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Skilled nursing facility · CMS certified · CCN 455970

Avir at River Valley

1907 Refinery Rd, Gainesville, TX 76240 · Cooke County · one of 1,177 skilled nursing facilities in Texas
116
certified beds
3 / 5
overall CMS rating
Government
ownership type
under 70%
occupancy band
1.34
case mix, 0.95x the Texas average
Street view of Avir at River Valley
Google Street View · opens in Maps
Street View
1907 Refinery Rd, Gainesville, TX
Map around Avir at River Valley
Map · Cooke County
Quality and staffing
CMS Care Compare · Jul 2026
Overall rating3 / 5 · state 2.8
Health inspection4 / 5 · state 2.8
Staffing1 / 5 · state 2.1
RN hours per resident per day0.22 · state 0.44
Overall rating, last 8 quarters
052Q3’242Q4’241Q1’252Q2’252Q3’251Q4’253Q1’263Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Surveys and enforcement
public record
Feb 2025
last standard survey
7
deficiencies cited · Texas avg 11.3
$0
fines, last 3 years
2017
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

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behind the call
The expanded view of Avir at River Valley: who holds it, what has changed hands, how the money has moved, and where it is going.
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Texas at a glance
1,177
buildings
133,403
licensed beds
67%
occupancy
70%
for-profit
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyGainesville Convalescent CenterGainesville · 1.8 mi1121 / 5under 70%Pecan Tree Rehab and Healthcare CenterGainesville · 2.1 mi1221 / 5under 70%Renaissance Care CenterGainesville · 2.3 mi913 / 570-85%Whitesboro Health and Rehabilitation CenterWhitesboro · 15.1 mi952 / 5under 70%Cedar Ridge Rehabilitation and Healthcare CenterPilot Point · 20.0 mi1083 / 570-85%Avir at Pilot PointPilot Point · 20.3 mi634 / 5over 85%
Public record only, the map and the list carry the same facts, and neither names an owner.
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Source: CMS Provider Information and Care Compare, Jul 2026 files. Public record only; this page never identifies who owns a building.