Avir At Citizens Trail
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Nursing Homes · Medicare certified
5524 Cowhorn Creek · Texarkana, TX 75503 · 76 certified beds
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CMS Care Compare · Updated Jul 2026
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
53
February 12, 2026 · E
Citation F0755Federal surveyors cited this nursing home on 2026-02-12 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · D
Citation F0677Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · K
Citation F0600Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0600 (CMS scope/severity K: pattern, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · E
Citation F0585Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2025-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · D
Citation F0561Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2025-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · D
Citation F0806Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2025-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · D
Citation F0838Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0838 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2025-08-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2025 · K
Citation F0675Federal surveyors cited this nursing home on 2025-08-15 under CMS tag F0675 (CMS scope/severity K: pattern, immediate jeopardy) for Honor each resident's preferences, choices, values and beliefs. The deficiency was recorded as corrected on 2025-08-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 9, 2025 · D
Citation F0600Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 9, 2025 · E
Citation F0550Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 9, 2025 · D
Citation F0585Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2025-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · B
Citation F0640Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0640 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · D
Citation F0558Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · D
Citation F0688Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · D
Citation F0692Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · E
Citation F0804Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · E
Citation F0809Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · D
Citation F0758Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement 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…. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · E
Citation F0553Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0553 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 4, 2024 · D
Citation F0655Federal surveyors cited this nursing home on 2024-12-04 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $46,315
Latest: 3.56 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Government - Hospital district
CMS Care Compare chain: Avir Health Group
Chain ID 719 · 118 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: City Of Ennis
parent · PAC 6507982717
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$6,003/moNursing Homes
Median · TX$5,627/moOther licensed providers in Texarkana, with their own public records.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
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