nursing home in Gainesville, TX
Renaissance Care Center
1400 Blackshill Dr, Gainesville, TX 76240 · (940) 665-5221
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Renaissance Care Center at a glance
Renaissance Care Center is a 91-bed for-profit nursing home in Gainesville, Texas (Cooke County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 4, 2026) found 6 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 49.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 91
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cantex Continuing Care
- Medicare-certified since
- January 6, 1995
- Resident/family council
- Resident
- County
- Cooke County
- CMS Certification Number
- 675441
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.04 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.57 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.55 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 49.1% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 69 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 91 | 113 | 107 | |
| Average residents per day | 66 | 76 | 86 | |
| Occupancy | 73% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 3.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 9.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.2% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 8.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.9% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 7.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 85.7% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected June 4, 2026 |
| June 4, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected June 4, 2026 |
| June 4, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 4, 2026 |
| June 4, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected June 20, 2026 |
| June 4, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 11, 2026 |
| June 4, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected June 4, 2026 |
| June 4, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected June 25, 2026 |
| June 4, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 25, 2026 |
| June 4, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected June 25, 2026 |
| June 4, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 25, 2026 |
| June 4, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 25, 2026 |
| June 4, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 25, 2026 |
| August 21, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 25, 2025 |
| April 30, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 6, 2025 |
| April 30, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected May 2, 2025 |
| April 30, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected May 6, 2025 |
| April 30, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected May 6, 2025 |
| April 30, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 7, 2025 |
| April 30, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Complaint | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 6, 2025 |
| April 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 1, 2025 |
| April 30, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 6, 2025 |
| April 30, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 7, 2025 |
| April 30, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 6, 2025 |
| February 5, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 7, 2025 |
| February 5, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected February 7, 2025 |
| February 5, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected February 7, 2025 |
| February 5, 2025 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected February 7, 2025 |
| February 5, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 7, 2025 |
| February 5, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 7, 2025 |
| February 5, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 1, 2024 |
| February 15, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected March 20, 2024 |
| February 15, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 30, 2024 |
| February 15, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 30, 2024 |
| February 15, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 30, 2024 |
| February 15, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 30, 2024 |
| February 15, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 30, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 09/01/2019 |
| CANTEX HEALTH CARE CENTERS LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| COHNREZNICK LLP Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| FIRST COOKE CAPITAL FUNDING LLC Organization | adp of the snf | NOT APPLICABLE | 04/05/2019 |
| FULKERSON, JON Individual | adp of the snf | NOT APPLICABLE | 02/02/2024 |
| GAINESVILLE HEALTH CARE CENTER LTD. CO Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| JNC CONSULTANT PHARMACY SERVICES, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| LEE, MARY Individual | adp of the snf | NOT APPLICABLE | 01/13/2025 |
| PIVOT REHABILITATION SERVICES Organization | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| SHARMA, NEERAJ Individual | adp of the snf | NOT APPLICABLE | 01/01/2021 |
| STEPHEN DUCK, CPA PC Organization | adp of the snf | NOT APPLICABLE | 12/06/2022 |
| CASTANEDA, EDMUNDO Individual | corporate officer | NOT APPLICABLE | 01/10/2022 |
| CERISE, FREDERICK Individual | corporate officer | NOT APPLICABLE | 03/24/2014 |
| BELL, JOSEPH Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| BRATTY, JERRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| BRATTY, RUDOLPH Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| LONGO, AMEDEO Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/03/2025 |
| LONGO, DEAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/03/2025 |
| LONGO, LAWRENCE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| LONGO, PETER Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| PANTALONE, ROCCO Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/03/2025 |
| SANTOS, JENNIFER Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/03/2025 |
| UNDERHILL, ROBIN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| FULKERSON, JON Individual | operational/managerial control | NOT APPLICABLE | 02/02/2024 |
| GAINESVILLE HEALTH CARE CENTER LTD. CO Organization | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
Other nursing homes near Renaissance Care Center
Pecan Tree Rehab and Healthcare Center
1900 E California St, Gainesville, TX 76240 · under 1 mi
Government · 122 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageAvir at Gainesville
1900 O'Neal St., Gainesville, TX 76240 · 1 mi
Government · 112 beds · Part of Avir Health Group
★★★★★1Much below averageAvir at River Valley
1907 Refinery Rd, Gainesville, TX 76240 · 2.3 mi
For-profit · 116 beds · Part of Avir Health Group
★★★★★3AverageWhitesboro Health and Rehabilitation Center
1204 Sherman Dr, Whitesboro, TX 76273 · 13.4 mi
For-profit · 95 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageCedar Ridge Rehabilitation and Healthcare Center
1700 N Washington St, Pilot Point, TX 76258 · 17.7 mi
For-profit · 108 beds · Part of Nexion Health
★★★★★3AverageAvir at Pilot Point
208 N Prairie St, Pilot Point, TX 76258 · 18.1 mi
Government · 63 beds · Part of Avir Health Group
★★★★★4Above average
Frequently asked questions
What is Renaissance Care Center's rating?
Renaissance Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Renaissance Care Center receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Renaissance Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Renaissance Care Center?
It is for profit - corporation and part of Cantex Continuing Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Renaissance Care Center and how do I contact it?
Renaissance Care Center is at 1400 Blackshill Dr, Gainesville, TX 76240. Phone: (940) 665-5221.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.