Avir at River Valley

Name: Avir at River Valley
Address: 1907 REFINERY RD, Gainesville, TX, 76240, US
Telephone: 9406650386

1907 Refinery Rd, Gainesville, TX 76240 · Cooke County · 116 certified beds · avg 38 residents/day · certified since Jan 1, 1992

Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 19, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 19, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 19, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 19, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 19, 2026	D · Potential for harm, one-off	The facility did not have policies on smoking.
Nov 26, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 27, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Feb 27, 2025	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 27, 2025	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Feb 27, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 16, 2025	E · Potential for harm, repeated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Jan 16, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Dec 22, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Dec 22, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 22, 2023	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Dec 22, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 22, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2023	6	F
2025	9	E
2026	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.21	3.46	3.95	bottom 41% in Texas; bottom 22% in the U.S.
Registered Nurse hours	0.23	0.44	0.69	bottom 12% in Texas; bottom 4% in the U.S.
Weekend total nurse staffing	2.94	3.04	3.50	top 48% in Texas; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.34	0.48	bottom 33% in Texas; bottom 18% in the U.S.
Total nursing staff turnover (%)	76.0	55.3	45.8	bottom 14% in Texas; bottom 3% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.08, RN 0.22, weekend 2.82. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Dallas County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2019
1907 Refinery Rd Opco, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
1907 Refinery Rd Opco, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/10/2026
Castaneda, Edmundo	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/10/2022
Castaneda, Edmundo	Individual	Corporate Officer	NOT APPLICABLE	01/10/2022
Dagan, Amitai	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/14/2026
Freund, Nochum	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Goldberger, Abraham	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/14/2026
Goldberger, Faigy	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/14/2026
Hatton, Ron	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2025
Hatton, Ron	Individual	ADP of the SNF	NOT APPLICABLE	11/10/2025
Sears, Larry	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2019
Sears, Larry	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2019
Travitsky, Aaron	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Welltower INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower NNN Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower Op LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower Op, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Avir at Gainesville	1.8 mi	Gainesville, TX	★☆☆☆☆	1/5
Pecan Tree Rehab and Healthcare Center	2.1 mi	Gainesville, TX	★☆☆☆☆	1/5
Renaissance Care Center	2.3 mi	Gainesville, TX	★★★☆☆	3/5
Whitesboro Health and Rehabilitation Center	15.1 mi	Whitesboro, TX	★★☆☆☆	3/5
Cedar Ridge Rehabilitation and Healthcare Center	20.0 mi	Pilot Point, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Gainesville →

Facility data as of CMS processing date 2026-08-01. CCN 455970.

The Care File

Visit checklist — Avir at River Valley

1907 Refinery Rd, Gainesville, TX 76240 · 9406650386

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455970 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)