CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Avir at Citizens Trail is a 1-star Medicare and Medicaid certified nursing home in Texarkana, Texas with 114 certified beds. It has been operating since 2003. Its overall CMS rating is 1 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Honor 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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure 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.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Honor 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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide care and assistance to perform activities of daily living for any resident who is unable.
+ 22 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jun 1, 2024 |
| HOLT, ERIN | CORPORATE DIRECTOR | Individual | N/A | Feb 25, 2020 |
| KEETON, WENDY | CORPORATE DIRECTOR | Individual | N/A | Oct 29, 2012 |
| KISSLING, MONICA | CORPORATE DIRECTOR | Individual | N/A | Jun 27, 2017 |
| MCBEAN, PATRICIA | CORPORATE DIRECTOR | Individual | N/A | Aug 30, 2021 |
| OWENS, ANGELA | CORPORATE DIRECTOR | Individual | N/A | Jun 22, 2016 |
| TROMPLER, KELLY | CORPORATE DIRECTOR | Individual | N/A | Feb 22, 2022 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | Oct 29, 2012 |
| 1008 CITIZENS TRAIL OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2025 |
| FANNIN COUNTY HOSPITAL AUTHORITY | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 1, 2024 |
| BRADFORD, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2024 |
| FERGUSON, CLAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2024 |
| JOHNSON, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2024 |
| SLIMMER, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2024 |
| 1008 CITIZENS TRAIL PROPERTY OWNER LLC | ADP OF THE SNF | Organization | N/A | Aug 1, 2025 |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | Organization | N/A | Aug 1, 2025 |
| WELLTOWER OP, LLC | ADP OF THE SNF | Organization | N/A | Aug 1, 2025 |
| BRADFORD, JEFFREY | ADP OF THE SNF | Individual | N/A | Jun 1, 2024 |
| FERGUSON, CLAY | ADP OF THE SNF | Individual | N/A | Jun 1, 2024 |
| JOHNSON, JUSTIN | ADP OF THE SNF | Individual | N/A | Jun 1, 2024 |
| SLIMMER, CHRISTOPHER | ADP OF THE SNF | Individual | N/A | Jun 1, 2024 |
Compare CMS ratings and recorded fines for Avir at Citizens Trail and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 119 facilities. View all →