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Nursing Homes in Gainesville, TX

4 facilities — sorted by CMS rating (where available), then capacity

Avir At River Valley

1907 REFINERY RD, Gainesville

3/5CMS overallStaff 1·Health 4

Nursing home · Medicare/medicaid · 116 beds · Government

Bed mix: 51 Medicare · 65 dual

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.

Verified·CMS Mar 2026 · Texas HHS Apr 16, 2026

Avir At Gainesville

1900 O'NEAL ST., Gainesville

2/5CMS overallStaff 1·Health 1
CMS abuse flag$128K in fines · 2 fines

Nursing home · Medicare/medicaid · 112 beds · Government

Bed mix: 41 Medicare · 71 dual

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.

Verified·CMS Mar 2026 · Texas HHS Apr 16, 2026

Renaissance Care Center

1400 BLACK HILL DRIVE, Gainesville

2/5CMS overallStaff 1·Health 2
$70K in fines · 1 fine

Nursing home · Medicare/medicaid · 91 beds · For-profit

Bed mix: 13 Medicare · 78 dual

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.

Verified·CMS Mar 2026 · Texas HHS Apr 16, 2026

Pecan Tree Rehab And Healthcare Center

1900 E CALIFORNIA ST, Gainesville

1/5CMS overallStaff 2·Health 1
$22K in fines · 1 fine

Nursing home · Medicare/medicaid · 122 beds · For-profit

Bed mix: 24 Medicare · 98 dual

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.

Verified·CMS Mar 2026 · Texas HHS Apr 16, 2026