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Nursing HomeMedicaid

Renaissance Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1400 Black Hill Drive, Gainesville, TX 7624091 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 75 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice if you prioritize cleanliness and a compassionate nursing staff, as these are its most consistent strengths. However, if your loved one requires intensive physical therapy, you should ask for specific details about their current PT program and staffing levels to ensure their needs are met.

Google Reviews

Google Reviews

75 reviews analyzed
Renaissance Care Center is highly regarded by families for its exceptionally clean environment and a nursing staff that is frequently described as compassionate and attentive. While many praise the recent leadership and the lack of unpleasant odors, some past concerns regarding understaffing and the quality of physical therapy services have been noted.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Strong and visible leadership team
  • Welcoming and professional administration

Concerns

  • Understaffing during certain shifts (mentioned by 2 reviewers)
  • Inconsistency in physical therapy quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'20(1)'22(2)'24(22)'26(4)

Distribution

5
57
4
7
3
0
2
1
1
6
16 reviews posted between Dec 11, 2025Dec 12, 2025 · 16 were 5-star
16 reviews posted between Dec 9, 2024Dec 10, 2024 · 13 were 5-star
10 reviews posted between Jul 10, 2025Jul 10, 2025 · 10 were 5-star

How They Respond to Reviews

97%response rate
Generic

The owner relies heavily on a small set of repetitive templates to respond to reviews. While they occasionally include the reviewer's name, the content of the response rarely acknowledges the specific details or staff members mentioned in the reviews.

Questions for Your Tour

  • 1It's wonderful to see how much the leadership team engages with the community; how often does the administration interact directly with residents and their families?
  • 2We've heard great things about the cleanliness of the facility, but how do you ensure that the high standard of care remains consistent across all shifts, especially during busier times?
  • 3Could you tell us a bit about how the nursing staff manages medical emergencies or sudden changes in a resident's condition during the night?
  • 4What does a typical daily schedule look like for residents, and what kind of social activities are available to keep everyone engaged?
  • 5We want to ensure consistent progress with rehabilitation; how do you coordinate with the physical therapy team to monitor a resident's strength and mobility?
  • 6With the facility being a close-knit community of 91 residents, how do you ensure that every individual's specific dietary and personal needs are being met by the staff?

Personalized based on this facility's data


Key Review Excerpts

The nurses must really enjoy working for you. They are always smiling and willing to help Big Thank You to each one.

Long-term resident's family · 2025★★★★★

I did my nursing clinicals at this location, and it couldnt have been better. It was clean, didnt reek of urine or poop like a lot of care homes do, and the staff was beyond friendly and helpful.

Nursing student · 2025★★★★★

My mother was here two times for physical rehab after ortho surgery. I couldn’t be more pleased with the care she received.

Rehab patient's family · 2025★★★★★
Source: 75 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
100%
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 · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
19.4%
TX
14.2%
Cooke
10.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
TX
2.5%
Cooke
2.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.4%
TX
9.4%
Cooke
7.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Cooke
99.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.3%
TX
14.9%
Cooke
11.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
5.3%
TX
3.2%
Cooke
1.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
79.7%
TX
88.0%
Cooke
96.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
Cooke
98.9%
💊

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

12deficiencies
Above state avg (9.1)
16 complaint-triggered
$70,372 in fines

This facility has a concerning pattern of family-filed complaints, with 16 complaint-triggered deficiencies across the review period, including serious issues with abuse prevention and reporting. The most recurring problems involve infection control (appearing in 5 surveys), abuse/neglect protections, and medication management. While all deficiencies show correction dates, the persistent pattern of complaints and repeated violations in critical areas like resident safety and infection control suggests ongoing operational challenges that families should carefully consider.

Aug 21, 2025Complaint
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 30, 2025Routine
13
0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0006ModerateCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0026ModerateCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0677ModerateCorrected

Quality of Life and Care Deficiencies

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

0693ModerateCorrected

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.

0695ModerateCorrected

Quality of Life and Care Deficiencies

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

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321ModerateCorrected

Smoke Deficiencies

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

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Apr 30, 2025Complaint
3
0565ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Feb 5, 2025Complaint
7
0690ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0600Minor

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 15, 2024Routine
4
0343ModerateCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0584MinorCorrected

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.

0656MinorCorrected

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

Feb 15, 2024Complaint
2
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

GAINESVILLE HEALTH CARE CENTER LTD CO

Administrator

JON FULKERSON

Chain Affiliation

Chain Name

Cantex Continuing Care

Chain Size

38 facilities nationwide

Chain avg rating: 3.2/5 · Rank 29 of 37

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Bell, Joseph

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

Bratty, Jerry

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

Bratty, Rudolph

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

Longo, Amedeo

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

Longo, Dean

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

Longo, Lawrence

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

Longo, Peter

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

Pantalone, Rocco

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

Santos, Jennifer

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

Underhill, Robin

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

Key personnel

Castaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / DirectorGainesville Health Care Center Ltd. CoManagerFulkerson, JonManagerCantex Health Care Centers LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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