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UPDATED JUL 2026

Nursing Homes · Medicare certified

Avir At Cowhorn Creek

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

9032231188

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

53

Inspection history (65)

  • February 12, 2026 · E

    Citation F0755

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-12.GOV
  • August 15, 2025 · D

    Citation F0677

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • August 15, 2025 · K

    Citation F0600

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • August 15, 2025 · E

    Citation F0585

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • August 15, 2025 · D

    Citation F0561

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • August 15, 2025 · D

    Citation F0806

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • August 15, 2025 · D

    Citation F0838

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • August 15, 2025 · K

    Citation F0675

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-15.GOV
  • April 9, 2025 · D

    Citation F0600

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • April 9, 2025 · E

    Citation F0550

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • April 9, 2025 · D

    Citation F0585

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • December 4, 2024 · B

    Citation F0640

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · D

    Citation F0558

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · D

    Citation F0688

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · D

    Citation F0692

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · E

    Citation F0804

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · E

    Citation F0809

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · D

    Citation F0758

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · E

    Citation F0553

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV
  • December 4, 2024 · D

    Citation F0655

    Federal 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-04.GOV

Penalties

Total fines on file: $46,315

Staffing

Latest: 3.56 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.56 hrs/resident/day
  2. 2026-06-013.56 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

Government - Hospital district

CMS Care Compare chain: Avir Health Group

Chain ID 719 · 118 facilities in chain (CMS)

  • Chain average overall rating: 2.3
  • Chain average health inspection rating: 2.4
  • Chain average staffing rating: 1.6
  • Chain average quality measure rating: 3.6

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. 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.

Typical cost

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/mo
See full TX cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Texarkana, with their own public records.

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

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Avir At Cowhorn Creek in Texarkana, TX · Inspections page 2 · ElderCareCosts