Avir at Cowhorn Creek

Public-record details

Address

5524 Cowhorn Creek, Texarkana, TX 75503

Phone

(903) 223-1188

Listed under

Government-owned

Medicare CCN

675949

Overall star rating

1 of 5 ★☆☆☆☆

Health inspection rating

1 of 5

Staffing rating

1 of 5

Quality measures rating

3 of 5

Certified beds

76

Average residents per day

68

Ownership

Government, hospital district

Legal business name

Guadalupe County Hospital Board

Chain

Avir Health Group (116 facilities)

Certified for

Medicare and Medicaid

First approved by Medicare/Medicaid

Dec 16, 2002

Changed ownership in last 12 months

No

Continuing care retirement community

No

Located inside a hospital

No

Resident or family council

Resident council

Sprinklers in all required areas

Yes

CMS certification number 675949. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 65 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 16, 2023 to Apr 13, 2026): 22 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

Showing the 12 most recent of 65. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $30,105 and 1 denial of Medicare payment for new admissions in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day

3.26 hours

Registered nurse (RN) time per resident per day

0.38 hours

Nurse aide time per resident per day

1.94 hours

Total nurse staffing on weekends

2.93 hours

Nursing staff turnover (yearly)

68%

Administrators who left in the past year

0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.