Texas › Bowie County › Texarkana
Avir At Citizens Trail
1008 Citizens Trail, Texarkana, TX 75501
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 114 beds, Avir At Citizens Trail serves Texarkana in Bowie County, Texas and has taken Medicare and Medicaid residents since 2003.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 52 health deficiencies across the three most recent survey cycles (26, 5, 21 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 45.6 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $121K.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 66.7%.
Compared with county, state and nation
| Measure | This facility | Bowie Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 52 | 40 | 25 | 28.7 |
| Citations per 100 beds | 45.6 | 45.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 66.7% | 61.7% | 52.1% | 45.8% |
| Fines listed | $120,751 | $89,633 | $16,801 | — |
County and state figures are medians across facilities (7 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Nov 2025, 21 Aug 2024.
Severity mix: J ×3 K ×3 G ×1 D ×29 E ×11 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0761 | 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. | E | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0584 | 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. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0693 | 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. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Nov 2025 |
| 20 Nov 2025 | F0926 | Have policies on smoking. | D | Standard survey | 21 Nov 2025 |
| 21 Aug 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 22 Aug 2024 |
| 21 Aug 2024 | F0584 | 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. | D | Standard survey | 22 Aug 2024 |
| 21 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 22 Aug 2024 |
| 21 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Aug 2024 |
| 21 Aug 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 22 Aug 2024 |
| 17 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 8 Oct 2023 |
| 17 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 8 Oct 2023 |
| 24 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 13 Mar 2024 |
| 24 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 13 Mar 2024 |
| 24 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Complaint investigation | 13 Mar 2024 |
| 24 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Mar 2024 |
| 24 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 13 Mar 2024 |
| 12 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0584 | 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. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Jul 2024 | Fine | $16,055 | |
| 24 Feb 2024 | Fine | $104,696 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 66.7%, RNs 71.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Fannin County Hospital Authority. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 06/01/2024 |
| 1008 Citizens Trail Opco, LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| Fannin County Hospital Authority | Operational/managerial control | NOT APPLICABLE | 06/01/2024 |
| 1008 Citizens Trail Property Owner LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bowie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cornerstone Retirement Community | Texarkana | 40 | 4 | 3 | 5 | 19 | 47.5 | $40K | 13 May 2026 |
| Heritage Plaza Nursing Center | Texarkana | 95 | 3 | 3 | 2 | 40 | 42.1 | $90K | 2 Jun 2026 |
| The Villa At Texarkana | Texarkana | 106 | 3 | 4 | 1 | 30 | 28.3 | — | 30 Jun 2026 |
| Avir At Cowhorn Creekabuse iconSFF Candidate | Texarkana | 76 | 1 | 1 | 1 | 65 | 85.5 | $30K | 13 Apr 2026 |
| Avir At Texarkanaabuse icon | Texarkana | 110 | 1 | 1 | 4 | 33 | 30.0 | $142K | 30 Apr 2026 |
| Reunion Plaza Senior Care and Rehabilitation Cente | Texarkana | 129 | 1 | 1 | 1 | 90 | 69.8 | $269K | 25 Jun 2026 |
All 7 facilities in Bowie County
Questions and answers
How many deficiencies has Avir At Citizens Trail been cited for?
52 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Citizens Trail been fined?
Yes. CMS lists fines totalling $121K in the period covered.
How does staffing at Avir At Citizens Trail compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Citizens Trail?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fannin County Hospital Authority, 1008 Citizens Trail Opco, LLC and Fannin County Hospital Authority. Individual owners and managers are not listed on this site.
When was Avir At Citizens Trail last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 20 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.