Nursing home
River Valley Health & Rehabilitation Center
1907 Refinery Rd, Gainesville, TX 76240 · Map
Government - Hospital district · Part of Slp Operations (22 facilities) · 116 certified beds
River Valley Health & Rehabilitation Center is a Medicare-certified nursing home in Gainesville, Texas. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.69 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Feb 27, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River Valley Health & Rehabilitation 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.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.69 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.29 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.24 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 51.9% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at River Valley Health & Rehabilitation 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 and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 26, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 27, 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 · Feb 27, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 16, 2025 · Full report (PDF) - Potential for harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Jan 16, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Dec 22, 2023 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Dec 22, 2023 · 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 22, 2023 · 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
- 1907 Refinery Rd
Gainesville, TX 76240 - CMS certification #
- 455970
- Ownership
- Government - Hospital district
- Certified beds
- 116
- Avg residents/day
- 44.2
- Provider type
- Medicare and Medicaid
- First certified
- 1992-01-01
- Chain
- Slp Operations (22 facilities)
- Setting
- Rural
Part of Slp Operations
Slp Operations operates 22 nursing facilities across the United States. View all Slp Operations facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River Valley Health & Rehabilitation 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. 1.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Gainesville Convalescent Center, Gainesville. 1.8 miles away, straight line.
- Nearest home health agency office
- Choice Health At Home, Gainesville. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 7.5 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, 0.9 miles away, straight line (CMS rating 1 of 5 stars)
Davita Dialysis Cottage, Gainesville, 2.5 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. 32.1 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)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively moderate, 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is River Valley Health & Rehabilitation Center a good nursing home?
CMS gives River Valley Health & Rehabilitation Center an overall rating of 3 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River Valley Health & Rehabilitation Center staffed?
River Valley Health & Rehabilitation Center reports 2.69 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has River Valley Health & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does River Valley Health & Rehabilitation Center have?
River Valley Health & Rehabilitation Center is certified for 116 beds.