Gainesville Convalescent Center – Gainesville, TX

CMS Verified | 2026-03-01

Gainesville Convalescent Center

1900 O’Neal St, Gainesville, TX 76240
(940) 665-2826
112 beds
All Gainesville facilities
2.0*
Overall
1.0*
Health Inspection
5.0*
Quality Care
1.0*
Staffing
64.03
Score /100
#10709
National Rank

#10709
of 14703 facilities
National
27.2% position
#836
of 1177 in TX
State Rank
#2
of 4 in Cooke
County Rank
#2
of 4 in Gainesville
City Rank
#2
of 4 in ZIP 76240
ZIP Rank






About Gainesville Convalescent CenterGainesville Convalescent Center is located at 1900 O’Neal St, Gainesville, TX, reachable at (940) 665-2826. This Government – Hospital district facility operates 112.0 certified beds and serves an average of 51 residents per day. It is part of the Avir Health Group network (90 facilities nationwide). Medicare and Medicaid services have been provided since 1992-07-23. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Gainesville Convalescent Center

Address

1900 O’Neal St, Gainesville, TX 76240

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 112 Certified Beds
  • Ownership: Government – Hospital district
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: AVIR HEALTH GROUP

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 15 fine(s) over 5 years
5-Year Trend
Declining over 5 years
64.03
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10709 of 14703 nationally – #836 of 1177 in Texas

Who Is This Facility Best For?

Gainesville Convalescent Center may be considered for families with limited options in Gainesville, TX, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightGainesville Convalescent Center currently provides 2 hours 44 minutes of total nurse staffing per resident per day, including 8 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 69.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 44 minutes
Nurse Aide Hours1 hour 35 minutes
Licensed Practical Nurse (LPN) Hours1 hour 1 minute
Registered Nurse (RN) Hours8 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 39 minutes
Weekend Registered Nurse (RN) Hours7 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Gainesville Convalescent Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $127,532. 34 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $127532.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record Y
Total Weighted Health Survey Score 251.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,709
of 14,703
National
Bottom 27%
#836
TX State
Bottom 29% in TX
#2
of 4
️ Cooke County
#2 of 4
#2
of 4
️ Gainesville
#2 of 4
#2
of 4
ZIP 76240
#2 of 4

Nationally, Gainesville Convalescent Center ranks 10709th out of 14,703 facilities (composite score: 64.0/100), placing it in the below average nationwide. Within TX, it ranks 836th out of 1,177 nursing homes. In Gainesville, it ranks 2nd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 4. For 2026 staffing: total nurse hours rank #13,783 nationally and RN hours rank #14,081 nationally (#1104 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 #14,124 / 14,703 #1,132 / 1,177 ⚠️ Bottom 5%
2023 2.29 #13,850 / 14,703 #1,088 / 1,177 ⚠️ Bottom 10%
2024 2.24 #14,047 / 14,703 #1,108 / 1,177 ⚠️ Bottom 5%
2025 1.61 #14,224 / 14,703 #1,141 / 1,177 ⚠️ Bottom 5%
2026 2.74 #13,783 / 14,703 #1,055 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 #14,124 / 14,703 #1,132 / 1,177 ⚠️ Bottom 5%
2023 0.15 #13,888 / 14,703 #1,044 / 1,177 ⚠️ Bottom 10%
2024 0.11 #14,149 / 14,703 #1,110 / 1,177 ⚠️ Bottom 5%
2025 0.05 #14,268 / 14,703 #1,145 / 1,177 ⚠️ Bottom 5%
2026 0.13 #14,081 / 14,703 #1,104 / 1,177 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Gainesville Convalescent Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1992-07-23. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (940) 665-2826 or your local Medicaid office to verify current eligibility.

Gainesville Convalescent Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 64.0/100, placing it #10709 of 14703 facilities nationally and #836 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Gainesville Convalescent Center receives a reported average of 2 hours 44 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 8 minutes; Licensed Practical Nurse (LPN) — 1 hour 1 minute; Nurse Aide — 1 hour 35 minutes. On weekends, total nurse staffing is 2 hours 39 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 69.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Gainesville Convalescent Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $127,532. 34 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $127,532, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 251.75 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Gainesville Convalescent Center ranks 10709th out of 14,703 facilities (composite score: 64.0/100), placing it in the below average nationwide. Within TX, it ranks 836th out of 1,177 nursing homes. In Gainesville, it ranks 2nd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 4. For 2026 staffing: total nurse hours rank #13,783 nationally and RN hours rank #14,081 nationally (#1104 in TX). Our composite quality score of 64.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Gainesville, visit: https://nursinghomesnearme.org/texas/gainesville/

Contact and Location

ADR
Address

1900 O’Neal St, Gainesville, TX 76240
Get directions on Google Maps

TEL
LLC
Legal Name

COUNTY OF THROCKMORTON

MAP
Browse by Location

All Texas ·
Cooke County ·
Gainesville ·
ZIP 76240

Facility Details

Number of Certified Beds 112
Average Residents / Day 51 (46% occupancy)
Ownership Type Government – Hospital district
Provider Type Medicare and Medicaid
County Cooke County, TX
City Gainesville, TX
ZIP Code 76240
Approved Since July 23, 1992
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675067
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org