Nursing Homes · Medicare certified
Avir at Cowhorn Creek
5524 Cowhorn Creek · Texarkana, TX 75503 · 76 certified beds
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About Avir at Cowhorn Creek
Avir at Cowhorn Creek is a nursing home in Texarkana, Texas. Its capacity is 76 beds, below 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 65 citations, the most recent on April 13, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.15 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
1.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (65)
Records from November 2023 to April 2026.
April 13, 2026
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 April 14, 2026.
February 12, 2026
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
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 February 13, 2026.
February 12, 2026
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
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 February 13, 2026.
February 12, 2026
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 February 13, 2026.
February 12, 2026
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
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 February 13, 2026.
February 12, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
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 February 13, 2026.
February 12, 2026
Tag F0565Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
February 12, 2026
Tag F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 13, 2026.
Penalties (2)
Total fines: $30,105
August 15, 2025 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting September 13, 2025, lasting 5 days (triggered by inspection on August 15, 2025).
August 15, 2025 · Fine
CMS recorded a civil money penalty of $30,105 against this nursing home on August 15, 2025.
Staffing
3.15 nurse hours per resident per day in Q2 2026, down from 3.56 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.
Avir at Texarkana
Cornerstone Retirement Community
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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