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 HHS 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 HHS licensing registry · as of April 16, 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 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.