Avir at River Valley

Official Government Ratings

Care Quality Indicators

How Avir at River Valley Compares

Avir at River Valley is a 116-bed government-owned nursing facility in Gainesville, Texas. It holds an overall CMS rating of 3 out of 5 stars, above the Texas average of 2.7 stars. Its strongest area is health inspections (4 stars), while staffing (1 star) is its weakest. Its rate of short-stay residents returning to the hospital (47.3%) is above the Texas average of 25.8% — a measure worth asking the staff about. With 116 certified beds, it has notable available capacity at roughly 32% occupied.

Among the 4 nursing facilities ElderVoice tracks in Gainesville, the local average is 2.0 stars.

By the numbers vs. Texas average

• Long-stay antipsychotic medication use: 13.7% — worse than the Texas average of 9.4% (45% higher).
• Falls with major injury: 4.1% — worse than the Texas average of 3.3% (27% higher).
• High-risk pressure ulcers: 5.2% — worse than the Texas average of 4.0% (29% higher).
• Short-stay rehospitalization: 47.3% — worse than the Texas average of 25.8% (83% higher).

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Texas averages across 1176 facilities tracked by ElderVoice.

The Senior Community Around Gainesville

Gainesville sits in Cooke County, where adults 65 and older make up about 18.4% of the population — a higher share of seniors than Texas as a whole (12.5% statewide). The area's median household income is consistent with state averages.

Residents 65+

7,445 (18.4%)

Median age

41.2 years

Median household income

$62,733

Median home value

$166,700

Demographics for Cooke County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Gainesville.

Facility Details