Renaissance Care Center
1400 BLACK HILL DRIVE, 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
- For profit - Individual · Chain: Cantex Continuing Care
- Certified beds
- 91 · avg 66 residents/day
- Total nursing staff turnover
- 55.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $70,372 total
State licensing & capacity
- License number
- 307526
- Service type
- Medicare/medicaid
- Licensed capacity
- 91 beds
- Bed type breakdown
- 13 Medicare-only · 78 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- 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
- Gainesville Health Care Center Ltd Co
- Administrator
- Jon Fulkerson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (13 on record)
- Gainesville Health Care Center Ltd. co
Adp of The Snf · since 2025
- Mary a Lee
Adp of The Snf · since 2025
- Cantex Health Care Centers Llc
Adp of The Snf · since 2024
- Cohnreznick Llp
Adp of The Snf · since 2024
- Jnc Consultant Pharmacy Services, Llc
Adp of The Snf · since 2024
- Pivot Rehabilitation Services
Adp of The Snf · since 2024
+ 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
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 32)
- D0880·Aug 21, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0610·Apr 30, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·Apr 30, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0565·Apr 30, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E0880·Apr 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Apr 30, 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.
- D0761·Apr 30, 2025
Pharmacy Service Deficiencies
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.
- E0755·Apr 30, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20231 fine · $70K
Most recent events
- Apr 25, 2023Fine · $70K
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Apr 30, 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
Renaissance Care Center is a 91-bed nursing home in Gainesville, Texas, managed by Gainesville Health Care Center Ltd Co under a Dallas County Hospital District license. CMS rates it 2 stars overall, with a 1-star staffing rating. One CMS fine totaling $70,372 has been issued. Quality-of-care outcome measures rate 5 stars — the top tier — while staffing and inspection results pull the overall score down. The facility operates at roughly 72% of licensed beds.
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 bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 186 minutes of total nursing care per day, approximately 55 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 186 minutes stretch thinner than the raw number suggests.
RN turnover is very high: roughly 9 in 10 registered nurses left in the past year. A long-stay resident will likely cycle through several primary nursing contacts, which affects continuity of care. Total nursing staff turnover was 55.8%, just above the Texas 75th percentile of 60%.
Two administrators have left in the past year — a level of leadership instability that affects day-to-day operations and staff direction.
One CMS fine has been issued totaling $70,372 — more than three times the Texas median fine of $20,699. About 30% of Texas nursing homes have received no fines.
The facility is operating at roughly 72% of its licensed 91 beds. This level of occupancy, set alongside the staffing and turnover signals, is a data point families may want to explore directly.
Quality-of-care outcome measures — which track things like pressure wounds, falls, and pain management for both long- and short-stay residents — rate 5 stars, the highest tier. This puts resident outcomes at the top of the scale even as staffing numbers and inspection results sit at the bottom.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Explaining the outcome-staffing gap
CMS rates resident outcomes 5 stars but staffing 1 star — ask how the facility maintains top-tier outcomes with the lowest staffing tier in Texas.
Recent administrator departures
Two administrators left in the past year — ask who is currently leading the facility and how long they have been in the role.
RN staffing and coverage
Roughly 9 in 10 registered nurses left last year — ask how many RNs are on staff today and what the typical daily RN coverage looks like for each shift.
The $70,372 CMS fine
One fine totaling $70,372 has been issued — ask what the citation was for and what specific changes were made in response.
Current occupancy and waitlist
The facility is running at about 72% of its 91 beds — ask whether there are admission restrictions in place or reasons specific wings are not in use.
Resident Council access
A Resident Council meets here — ask how often it convenes, whether family members can attend or submit concerns, and how issues raised are followed up.
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.