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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAvir at Citizens Trail

Avir at Citizens Trail

1008 Citizens Trail, Texarkana, TX 755019038389526
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
114
certified
3 fine(s) totaling $130,813

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 114 certified beds with an average of 50.3 residents per day (44% occupancy)

• Last health inspection found 26 deficiencies (inspected Nov 20, 2025)

• Has been fined a total of $130,813 across 3 fine(s)

• Total nursing staff: 3.15 hours per resident per day

• Staff turnover rate: 55.2% (high)

• Part of the Summit Ltc chain (11 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
114
Avg Residents/Day
50.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 3, 2003
Sprinklers
Yes
Council
Resident
County
Bowie
Last Inspection
Nov 20, 2025
Deficiencies (Cycle 1)
26
Weighted Score
242.8
Infection Citations
0

Deficiency Citations (55)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 17, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jul 17, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 24, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Feb 24, 2024Corrected: NoCycle: 2

+ 25 more deficiencies

Total Fines
$130,813
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineJul 12, 2023
$10,062
FineJul 17, 2024
$16,055
FineFeb 24, 2024
$104,696

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.64 hrs
National avg: 2.35 hrs
LPN1.05 hrs
National avg: 0.86 hrs
RN0.46 hrs
National avg: 0.68 hrs
Total Nursing3.15 hrs
National avg: 3.89 hrs
Weekend Total2.84 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
55.2%
RN Turnover
45.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2024
FANNIN COUNTY HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2024
SUMMIT LTC TEXARKANA LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2024
BRADFORD, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2024
FERGUSON, CLAYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2024
JOHNSON, JUSTINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2024
SLIMMER, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2024
HOLT, ERINCORPORATE DIRECTORIndividualN/AFeb 25, 2020
KEETON, WENDYCORPORATE DIRECTORIndividualN/AOct 29, 2012
KISSLING, MONICACORPORATE DIRECTORIndividualN/AJun 27, 2017
MCBEAN, PATRICIACORPORATE DIRECTORIndividualN/AAug 30, 2021
OWENS, ANGELACORPORATE DIRECTORIndividualN/AJun 22, 2016
TROMPLER, KELLYCORPORATE DIRECTORIndividualN/AFeb 22, 2022
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AOct 29, 2012

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Frequently Asked Questions

What is the CMS rating for Avir at Citizens Trail?▾
Avir at Citizens Trail has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Avir at Citizens Trail had any health inspection violations?▾
Avir at Citizens Trail had 26 deficiency citations in its most recent health inspection (Nov 20, 2025). The facility has been fined a total of $130,813 across 3 fine(s).
What are the staffing levels at Avir at Citizens Trail?▾
Avir at Citizens Trail provides 3.15 total nursing staff hours per resident per day, including 0.46 RN hours, 1.05 LPN hours, and 1.64 nurse aide hours. The total staff turnover rate is 55.2%.
How many beds does Avir at Citizens Trail have?▾
Avir at Citizens Trail has 114 certified beds with an average of 50.3 residents per day, resulting in approximately 44% occupancy. The facility is For profit - Limited Liability company owned and is part of the Summit Ltc chain.
Are there other nursing homes near Avir at Citizens Trail?▾
Yes, there are 6 other nursing homes in Texarkana, Texas with an average rating of 1.9/5. You can compare all facilities on the Texarkana nursing homes page.

Part of Summit Ltc

This chain operates 11 facilities. View all →