Avir At Gainesville
1900 O'NEAL ST., Gainesville, TX, 76240
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Avir Health Group
- Certified beds
- 112 · avg 52 residents/day
- Total nursing staff turnover
- 69.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $127,532 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 310542
- Service type
- Medicare/medicaid
- Licensed capacity
- 112 beds
- Bed type breakdown
- 41 Medicare-only · 71 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- County Of Throckmorton (COUNTY)
- Operator / manager
- 1900 O Neal Street Opco Llc
- Administrator
- Erin Clemens
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- 1900 O'neal Street Opco, Llc
Operational/managerial Control · since 2025
- 1900 O'neal Street Property Owner, Llc
5% or Greater Security Interest · 100% · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Erin Clemens
Adp of The Snf · since 2025
- Hccf Management Group xi Llc
Adp of The Snf · since 2025
- Nathan a Watson
Operational/managerial Control · since 2025
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 46)
- E0584·Dec 11, 2025Complaint
Resident Rights Deficiencies
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.
- D0880·Dec 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Dec 11, 2025
Administration Deficiencies
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.
- D0842·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0812·Dec 11, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0656·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0628·Dec 11, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E0695·Dec 11, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20251 fine · $81K
- 20241 fine · $46K
Most recent events
- Jun 6, 2025Fine · $81K
- Jul 22, 2024Fine · $46K
Largest single fine on record: $81K.
Fire-safety citations
34 Life-Safety-Code citations on file. Most recent: Dec 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Gainesville is a 112-bed nursing home in Gainesville, Texas, operating at roughly 46% of licensed capacity. CMS rates it 2 stars overall, with 1-star ratings on both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect here within the past 36 months, and two fines totaling $127,532 have been assessed. Quality-of-care outcome measures rate 5 stars — the highest tier.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 164 minutes of nursing care per day, approximately 77 minutes less than at a 4-star-staffing facility in Texas. Of that, only 8 minutes involve a registered nurse. Residents here require more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Approximately 7 in 10 nursing staff left in the past year. At that pace, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months.
Two CMS fines totaling $127,532 have been assessed. The median fine total among penalized Texas nursing homes is $20,699; this facility's total is roughly six times that figure. About 30% of Texas nursing homes have no fines at all.
The facility is operating at approximately 46% of its 112 licensed beds, with 51.6 residents on an average day. Quality-of-care outcome measures — tracking things like pressure wounds, falls, and pain management for long-stay residents — rate 5 stars, the highest tier CMS assigns.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and corrective steps
CMS has substantiated abuse or neglect findings here in the past 36 months — ask what specifically occurred, what was changed, and how staff are now monitored.
Staffing levels on nights and weekends
Reported weekend nursing hours run at 2.657 minutes per resident — ask how many nurses and aides are on the floor during overnight and weekend shifts.
Why so many nurses have left
Roughly 7 in 10 nursing staff left in the past year — ask what is driving that turnover and what steps management has taken to stabilize the care team.
What the $127,532 in fines covered
Two CMS fines totaling $127,532 have been assessed — ask which deficiencies triggered the fines and what policy changes followed each one.
Reasons behind low occupancy
The facility is running at about 46% of its licensed capacity — ask whether the open beds reflect a recent operational change, a admission pause, or ongoing referral patterns.
How quality outcomes stay high
Outcome measures rate 5 stars despite 1-star staffing and inspection ratings — ask which specific practices drive those results and how they are sustained with current staff levels.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.