Nursing homes › Texas › Avir at River Valley
1907 Refinery Rd, Gainesville, TX 76240 · 9406650386 · 116 certified beds
Per CMS filings, this facility is affiliated with Avir Health Group, a group operating 119 facilities in 1 states. Group record: average rating 2.3/5, 21 abuse citation icons, 3 facilities on the Special Focus list, $7,752,055 in federal fines. This facility rates above its group average (2.3/5).
Total nurse staffing: 3.08 (Texas median: 3.27). RN hours: 0.22. Weekend total: 2.82. Nursing staff turnover: 76%.
All-time on record: 25 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-26 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-12-01 |
| 2025-02-27 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2025-02-28 |
| 2025-02-27 | 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. | E | Health | corrected 2025-02-28 |
| 2025-02-27 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-12 |
| 2025-02-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-03-12 |
| 2025-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-02-28 |
| 2025-02-27 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2025-02-28 |
| 2025-01-16 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | complaint | corrected 2025-02-05 |
| 2025-01-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-01-22 |
| 2023-12-22 | 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. | F | Health | corrected 2024-01-19 |
| 2023-12-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-01-19 |
| 2023-12-22 | Keep all essential equipment working safely. | E | Health | corrected 2024-01-19 |
| 2023-12-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-01-19 |
| 2023-12-22 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2024-01-19 |
| 2023-09-01 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2023-09-04 |
| 2023-07-27 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2023-08-31 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2019 |
| CASTANEDA, EDMUNDO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/10/2022 |
| CASTANEDA, EDMUNDO | Corporate Officer | Individual | NOT APPLICABLE | since 01/10/2022 |
| 1907 REFINERY RD OPCO, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2025 |
| FREUND, NOCHUM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| HATTON, RON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2025 |
| SEARS, LARRY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2019 |
| TRAVITSKY, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455970. Corrections: data@carerecords.org.