Avir at River Valley

CCN 455970 · DALLAS COUNTY HOSPITAL DISTRICT · Cooke · TX · For profit - Corporation · AVIR HEALTH GROUP chain · 116 certified beds


Avir at River Valley, in GAINESVILLE, Texas, holds 116 certified beds and has been certified for Medicare and Medicaid since 1992-01-01, averaging 38.0 residents a day.

Has Avir at River Valley been cited for violations?

CMS lists 20 health-inspection deficiencies for Avir at River Valley, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-05-19.

Survey dateTagDeficiencySeverity
2026-05-19F0689, F0755Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-05-19F0656, F0761, F0926Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Have policies on smoking.D
2025-11-26F0880Provide and implement an infection prevention and control program.D
2025-02-27F0607, F0727, F0760, F0880Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.E
2025-02-27F0690, F0812Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-01-16F0622, F0755Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-12-22F0727Have 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
2023-12-22F0656, F0908Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Keep all essential equipment working safely.E
2023-12-22F0755, F0761Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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
2023-09-01F0880Provide and implement an infection prevention and control program.D

How is Avir at River Valley staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.077673.38539
Total nursing staff turnover (%)76.055.3
Average number of residents per day38.075.8

Who owns Avir at River Valley, and what chain is it in?

Avir at River Valley is registered with CMS as For profit - Corporation, operates under the legal business name DALLAS COUNTY HOSPITAL DISTRICT and belongs to the AVIR HEALTH GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTDALLAS COUNTY HOSPITAL DISTRICTsince 06/01/2019
MANAGING CONTROL - GOVERNING BODYCASTANEDA, EDMUNDOsince 01/10/2022
CORPORATE OFFICERCASTANEDA, EDMUNDOsince 01/10/2022
OPERATIONAL/MANAGERIAL CONTROL1907 REFINERY RD OPCO, LLC, FREUND, NOCHUM, HATTON, RON, SEARS, LARRY, TRAVITSKY, AARONsince 06/01/2019
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFDAGAN, AMITAI, GOLDBERGER, ABRAHAM, GOLDBERGER, FAIGYsince 04/14/2026
ADP OF THE SNF1907 REFINERY RD OPCO, LLC, WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP LLC, WELLTOWER OP, LLC, HATTON, RON, SEARS, LARRYsince 03/10/2026

Were you or a family member harmed at Avir at River Valley?