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Gainesville Convalescent Center

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Gainesville Convalescent Center is a government - hospital district facility in Gainesville, TX with 112 certified beds and a 2-star overall CMS rating. The facility has 44 deficiency records on file. Total penalties: $128K.

1900 O'Neal St, Gainesville, TX 76240

Phone: 9406652826

Overall Rating

2/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675067
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
112
Residents
52
In Hospital
Yes
County
Cooke
Last Inspection
Dec 11, 2025
Abuse citation on record

Staffing Data

RN Hours
0.13 (nat'l avg: 0.68)
LPN Hours
1.01
CNA Hours
1.59
Total Nursing Hours
2.74 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
69.8%

What the CMS Record Reveals About Gainesville Convalescent Center

Gainesville Convalescent Center operates 112 certified beds in Gainesville, TX with approximately 52 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 44 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $128K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.74 total nursing hours per resident day (national average 3.89), with RN coverage at 0.13 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Gainesville Convalescent Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 69.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (44 most recent)

E — Pattern - Minimal harm Dec 11, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jan 10, 2026

J — Isolated - Jeopardy Jun 6, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 7, 2025

J — Isolated - Jeopardy Jun 6, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 7, 2025

D — Isolated - Minimal harm Jun 6, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 7, 2025

D — Isolated - Minimal harm Jun 6, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 7, 2025

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 18, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 18, 2024

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 17, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 18, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 18, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 17, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Sep 16, 2024

E — Pattern - Minimal harm Aug 27, 2024 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Jul 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 26, 2024

K — Pattern - Jeopardy Jul 22, 2024 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Jul 23, 2024

K — Pattern - Jeopardy Jul 22, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2024

D — Isolated - Minimal harm Jul 22, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 26, 2024

E — Pattern - Minimal harm Jul 22, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 26, 2024

E — Pattern - Minimal harm Jul 22, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 26, 2024

D — Isolated - Minimal harm Jul 22, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jul 26, 2024

E — Pattern - Minimal harm Dec 16, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2023

D — Isolated - Minimal harm Dec 16, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Aug 18, 2023

F — Widespread - Minimal harm Jul 20, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Aug 18, 2023

F — Widespread - Minimal harm Jul 20, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 18, 2023

F — Widespread - Minimal harm Jul 20, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jul 20, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 18, 2023

D — Isolated - Minimal harm Jul 20, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2023

D — Isolated - Minimal harm Jun 23, 2022 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2022

E — Pattern - Minimal harm Jun 23, 2022 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2022

D — Isolated - Minimal harm Jun 23, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2022

F — Widespread - Minimal harm Jun 23, 2022 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2022

D — Isolated - Minimal harm Jun 23, 2022 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 31, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 6.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 31.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.5% Yes

Penalty History 2 penalties totaling $128K

Date Type Amount
Jun 6, 2025 Fine $81K
Jul 22, 2024 Fine $46K

Frequently Asked Questions

What is the overall CMS rating for Gainesville Convalescent Center?
Gainesville Convalescent Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at Gainesville Convalescent Center?
Gainesville Convalescent Center reports 2.74 total nursing hours per resident day (national average: 3.89). RN hours are 0.13 per resident day (national average: 0.68). Nursing staff turnover is 69.8%.
How many beds does Gainesville Convalescent Center have?
Gainesville Convalescent Center has 112 certified beds with approximately 52 residents. The facility is located at 1900 O'Neal St, Gainesville, TX 76240.
Does Gainesville Convalescent Center have any deficiencies on record?
Yes, Gainesville Convalescent Center has 44 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Gainesville Convalescent Center received any fines or penalties?
Yes, Gainesville Convalescent Center has received 2 penalties totaling $128K.
Who owns Gainesville Convalescent Center?
Gainesville Convalescent Center is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Gainesville Convalescent Center last inspected?
The most recent health inspection for Gainesville Convalescent Center was on Dec 11, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Gainesville Convalescent Center?
Gainesville Convalescent Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial