James Brown
Mar 2026
The staff makes this a special place! The food always smells delicious and the activities for the residents are plentiful and varied!!
4(28 ratings)· Gainesville average: 4.1
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An automated summary of family reviews and public information. Not verified by MyLivingChoice; confirm services, staffing and pricing with the community.
Reviewers describe Avir at River Valley as a small, tight-knit skilled nursing and rehab community with long-tenured, friendly staff and residents who speak positively about their care. However, one detailed account raises serious concerns about neglect and hygiene, and multiple reviewers mention staffing shortages since COVID affecting care capacity.
AI-generated from reviews and community data.
Avir at Gainesville is a senior living community in Gainesville, Texas offering Memory Care and Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.0 out of 5 across 28 reviews.
Avir at River Valley is a skilled nursing and long-term care community in Gainesville, Texas, operated by Avir Health Group and licensed for up to 116 residents. Certified for Medicare and Medicaid, the community offers 24-hour staffing, private rooms, a restaurant-style dining room, medication management, an on-site nurse, and wheelchair accessibility. Amenities include emergency call systems, housekeeping, social activities, and birthday and holiday parties.
The facility holds a 3 out of 5 stars from the Centers for Medicare and Medicaid Services. Reviewers' accounts of their experiences vary significantly. Many describe attentive, compassionate staff who go above and beyond, noting clean facilities, engaging activities, and good food. Others report serious concerns about resident care and hygiene. One reviewer who visited over five years reported consistently happy staff and residents, while several recent visitors praised the staff's dedication and the community atmosphere. However, some families have documented troubling incidents involving neglect and sanitation, with one reviewer stating the staff acknowledged failures in care.
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Help Me Choose4overall · 28 ratings combined
4★ on Google (28)
James Brown
Mar 2026
The staff makes this a special place! The food always smells delicious and the activities for the residents are plentiful and varied!!
Jesse Lee
Jul 2025
Very great nursing home and staff.
Shane Miller
Oct 2024
Great staff administrator cares and responds promptly to any issue big or small
chris watts
Apr 2024
Was so rude when I talked to them
Carl Tyler
Oct 2023
I live there the place is great,excellent staff always friendly and eager to help . The food is great the activities are always fun and exciting. Couldn't ask for a better bunch of staff members. I would like to thank them all for everything they do for us Thanks again Carl Tyler
8 inspection visits in the last three years, 38 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2025
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 12, 2025
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 28, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 12, 2025
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 27, 2025
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 27, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 22, 2025
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024
Provide properly protected cooking facilities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2024
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2024
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2024
Keep all essential equipment working safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2024
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadCorrected Jan 19, 2024
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity C of L: potential for minimal harm, widespreadCorrected Jan 22, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 31, 2023
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 6, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 14, 2022
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 6, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 14, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 14, 2022
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022
Provide enough food/fluids to maintain a resident's health.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadCorrected Dec 6, 2022
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Avir at Gainesville offers Memory Care and Skilled Nursing / Long Term Care.
Avir at Gainesville is located at 1907 Refinery Rd in Gainesville, Texas.
Avir at Gainesville carries a 4.0 out of 5 rating from 28 Google reviews. Reviewers describe Avir at River Valley as a small, tight-knit skilled nursing and rehab community with long-tenured, friendly staff and residents who speak positively about their care. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.
Avir at Gainesville had 8 government inspection visits in the last three years, with 38 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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