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Nursing Homes · Medicare certified

Avir at Cowhorn Creek

5524 Cowhorn Creek · Texarkana, TX 75503 · 76 certified beds

(903) 223-1188

NPI 1598221442 (opens in a new tab)

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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

1.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (65)

Records from November 2023 to April 2026.

  • April 13, 2026

    Tag F0755

    Provide 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 F0582

    Give 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 F0656

    Develop 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 F0641

    Ensure 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 F0689

    Ensure 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 F0677

    Provide 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 F0812

    Procure 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 F0558

    Reasonably 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 F0644

    Coordinate 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 F0637

    Assess 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 F0685

    Assist 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 F0636

    Assess 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 F0804

    Ensure 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 F0880

    Provide 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 F0640

    Encode 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 F0755

    Provide 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 F0759

    Ensure 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 F0806

    Ensure 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 F0565

    Honor 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 F0727

    Have 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Texas median$5,627/mo

Nearby alternatives

Other licensed providers in Texarkana.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Avir at Cowhorn Creek in Texarkana, TX · ElderCareCosts