Texas › Bowie County › Texarkana
Avir At Texarkana
4925 Elizabeth St, Texarkana, TX 75503
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.
Avir At Texarkana is a For-profit, limited liability company nursing home in Texarkana, Texas, certified for 110 beds and caring for about 48 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (20, 7, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 30.0 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $142K.
Reported nurse staffing is 4.6 hours per resident per day (0.6 RN), above the Texas median of 3.3; nursing staff turnover is 61.7%.
CMS flags that the facility carries the CMS abuse icon and changed ownership in the last 12 months.
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 | 33 | 40 | 25 | 28.7 |
| Citations per 100 beds | 30.0 | 45.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.6 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 61.7% | 61.7% | 52.1% | 45.8% |
| Fines listed | $141,825 | $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: 11 Jun 2025, 15 May 2024.
Severity mix: J ×3 D ×18 E ×9 F ×3
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 |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 6 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Complaint investigation | 7 Mar 2026 |
| 6 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 7 Mar 2026 |
| 4 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 26 Dec 2025 |
| 4 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 26 Dec 2025 |
| 21 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Nov 2025 |
| 11 Jun 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 | 10 Jul 2025 |
| 11 Jun 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | 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 | 10 Jul 2025 |
| 11 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 May 2025 |
| 11 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Jul 2025 |
| 11 Jun 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 10 Jul 2025 |
| 25 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Feb 2025 |
| 15 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jun 2024 |
| 15 May 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. | E | Standard survey | 10 Jun 2024 |
| 15 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Jun 2024 |
| 15 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Jun 2024 |
| 15 May 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 10 Jun 2024 |
| 15 May 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 10 Jun 2024 |
| 9 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Apr 2024 |
| 9 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Apr 2024 |
| 29 Mar 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 | 30 Mar 2023 |
| 29 Mar 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 | 30 Mar 2023 |
| 29 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Mar 2023 |
| 29 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Apr 2026 | Fine | $9,350 | |
| 6 Mar 2026 | Fine | $132,475 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 61.7%, RNs 66.7%; 1 administrator 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 | 24.8% | 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 | 2.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.8% | 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: Guadalupe County Hospital Board. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% or greater direct ownership interest | 100% | 09/01/2025 |
| 4925 Elizabeth Street Opco, LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| 4925 Elizabeth Street Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
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 Citizens Trail | Texarkana | 114 | 1 | 1 | 2 | 52 | 45.6 | $121K | 20 Nov 2025 |
| Avir At Cowhorn Creekabuse iconSFF Candidate | Texarkana | 76 | 1 | 1 | 1 | 65 | 85.5 | $30K | 13 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 Texarkana been cited for?
33 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Texarkana been fined?
Yes. CMS lists fines totalling $142K in the period covered.
How does staffing at Avir At Texarkana compare?
Reported total nurse staffing is 4.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Texarkana?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Guadalupe County Hospital Board and 4925 Elizabeth Street Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Texarkana last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 11 Jun 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.