Not verifiedNursing Home

River Valley Health & Rehabilitation Center

Gainesville, TX, 76240

45/ 100Below average
Monthly cost$7,900 – $11,600 / month

Cooke County benchmark

Average nursing home: $8,350 – $12,000/month

Based on 4 facilities in Cooke County

At average

State inspection record

Last inspected: February 27, 2025

Citations in last 12 months:6 citations — review carefully

6 deficiencies found during last health inspection.

View full state inspection report

Detailed inspection findings

Deficiencies by category

Infection Control Deficiencies: 2Freedom from Abuse, Neglect, and Exploitation Deficiencies: 1Quality of Life and Care Deficiencies: 1Nursing and Physician Services Deficiencies: 1Nutrition and Dietary Deficiencies: 1

Individual citations (5 of 6)

F-0880Severity DComplaintCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspected: 2025-11-26Corrected: 2025-12-01
F-0607Severity ECorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Inspected: 2025-02-27Corrected: 2025-02-28
F-0690Severity DCorrected

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.

Inspected: 2025-02-27Corrected: 2025-03-12
F-0727Severity ECorrected

Nursing and Physician Services Deficiencies

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.

Inspected: 2025-02-27Corrected: 2025-02-28
F-0812Severity DCorrected

Nutrition and Dietary Deficiencies

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

Inspected: 2025-02-27Corrected: 2025-02-28

About severity codes: A-C = minimal harm, D-F = more than minimal harm, G-I = actual harm, J-L = immediate jeopardy. Source: CMS (Centers for Medicare & Medicaid Services).

Inspection timeline

November 26, 2025

1 deficiency found

February 27, 2025

5 deficiencies found

Questions to ask on your tour

Personalized questions based on River Valley Health & Rehabilitation Center's actual inspection history and care type.

Based on inspection history
  • 1.What infection control protocols are in place after recent citations?
  • 2.How often are hand hygiene audits performed?
  • 3.What isolation procedures are followed for infectious diseases?
  • 4.How is care plan compliance monitored?
  • 5.What steps have you taken to address past quality of care issues?
  • 6.How quickly are call bells answered on average?
Essential questions
  • What is the all-in monthly cost, including all fees and surcharges?
  • What is the staff-to-resident ratio during day and night shifts?
  • How do you handle medical emergencies?
  • Can I see a copy of your most recent state inspection report?
  • What happens if my loved one's care needs change?
  • Can I speak with current residents or family members?
  • What is the community fee and is it refundable?
  • What are the contract cancellation terms?

Tip: Bring a notepad and take notes. Visit at different times of day. Ask to see the dining room during a meal.

Move-in cost calculator

Estimate your true first-year cost. Adjust values based on your quote.

$
$

Often added for higher care needs

$
$

Upfront move-in fee

12 months

Monthly total$10,550
12-month total$129,600

Estimates only. Actual costs vary. Always confirm with the facility.

About

A licensed skilled nursing facility in Gainesville, Texas, providing 24-hour medical supervision and comprehensive care for seniors.

Languages spoken

English

Capacity

116 beds

Contact this facility directly

Visit websiteCall: (940) 665-0386

We never share your contact info.
You are in control.

Are you the facility admin?

Claim this listing to remove the warning, upload photos, and respond to citations.

Claim this listing →

Facility data from the NJ Department of Health.

Similar facilities nearby

Not verifiedNursing Home
Pecan Tree Rehab and Healthcare Center

Gainesville, TX, 76240

Value35/100
$8,100 – $12,800 / mo14 citations — review carefully

A licensed skilled nursing facility in Gainesville, Texas, providing 24-hour medical supervision and comprehensive care for seniors.

Not verifiedNursing Home
Renaissance Care Center

Gainesville, TX, 76240

Value35/100
$8,800 – $10,700 / mo12 citations — review carefully

A licensed skilled nursing facility in Gainesville, Texas, providing 24-hour medical supervision and comprehensive care for seniors.

Not verifiedNursing Home
Gainesville Convalescent Center

Gainesville, TX, 76240

Value25/100
$8,600 – $12,900 / mo12 citations — review carefully

A licensed skilled nursing facility in Gainesville, Texas, providing 24-hour medical supervision and comprehensive care for seniors.