• 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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Reasonably accommodate the needs and preferences of each resident.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
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 and appropriate respiratory care for a resident when needed.
Provide safe, appropriate pain management for a resident who requires such services.
Provide safe, appropriate dialysis care/services 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 that residents are free from significant medication errors.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
Have policies on smoking.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
+ 25 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 |
| FANNIN COUNTY HOSPITAL AUTHORITY | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 1, 2024 |
| SUMMIT LTC TEXARKANA LLC | 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 |
| 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 |
This chain operates 11 facilities. View all →