Nursing Homes · Texarkana, TX
Nursing Homes · Medicare certified
Avir at Citizens Trail
1008 Citizens Trail · Texarkana, TX 75501 · 114 certified beds
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About Avir at Citizens Trail
Avir at Citizens Trail is a nursing home in Texarkana, Texas. Its capacity is 114 beds, above the Bowie County median of 106 for nursing homes. It is run by a nonprofit operator and is part of Avir Health Group. It is Medicare certified. Its public inspection record shows 52 citations, the most recent on November 20, 2025. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.72 hours per resident per day. It is one of 7 nursing homes listed in Texarkana. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (52)
Records from July 2023 to November 2025.
November 20, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0926Have policies on smoking.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
Penalties (2)
Total fines: $120,751
July 17, 2024 · Fine
CMS recorded a civil money penalty of $16,055 against this nursing home on July 17, 2024.
February 24, 2024 · Fine
CMS recorded a civil money penalty of $104,696 against this nursing home on February 24, 2024.
Staffing
3.72 nurse hours per resident per day in Q2 2026, up from 3.28 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Avir Health Group, a chain of 118 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.4 for health inspections, 1.5 for staffing, 3.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Texarkana.
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