Nursing HomeInspections

Avir at Texarkana

Nursing home in Texarkana, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
4925 Elizabeth St, Texarkana, TX 75503
Phone
(903) 793-4645
Listed under
For-profit
Medicare CCN
676069
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
110
Average residents per day
48
Ownership
For-profit, limited Liability company
Legal business name
Guadalupe County Hospital Board
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 20, 2005
Changed ownership in last 12 months
Yes
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Data Not Available

CMS certification number 676069. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 11, 2025. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 29, 2023 to Apr 30, 2026): 12 from complaint inspections, 3 at the “actual harm” level or higher, including 3 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.

InspectionCitationSeverity
Apr 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Mar 6, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Mar 6, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		J
Immediate jeopardy, isolated
Dec 4, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 11, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 11, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 11, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 11, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 33. 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 $141,825 in the last three years.

Apr 30, 2026Fine: $9,350
Mar 6, 2026Fine: $132,475

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
4.56 hours
Registered nurse (RN) time per resident per day
0.57 hours
Nurse aide time per resident per day
3.10 hours
Total nurse staffing on weekends
4.25 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
67%
Administrators who left in the past year
1

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 Citizens Trail1008 Citizens Trail · Texarkana, TX 75501 · (903) 838-9526 · For-profit52 health citations in 3 inspection cycles · last standard inspection Nov 20, 2025 · $120,751 in CMS fines (3 yrs)Medicare & Medicaid certified1★ 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 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 →