Nursing homes and assisted living in Cooke County, Texas
4 certified nursing homes
2 of these 4 had at least one citation at the actual-harm or immediate-jeopardy level (scope/severity G–L) in their last three inspection cycles. Open a facility for every citation, fine and staffing figure.
| Nursing home | City | Overall | Health inspections | Health citations* | Serious citations (G–L) | Fines |
|---|---|---|---|---|---|---|
| Avir at Gainesville | Gainesville | 1★ | 1★ | 51 | 4 | 2 ($99,075) |
| Avir at River Valley | Gainesville | 3★ | 4★ | 21 | 0 | 0 |
| Pecan Tree Rehab and Healthcare Center | Gainesville | 1★ | 1★ | 30 | 2 | 1 ($16,879) |
| Renaissance Care Center | Gainesville | 3★ | 3★ | 30 | 0 | 0 |
*Health citations in the CMS Health Deficiencies file (last 3 inspection cycles, including complaint and infection control inspections). Sorted by city. Not a ranking.
Source: CMS nursing home provider data: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
2 licensed assisted living facilities (Assisted living facility (ALF))
License records from Texas Health and Human Services Commission. The state list has no inspection results. To see those, use the Texas assisted living lookup steps.
| Facility | Address | License no. | Type | Licensed capacity | Alzheimer certified capacity | First licensed | License expires | Licensed owner |
|---|---|---|---|---|---|---|---|---|
| Wesley House | 3291 E Broadway, Gainesville 76240 | 307452 | Type B | 86 | 26 | April 29, 2019 | April 29, 2028 | Wesley House Lindale LLC |
| Wheeler Terrace | 2310 E Broadway Street, Gainesville 76240 | 313125 | Type B | 51 | Not certified | Not published | June 1, 2029 | Cima T10 Gainesville Opco LLC Managed by Cima Senior Living, LLC |
Source: Directory of Assisted Living Facility Providers with an Active License as of 2026-10-22: apps.hhs.texas.gov · data as of October 22, 2026 · last checked October 24, 2026