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 F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
November 20, 2025
Tag F0881Implement a program that monitors antibiotic use.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
August 21, 2024
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 August 22, 2024.
August 21, 2024
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2024.
August 21, 2024
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2024.
August 21, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2024.
August 21, 2024
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 August 22, 2024.
July 17, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity J: isolated, immediate jeopardy. Corrected October 8, 2023.
July 17, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected October 8, 2023.
February 24, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected March 13, 2024.
February 24, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K: pattern, immediate jeopardy. Corrected March 13, 2024.
February 24, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity K: pattern, immediate jeopardy. Corrected March 13, 2024.
February 24, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity K: pattern, immediate jeopardy. Corrected March 13, 2024.
February 24, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 13, 2024.
July 12, 2023
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 9, 2023.
July 12, 2023
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected August 9, 2023.
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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Avir at Texarkana
Assisted Living · Texarkana, TX
Cornerstone Retirement Community
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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