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Nursing HomeMedicaid Investigative

Avir at Gainesville

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1900 O'neal St., Gainesville, TX 76240112 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Avir at Gainesville Nursing Home in Gainesville, TX — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 8.0)
  • High staff turnover (70%)

Below average in Texas · Critically understaffed (RN) · $127,532 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 45% of the national benchmark, which can affect medication management and response times. The facility has 16 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
45%
Registered nurses for medical care
Total Nursing
3.19hrs
78%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.8%
Worse than Avg
Here
35.8%
US
19.5%
TX
18.4%
Cooke
18.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
19.4%
TX
14.2%
Cooke
10.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.0%
Mixed vs Avgs
Here
4.0%
US
12.1%
TX
2.5%
Cooke
1.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.1%
Mixed vs Avgs
Here
9.1%
US
15.4%
TX
9.4%
Cooke
7.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Mixed vs Avgs
Here
98.4%
US
93.4%
TX
96.9%
Cooke
100.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Cooke
99.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Mixed vs Avgs
Here
98.6%
US
81.8%
TX
89.2%
Cooke
99.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Cooke
0.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
2penalties
Well above state avg (9.1)
25 complaint-triggered
$127,532 in fines

This facility has received 21 complaints from families, resulting in serious concerns about resident protection from abuse and neglect, pain management, and maintaining a safe environment. The most recurring issues involve fire safety and building systems, infection control, and care planning. While all deficiencies show correction dates, the persistent problems across multiple surveys and significant family complaints suggest ongoing challenges with fundamental care standards that families should carefully investigate before placement.

Feb 17, 2026Complaint
4
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Dec 11, 2025Routine
13
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0522Potential for harm · WidespreadCorrected

Services Deficiencies

Have an externally vented heating system.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Dec 11, 2025Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

Jun 6, 2025Complaint
4
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Sep 13, 2024Routine
26
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0352Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0900Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0007Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Sep 13, 2024Complaint
3
0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jun 6, 2025

$52,848

Fine

Jul 22, 2024

$46,227

Ownership & Operations

Who Operates This Facility

Owner / Operator

County of Throckmorton

Organization Type

government

Management Company

1900 O NEAL STREET OPCO LLC

Administrator

ERIN CLEMENS

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 42 of 90

Ownership & Management

Owners

County of Throckmorton

Owner · Organization

100%

Dagan, Amitai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Abraham

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

1900 O'neal Street Property Owner, LLC5% or Greater Security InterestGober, KirbyOfficer / Director1900 O'neal Street Opco, LLCManagerFreund, NochumManagerTravitsky, AaronManager
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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