Nursing homes in Cooke County, Texas
All 4 Medicare/Medicaid-certified nursing homes across 1 cities in Cooke County, with the government's own quality ratings, nurse staffing versus the state median, and any federal safety flags. We take no money from any facility.
Among 4 rated homes in Cooke, 0 have a five-star CMS overall rating and 2 have one star. Local median nurse staffing is 3.06 hours per resident per day, compared with the Texas median of 3.27. None carry a federal abuse-warning flag. Open the report cards to compare staffing, inspections, fines, drug use, and preventable-harm measures before deciding.
What the CMS records show in Cooke County
- Cooke County ranks 114 of 146 Texas counties we cover for median nurse staffing, in the thinnest-staffed quarter.
- 4 of 4 homes report fewer nurse hours than the Texas median of 3.27. The range runs from 2.57 hours per resident per day at Pecan Tree Rehab And Healthcare Center to 3.08 at Avir At Gainesville.
- 2 of 4 homes paid federal fines in roughly the last three years, about $115,670 in total; the most, $99,075, was at Avir At Gainesville.
- 50% of homes here are for-profit, below the Texas share of 71%. How ownership tracks quality.
- The largest operator here is Avir Health Group, with 2 of the 4 homes.
How to narrow 4 homes down
- ·The 4 homes below are ordered best-first by CMS overall rating, so start at the top. 0 of them are rated 4 or 5 stars.
Once you have a shortlist, our free nursing-home tour checklist covers the 30 questions to ask and the red flags to watch for on a visit.
All 4 homes in Cooke County
- CAvir At River ValleyGainesville, TX3★ overall6% below median staffing
- CRenaissance Care CenterGainesville, TX3★ overall7% below median staffing
- FAvir At GainesvilleGainesville, TX1★ overall6% below median staffing
- FPecan Tree Rehab And Healthcare CenterGainesville, TX1★ overall21% below median staffing
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-10-05. Educational information only, not advice. See our methodology.