Nursing HomeInspections

Avir at Citizens Trail

Nursing home in Texarkana, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (903) 838-9526Send a messageMap ↗

Public-record details

Address
1008 Citizens Trail, Texarkana, TX 75501
Phone
(903) 838-9526
Listed under
For-profit
Medicare CCN
675958
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
114
Average residents per day
52
Ownership
For-profit, limited Liability company
Legal business name
Fannin County Hospital Authority
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 3, 2003
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 675958. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 20, 2025. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 12, 2023 to Nov 20, 2025): 7 from complaint inspections, 7 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
Nov 20, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 20, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 20, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 20, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 20, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. 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 2 fines totalling $120,751 in the last three years.

Jul 17, 2024Fine: $16,055
Feb 24, 2024Fine: $104,696

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
3.53 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
1.91 hours
Total nurse staffing on weekends
3.05 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
71%
Administrators who left in the past year
0

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

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Texarkana

Cornerstone Retirement Community4100 Moores Lane · Texarkana, TX 75503 · (903) 832-5515 · Nonprofit19 health citations in 3 inspection cycles · last standard inspection Feb 4, 2026 · $39,764 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)Heritage Plaza Nursing Center600 W 52nd St · Texarkana, TX 75501 · (903) 792-6700 · For-profit40 health citations in 3 inspection cycles · last standard inspection Jun 2, 2026 · $89,633 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)The Villa at Texarkana4920 Elizabeth St · Texarkana, TX 75503 · (903) 792-3812 · For-profit30 health citations in 3 inspection cycles · last standard inspection Mar 11, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Avir at Cowhorn Creek5524 Cowhorn Creek · Texarkana, TX 75503 · (903) 223-1188 · Government-owned65 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · $30,105 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse iconAvir at Texarkana4925 Elizabeth St · Texarkana, TX 75503 · (903) 793-4645 · For-profit33 health citations in 3 inspection cycles · last standard inspection Jun 11, 2025 · $141,825 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse iconReunion Plaza Senior Care and Rehabilitation Cente1401 Hampton Rd · Texarkana, TX 75503 · (903) 792-7994 · For-profit90 health citations in 3 inspection cycles · last standard inspection Feb 26, 2026 · $269,387 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 7 in Texarkana →