Gainesville Convalescent Center

    1900 O'Neal St, Gainesville, TX 76240
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.39·(18)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      2.4
    • Meals

      3.7
    • Amenities

      1.0
    • Value

      2.4

    Pros

    • Compassionate, attentive direct-care staff
    • Effective nursing leadership
    • Cheerful and engaged physical-therapy team
    • Supportive case-management services
    • Enjoyable meals and available snacks
    • Structured morning and afternoon activity program
    • Proactive medication communication
    • Clean, well-maintained interior areas
    • Convenient location
    • Welcoming, family-like atmosphere

    Cons

    • Inconsistent staffing levels and staff turnover
    • Unresponsive administrative communication and long phone wait times
    • Gaps in family notification and incident follow-up
    • Billing and resident funds access problems
    • Pest-control and sanitation concerns in certain areas
    • Facility-maintenance failures including HVAC outages and exterior damage
    • Medication and care-coordination communication gaps
    • Slow response to resident calls and care requests
    • Laundry management and personal-item tracking deficiencies
    • Allegations of theft and financial misconduct

    Summary of reviews

    Overall impression: Reviews present a mixed picture. Caregivers, therapy staff and some leaders receive consistent praise for compassion and direct-care quality, while systemic operational shortcomings — especially around administration, communication, maintenance, and billing — account for much of the dissatisfaction. Prospective residents and families are likely to encounter strong hands-on caregiving alongside uneven facility-level performance in other domains.

    Care and staff: Clinical care and frontline staff are frequently described as attentive, caring, and skilled; physical therapy and case-management resources are called out positively, and several reviewers singled out nursing leadership and an effective director of nurses. This suggests that day-to-day personal care and rehabilitation services can be a strength. At the same time, there are repeated notes about staff shortages, episodic staff turnover, and variability in responsiveness to call requests, indicating that staffing consistency is a persistent operational challenge.

    Dining and activities: Food and snack options receive favorable comments, and the facility appears to maintain a regular schedule of morning and afternoon activities that keep residents engaged. Communication about medications has been characterized as proactive in some cases. These programmatic elements represent reliable quality-of-life features for residents when they are running as intended.

    Facilities and cleanliness: Several reviewers described the interior as clean and well-maintained, but others raised sanitation and pest-control concerns and noted odor issues in certain areas. There are also specific facility-maintenance problems cited, including heating/air-conditioning outages and exterior damage from tree or fence issues. These mixed observations point to uneven facility upkeep: common areas and units may vary in condition depending on maintenance responsiveness.

    Management, communication, and administration: Administrative responsiveness is a prominent concern. Themes include long phone hold times or unanswered lines, difficulty obtaining updates on doctor appointments, delayed family notification after incidents, and high administrative turnover or ownership changes. Billing and Medicaid-related processes have been characterized as problematic by some families, and there are accounts of restricted access to resident funds. Taken together, these items indicate gaps in operational communication, financial administration, and incident follow-up that affect family confidence and transparency.

    Safety and risk patterns: Reviewers expressed safety-related worries tied to both environmental maintenance (HVAC failures, exterior damage) and operational responsiveness (slow call answers, gaps in notification). There are also allegations of theft and financial misconduct in the set of reviews; such claims are serious and suggest families should seek documentation and clarification during tours or admissions discussions.

    Bottom line: The facility appears to deliver solid hands-on care and programming in many instances, supported by caring staff and effective therapy and nursing leadership. However, persistent weaknesses in administration, communication, maintenance, and financial processes create variability in the overall experience. Families considering this facility should prioritize an in-person visit focused on current staffing levels, sanitation and pest-control measures, maintenance status (HVAC, exterior repairs), processes for family notification and billing, and the facility’s plan for addressing turnover and any past allegations.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Gainesville Convalescent Center is located at 1900 O'Neal St, Gainesville, TX, 76240.

    About Gainesville Convalescent Center

    Gainesville Convalescent Center sits under the management of Collinsville Nursing Operations, LLC and is owned by County Of Throckmorton. This facility has ties to Avir Health Group and holds 112 licensed beds, though on most days you'll find about 48 residents staying there. The center provides both long-term residential care and a secure memory care unit for people with Alzheimer's disease. They also offer inpatient rehab, stroke recovery, post-acute care, respite care, and hospice services. Skilled nursing covers quite a bit here, including rehabilitation, wound care, respiratory care, intravenous (IV) antibiotics, and medication management. Therapies available cover speech, occupational, and physical, both for inpatient and outpatient needs. There's nutritional counseling too, which some folks find useful when working through health changes.

    Staff includes registered nurses, licensed practical nurses, certified nurse aides, and therapy aides, but there's been a high nurse turnover rate at 88.1%, and the average is about 3.27 nurse hours per resident each day. It's worth noting the center's received 44 deficiencies in inspection reports, including three about infection prevention and some relating to staff shortages, safe respiratory care, and problems with food safety. There's been a citation for not always having a registered nurse on duty for eight hours each day, and another for not selecting a registered nurse as a full-time director of nurses. Infection control and safety, especially around meals, have also been noted in reports.

    Amenities are straightforward: you get basic furnishings, outdoor seating areas, and a solarium. Home-making and recreational therapy help keep things comfortable, and there's transportation provided for medical needs. Family involvement is encouraged through a family council, since the facility doesn't have a resident council in place. Gainesville Convalescent Center doesn't accept CCRC residency arrangements. While it's a place with plenty of services for different types of care, it's important to look at both the services and the areas of concern in their reports if you're considering this facility.

    People often ask...

    Gainesville Convalescent Center offers skilled nursing.

    There are 1 photos of Gainesville Convalescent Center on Mirador.

    The full address for this community is 1900 O'Neal St, Gainesville, TX 76240.

    No, Gainesville Convalescent Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RsbPhAAJ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity112 residents
    LicenseeCOUNTY OF THROCKMORTON
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    4

    Reports

    34

    Citations

    0

    Complaints

    1

    Years

    24 Oct 2026Inspection
    Found missing written records when a resident was transferred or discharged.
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    21 Sept 2026Inspection
    Found residents were not informed of their rights while living there.
    • —Health Visit
    11 Dec 2025Inspection
    Identified multiple deficiencies across care planning, respiratory care, infection control, environment, food handling, hospice documentation, safety, advance directives, and discharge notice.
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    10 Dec 2025Life Safety
    Cited numerous life safety and emergency preparedness deficiencies, including gaps in emergency power, equipment maintenance, emergency plan content, lighting, and building safety features.
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Gainesville Convalescent Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Gainesville Convalescent Center directly. There is no cost for this service. We are compensated by the community you select.

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