Senior Care in Gainesville, TX

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.

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.

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.

Pecan Tree Rehab And Healthcare Center is a 122-bed nursing home in Gainesville, Texas, operated under a hospital district license and managed by Gainesville II Enterprises, LLC. CMS rates it 1 star overall, with a 1-star health inspection rating and a 1-star short-stay quality rating. Staffing is rated 2 stars, and occupancy runs at about 69% of licensed beds. The facility holds one CMS fine of $21,530 and is part of the Creative Solutions In Healthcare chain.

Wesley House is an 86-bed Type B assisted living facility in Gainesville, Texas, licensed under Wesley Partners Senior Living LLC. It holds a state-certified memory care unit with 26 beds — certification runs from July 2025 through July 2028. The active license was renewed in April 2025 and runs through April 2029. Administrator of record is Tonya Wood.

Wheeler Terrace is a 51-bed Type B assisted living facility in Gainesville, Cooke County, Texas. It does not offer memory care. Licensed to Gainesville AL, LLC and managed by 12 Oaks Management Services, the facility holds an active state license through November 2026. No CMS nursing-home data applies here — state licensing records are the primary source for this facility type.