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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.