the hospital on [DATE]. […]
- Immediate jeopardy, isolatedF609Jun 6, 2025
Based on observations, interviews and record reviews, the facility failed to ensure that all alleged violations involving abuse and neglect were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury to the administrator of the facility and to other officials (including to the State Survey Agency in accordance with State law through established procedures for one, (Resident #1) of eight residents reviewed for resident neglect. The facility failed to report a potential allegation of neglect to the Abuse Coordinator when RN A failed to provide care and treatment for Resident # 1, who was in her care assignment. […]
- No harm, potential for more than minimal, widespreadF812Sep 13, 2024
Based on observations, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen for 2 of 2 Dietary Staff (Dietary Aide J and Dietary Aide K) reviewed for kitchen sanitation. Dietary Aide J and K failed to wear effective hair restraints and to perform hand hygiene during lunch meal service on 09/10/24. These failures could place residents at risk for food contamination and food-borne illness. […]
Read 22 findings in full →The most serious and the most recent: 22 of 84 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 25, 2026Complaint3 findings
- Aug 17, 2026Complaint1 finding
- Jun 10, 2026Complaint1 finding
- Feb 17, 2026Complaint4 findings
- Dec 11, 2025Standard and complaint8 findings
- Jun 6, 2025Complaint4 findings · 2 harm
- Sep 13, 2024Standard and complaint13 findings
- Aug 27, 2024Complaint1 finding
Show the 18 earlier surveys
- Jul 22, 2024Complaint7 findings · 2 harm
- Dec 16, 2023Infection control2 findings
- Jul 20, 2023Standard11 findings
- Nov 17, 2022Complaint3 findings
- Sep 9, 2022Complaint1 finding
- Aug 3, 2022Complaint1 finding
- Jun 23, 2022Standard5 findings
- Jan 16, 2021Infection control2 findings
- Jan 23, 2020Standard1 finding
- Jan 31, 2019Standard2 findings
- Sep 5, 2018Complaint2 findings
- May 9, 2018Complaint1 finding
- Aug 16, 2017Complaint2 findings
- May 3, 2017Complaint1 finding
- Mar 31, 2017Standard5 findings
- Jan 17, 2017Complaint1 finding
- May 23, 2013—1 finding
- Apr 14, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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