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Here are 4 Nursing Homes in Gainesville, TX

All 4 Medicare-certified nursing homes in Gainesville, side by side on the things that separate them: how many nursing hours each resident gets, how much of the staff leaves each year, and what inspectors found on their last visit.

Showing 1 to 4 of 4 homes

B

70.5/100

Renaissance Care Center

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
49%
Serious cites
0

Renaissance Care Center runs 91 beds in Gainesville under individual for-profit ownership, and the staffing numbers are where families should focus. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 49.1%, above the 45.8% national figure. The inspection record shows 29 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 30, 2025. Quality measures score well, but that staffing figure is the thing to ask about directly.

C

59/100

Avir At River Valley

CMS 3/5116 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
76%
Serious cites
0

Avir At River Valley is run by the hospital district, and its recent inspection history is the strongest part of the picture, a four-out-of-five health inspection rating with 25 deficiencies on record, none of them rising to actual harm or jeopardy. But staffing is where the numbers get thin. At 3.08 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekend coverage drops about 8% below its own weekday level, and annual turnover runs 76% against a national 45.8%. Two abuse-related deficiencies also appear on the current record. The quality measure rating lands mid-range. If you're weighing this one, ask how they hold a shift together on a Sunday.

C

59/100

Avir At Gainesville

CMS 1/5112 bedsGovernmentMedicaid
Nurse hours
3.08 /day
Staff turnover
74%
Serious cites
0

Gainesville Convalescent Center runs on thin nurse staffing, 3.08 hours per resident day against a national average near 3.86, and weekends are roughly 11% leaner than weekdays, so coverage thins exactly when families tend to visit. The county hospital district owns the 112-bed home, and its inspection record shows 50 deficiencies, four at harm or jeopardy level and four tied to abuse; two fines total $99,075. Staff turnover of 73.8% sits well above the 45.8% norm, meaning many caregivers are new. Quality measures score well, but surveys and staffing don't, which is where the trouble actually lives.

C

57/100

Pecan Tree Rehab And Healthcare Center

CMS 1/5122 bedsGovernmentMedicaid
Nurse hours
2.57 /day
Staff turnover
n/a
Serious cites
0

Pecan Tree runs on 2.57 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 23% below what it manages on weekdays. That thin coverage sits behind a one-star staffing rating, and the inspection record is heavier still: 30 deficiencies, two of them serious enough to put residents in harm's way, plus two tied to abuse. The last full inspection was February 2026, so the findings are recent, not stale. Cooke County Hospital District owns the place, which means public ownership here hasn't translated into public accountability on care. One fine totaling $16,595 rounds out the record. If you're considering this home, ask directly how they staff weekends and what changed after those abuse citations.

Before you shortlist in Gainesville