Avir At River Valley
1907 REFINERY RD, 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 Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Slp Operations
- Certified beds
- 116 · avg 44 residents/day
- Total nursing staff turnover
- 51.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147614
- Service type
- Medicare/medicaid
- Licensed capacity
- 116 beds
- Bed type breakdown
- 51 Medicare-only · 65 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1907 Refinery Rd Opco, Llc
- Administrator
- Ron D Hatton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Slp Operations chain — 22 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (13 on record)
- Ron Hatton
Adp of The Snf · since 2025
- Edmundo Castaneda
Corporate Officer · since 2022
- Carlisle Taylor Whitworth 2020 Irrevocable Trust
Adp of The Snf · since 2019
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
- Darren Boswell
Adp of The Snf · since 2019
- Gary Scott Whitworth 2019 Irrevocable Trust
Adp of The Snf · since 2019
+ 7 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
Recent health-deficiency citations (most recent 8 of 25)
- D0880·Nov 26, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0760·Feb 27, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0880·Feb 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Feb 27, 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.
- E0727·Feb 27, 2025
Nursing and Physician Services Deficiencies
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.
- D0690·Feb 27, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0607·Feb 27, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E0755·Jan 16, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Feb 27, 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 River Valley is a 116-bed Medicare/Medicaid nursing home in Gainesville, Texas, licensed through April 2029 and operated since 1971. CMS rates it 3 stars overall, with a 4-star health inspection rating but a 1-star staffing rating. Only about 44 of its 116 beds are occupied on an average day — a 38% occupancy rate well below typical Texas nursing homes. The licensee of record is Dallas County Hospital District.
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. Residents receive roughly 161 minutes of nursing care per day, about 80 minutes less than at a 4-star-staffing facility in Texas. Compounding that gap: residents here tend to need more hands-on help than at a typical facility — less mobile or sicker on average — so those 161 minutes stretch thinner than they already appear.
The facility is running at roughly 38% of its licensed beds, with an average of 44 residents in a building designed for 116. When other signals point to distress — as a 1-star staffing rating does — notably low occupancy can reflect broader operational strain worth examining directly.
Health inspections rate 4 stars, and long-stay quality measures rate 5 stars — the highest tier. Short-stay quality measures rate 1 star. Those two quality scores point in opposite directions: residents who live here long-term fare well on measured outcomes, while outcomes for shorter rehabilitation stays rate at the bottom of the scale.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 161 minutes of nursing care per resident per day — 80 minutes below a 4-star Texas facility — ask how many nurses and aides are on duty overnight and on weekends specifically.
Short-stay rehab outcomes
CMS rates short-stay quality measures at 1 star; ask which specific measures drive that score and what the facility is doing to address them.
Why occupancy is so low
With roughly 44 of 116 beds filled, ask what is driving the low census and whether any planned changes affect staffing ratios or services.
Management company's role
The licensee is Dallas County Hospital District but day-to-day management is listed under a separate company; ask which entity makes staffing and care decisions and who to contact with concerns.
Resident Council activity
A Resident Council is listed but no Family Council; ask how often the Resident Council meets and how family members can raise concerns through a formal channel.
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.