Quick answers
- Where is Avir at Gainesville?
- 1900 O'Neal St., Gainesville, TX 76240, in Cooke County, Texas.
- What is the phone number of Avir at Gainesville?
- (940) 665-2826, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Gainesville?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Gainesville been fined?
- Medicare lists 2 fines totaling $99,075.
- What did inspectors find at Avir at Gainesville?
- In its last three inspection cycles (July 20, 2023 to August 25, 2026), Medicare lists 55 health citations; the most serious was level K. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (July 20, 2023 to August 25, 2026), Avir at Gainesville had 55 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $99,075 in total (2 fines, the latest on June 6, 2025). Nurse staffing is 3.11 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 11, 2025 — 17 health citations
Inspections in this cycle: December 11, 2025 (complaint investigation); December 11, 2025 (standard health inspection); February 17, 2026 (complaint investigation); June 10, 2026 (complaint investigation); August 17, 2026 (complaint investigation); August 25, 2026 (complaint investigation).
Show 17 citations (levels A to F, no actual harm)
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0628 Level E
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0800 Level D
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0849 Level D
“Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: September 13, 2024 — 17 health citations
Inspections in this cycle: September 13, 2024 (standard health inspection); June 6, 2025 (complaint investigation).
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0609 Level J
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 15 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0727 Level E
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: July 20, 2023 — 21 health citations
Inspections in this cycle: July 20, 2023 (standard health inspection); December 16, 2023 (complaint investigation); December 16, 2023 (infection control inspection); July 22, 2024 (complaint investigation); August 27, 2024 (complaint investigation); September 13, 2024 (complaint investigation).
F0697 Level K
“Provide safe, appropriate pain management for a resident who requires such services.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0776 Level K
“Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.”
immediate jeopardy to resident health or safety; pattern (some residents) · Administration Deficiencies
Show 19 less serious citations (levels A to F)
F0801 Level F
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0908 Level F
“Keep all essential equipment working safely.”
F0585 Level E
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0727 Level E
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (34)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0522 Level F
“Have an externally vented heating system.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
E0039 Level F
“Conduct testing and exercise requirements.”
E0041 Level F
“Implement emergency and standby power systems.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0352 Level F
“Properly install and monitor supervisory attachments on automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0900 Level F
“Meet Health Care Facilities Code mechanical requirements.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0007 Level E
“Address patient/client population and determine types of services needed.”
K0281 Level E
“Install proper backup exit lighting.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0900 Level F
“Meet Health Care Facilities Code mechanical requirements.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
Fines and payment denials
Total fines over about the last three years: $99,075 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 6, 2025 | Fine | $52,848 |
| July 22, 2024 | Fine | $46,227 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.26 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.94 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.91 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.11 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.81 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.19 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 81.6% | 50.8% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 118 nursing homes: Avir Health Group.
Legal business name: County of Throckmorton.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| County of Throckmorton | Direct owner | 100% | April 1, 2018 |
| 1900 O'neal Street Opco, LLC | Management company (operational or managerial control) | NOT APPLICABLE | March 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 112 |
| Average residents per day | 59.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | County of Throckmorton |
| First approved by Medicare/Medicaid | 1992-07-23 |
| Located inside a hospital | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1900 O'Neal St., Gainesville, TX 76240 |
| County | Cooke County |
| State | Texas |
| Phone | (940) 665‑2826 |
| CMS Certification Number | 675067 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Pecan Tree Rehab and Healthcare Center0.8 mi · Gainesville, TX · 1 of 5 stars
- Renaissance Care Center1.0 mi · Gainesville, TX · 3 of 5 stars
- Avir at River Valley1.8 mi · Gainesville, TX · 4 of 5 stars
- Whitesboro Health and Rehabilitation Center13 mi · Whitesboro, TX · 2 of 5 stars
- Cedar Ridge Rehabilitation and Healthcare Center19 mi · Pilot Point, TX · 3 of 5 stars
Nearest hospital emergency rooms
- North Texas Medical Center3.6 mi · Gainesville, TX · Acute Care Hospital
- Muenster Memorial Hospital15 mi · Muenster, TX · Critical Access Hospital
- Mercy Hospital Marietta21 mi · Marietta, OK · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13