Lilisity

Nursing home

Gainesville Convalescent Center

1900 O'Neal St, Gainesville, TX 76240 · Map
Government - Hospital district · Part of Avir Health Group (90 facilities) · 112 certified beds

CMS abuse icon
Is this your facility? Claim this listing

Gainesville Convalescent Center is a Medicare-certified nursing home in Gainesville, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.74 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 11, 2025 cited 12 deficiencies. Note: it carries a CMS abuse icon.

2 out of 5Overall CMS rating
1 out of 5Health inspections
1 out of 5Staffing
112 bedsCertified beds
  • CMS abuse iconThis facility has an active abuse icon on its CMS record.
  • 2 fines totaling $127,532In CMS records: 2 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating2/5
Health inspections1/5
Staffing1/5
Quality measures5/5
Long-stay quality5/5
Short-stay qualityNo data

How Gainesville Convalescent Center compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)2.743.403.89below avg
RN staffing (hrs/resident/day)0.130.440.68below avg
Aide staffing (hrs/resident/day)1.592.012.34below avg
Nursing staff turnover69.8%51.5%46.4%above avg
Deficiencies cited, last inspection12.09.19.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

2.74Total nurse hrs/resident/day
0.13RN hrs/resident/day
1.01LPN hrs/resident/day
1.59Aide hrs/resident/day
2.66Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff69.8%
Registered nurses—
Administrator changes—

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Dec 11, 2025Most recent inspection
12Deficiencies found
206Health inspection score
2Fines

Penalties in CMS records: 2 fines totaling $127,532, 2 total penalties.

What inspectors found at Gainesville Convalescent Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Dec 11, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Rights Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Administration Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
1900 O'Neal St
Gainesville, TX 76240
CMS certification #
675067
Ownership
Government - Hospital district
Certified beds
112
Avg residents/day
51.6
Provider type
Medicare and Medicaid
First certified
1992-07-23
Chain
Avir Health Group (90 facilities)
Setting
Rural

Part of Avir Health Group

Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

Report a wrong fact

Location and nearby

Explore the area around Gainesville Convalescent Center using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
North Texas Medical Center, Gainesville. 3.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
Nearest Medicare nursing home
Pecan Tree Rehab and Healthcare Center, Gainesville. 0.8 miles away, straight line.
Nearest home health agency office
Choice Health At Home, Gainsville. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Pharmacy. 7.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 76240 as micropolitan (micropolitan core).
Dialysis within 15 miles
Gainesville Star Dialysis, Gainesville, 1.0 mile away, straight line (CMS rating 1 of 5 stars)
Davita Dialysis Cottage, Gainesville, 2.9 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
28 Medicare hospices tell CMS they serve ZIP code 76240.
Nearest geriatric medicine practice
University Of Texas Southwestern Medical Center At Dallas, Denton. 31.6 miles away, straight line. 3 geriatric medicine doctors listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
Wildfire risk to homes
In Gainesville, TX, risk to homes is greater than 77% of communities in Texas and 86% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026See above
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

Looking for assisted living or memory care instead?

Frequently asked questions

Is Gainesville Convalescent Center a good nursing home?

CMS gives Gainesville Convalescent Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Gainesville Convalescent Center staffed?

Gainesville Convalescent Center reports 2.74 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has Gainesville Convalescent Center had inspection problems?

Its most recent CMS inspection cited 12 deficiencies.

How many beds does Gainesville Convalescent Center have?

Gainesville Convalescent Center is certified for 112 beds.