Senior Care Inspection Finder
Last checked October 25, 2026 · 2,492 nursing homes and 2,174 assisted living licenses in 4 states · CMS data processed September 1, 2026

Home › Texas › Cooke County › Avir at Gainesville

Avir at Gainesville

1900 O'neal St., Gainesville, TX 76240 · CMS Certification Number (CCN) 675067

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
51 in the last 3 inspection cycles (4 immediate jeopardy, 0 actual harm, 23 from complaints)
Fire safety citations
34
Fines (last 3 years)
2 fines, total $99,075
Payment denials
0
Most recent standard inspection
December 11, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★★★☆ 4 of 53.73.6
Long-stay quality★★★★☆ 4 of 5Not publishedNot published
Short-stay qualityNot published
Not enough data available to calculate a star rating.
Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)December 11, 20251386
Cycle 2September 13, 2024271317

CMS weighted health inspection score: 179.75 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 2. How to read these citations

51 health citations across 9 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

June 10, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/11/2026
February 17, 2026: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2026
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2026
D F-0584 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/11/2026
December 11, 2025: 8 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
D F-0849 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.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
E F-0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/10/2026
E F-0584 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.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 01/10/2026
June 6, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
J F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
September 13, 2024: 13 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 09/18/2024
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/19/2024
E F-0727 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.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/17/2024
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/18/2024
D F-0693 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.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 09/18/2024
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/18/2024
E F-0679 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/18/2024
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/18/2024
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/18/2024
E F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/18/2024
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 09/18/2024
E F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/17/2024
D F-0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/16/2024
August 27, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0585 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/30/2024
July 22, 2024: 7 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/26/2024
K F-0776 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
K F-0697 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/26/2024
E F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/26/2024
E F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/26/2024
D F-0584 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/26/2024
December 16, 2023: 2 citations (Complaint + Infection control)
SeverityTagWhat was citedTypeStatus
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint + Infection control Deficient, Provider has date of correction
Corrected 12/19/2023
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint + Infection control Deficient, Provider has date of correction
Corrected 12/19/2023
July 20, 2023: 11 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
F F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
E F-0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
F F-0801 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.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
E F-0727 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.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023
E F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/18/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Fire safety inspections

34 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
12/11/2025FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 01/24/2026
12/11/2025FK-0522Have an externally vented heating system.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 01/24/2026
12/11/2025CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
No revisit needed
12/11/2025EK-0363Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 01/24/2026
12/11/2025EK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 01/24/2026
12/11/2025FK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 01/24/2026
09/13/2024EK-0920Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 09/13/2024
09/13/2024FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 10/24/2024
09/13/2024FK-0900Meet Health Care Facilities Code mechanical requirements.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 09/13/2024
09/13/2024EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 10/24/2024
09/13/2024FK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 09/13/2024
09/13/2024CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 09/14/2024
09/13/2024EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 09/20/2024
09/13/2024EK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/16/2024
09/13/2024FK-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/16/2024
09/13/2024FK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/16/2024
09/13/2024EK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/20/2024
09/13/2024EK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 10/24/2024
09/13/2024EK-0281Install proper backup exit lighting.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 09/20/2024
09/13/2024FE-0041Implement emergency and standby power systems.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/24/2024
09/13/2024FE-0039Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/18/2024
09/13/2024EE-0007Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/18/2024
07/20/2023FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023FK-0900Meet Health Care Facilities Code mechanical requirements.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023FK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023FK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 07/21/2023
07/20/2023FK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023DK-0363Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023EK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023DK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/21/2023
07/20/2023FK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023EK-0293Have properly located and lighted "Exit" signs.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023
07/20/2023DK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 08/25/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Penalties

DateTypeFine amountPayment denial
June 6, 2025Fine$52,848—
July 22, 2024Fine$46,227—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.083.393.86
Registered nurse (RN) hours per resident per day0.450.430.69
LPN/LVN hours per resident per day0.8Not publishedNot published
Nurse aide hours per resident per day1.83Not publishedNot published
Total nurse staff hours per resident per day, weekends2.73Not publishedNot published
RN hours per resident per day, weekends0.44Not publishedNot published
Total nursing staff turnover (%)73.855.345.8
Registered nurse turnover (%)Staffing data did not meet the criteria required to calculate a turnover measure.Not publishedNot published
Administrators who have left1Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Facility details

Legal business name
County of Throckmorton
Ownership type
Government - Hospital district
Chain
Avir Health Group (118 facilities)
Ownership changed in last 12 months
No
Certified beds
112
Average residents per day
60.1
Participates in
Medicare and Medicaid
Located inside a hospital
Yes
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
July 23, 1992
County/parish
Cooke

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Owners and managers reported to CMS

15 ownership and management records
NameRoleTypeOwnership %Since
COUNTY OF THROCKMORTON5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
1900 O'NEAL STREET PROPERTY OWNER, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
GOBER, KIRBYCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
1900 O'NEAL STREET OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
WATSON, NATHANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
1900 O'NEAL STREET PROPERTY OWNER, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
CLEMENS, ERINADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
WATSON, NATHANADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 25, 2026. Not a ranking or endorsement.