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HomeTexasAvir at Citizens Trail

Avir at Citizens Trail

1008 Citizens Trail, Texarkana, TX 755019038389526WebsiteGoogle Maps
4.2on Google(77 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
2/5
Beds
114
certified
2 fine(s) totaling $120,751

How Avir at Citizens Trail Compares in Texas

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.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.53 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.48 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
66.7%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Staff turnover is 66.7%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
13
deficiency citations
Inspected Aug 21, 2024
Most recent cycle
26
deficiency citations
Inspected Nov 20, 2025
The most recent cycle recorded 13 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bowie County 65+
15,839
17.1% of county
County Population
92,747
Bowie County

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.

Beds
114
Avg Residents/Day
52.1
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
239.8
Infection Citations
0

Deficiency Citations (52)

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
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
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
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
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
F0698Potential for Harm

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

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
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
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
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
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
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
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
F0926Potential for Harm

Have policies on smoking.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Aug 21, 2024Corrected: NoCycle: 2
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: Aug 21, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Aug 21, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Aug 21, 2024Corrected: NoCycle: 2

+ 22 more deficiencies

Total Fines
$120,751
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJul 17, 2024
$16,055
FineFeb 24, 2024
$104,696

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

Nurse Aide1.91 hrs
National avg: 2.32 hrs
LPN1.13 hrs
National avg: 0.86 hrs
RN0.48 hrs
National avg: 0.69 hrs
Total Nursing3.53 hrs
National avg: 3.86 hrs
Weekend Total3.05 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
66.7%
RN Turnover
71.4%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (21)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 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
1008 CITIZENS TRAIL OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2025
FANNIN COUNTY HOSPITAL AUTHORITYOPERATIONAL/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
1008 CITIZENS TRAIL PROPERTY OWNER LLCADP OF THE SNFOrganizationN/AAug 1, 2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationN/AAug 1, 2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationN/AAug 1, 2025
BRADFORD, JEFFREYADP OF THE SNFIndividualN/AJun 1, 2024
FERGUSON, CLAYADP OF THE SNFIndividualN/AJun 1, 2024
JOHNSON, JUSTINADP OF THE SNFIndividualN/AJun 1, 2024
SLIMMER, CHRISTOPHERADP OF THE SNFIndividualN/AJun 1, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avir at Citizens Trail and nearby alternatives.

All Texas facilities
Avir at Citizens Trail
Texarkana, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $120,751
Avir at Cowhorn Creek
Texarkana, TX3.0 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $30,105
The Villa at Texarkana
Texarkana, TX3.1 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Cornerstone Retirement Community
Texarkana, TX3.1 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: $39,764
Avir at Texarkana
Texarkana, TX3.2 miAbuse flag
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $146,860
Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana, TX3.2 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $283,086
Heritage Plaza Nursing Center
Texarkana, TX3.3 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $89,633
FacilityDistanceCMSHealthStaffingRecorded fines
Avir at Citizens Trail
Texarkana, TX · Current facility
—1/51/52/5$120,751
Avir at Cowhorn Creek
Texarkana, TX
3.0 mi1/51/51/5$30,105
The Villa at Texarkana
Texarkana, TX
3.1 mi3/54/51/5None recorded
Cornerstone Retirement Community
Texarkana, TX
3.1 mi4/53/55/5$39,764
Avir at Texarkana
Texarkana, TX
3.2 mi1/51/54/5$146,860
Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana, TX
3.2 mi1/51/51/5$283,086
Heritage Plaza Nursing Center
Texarkana, TX
3.3 mi2/52/52/5$89,633

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.

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 2/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Avir at Citizens Trail cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Avir at Citizens Trail participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records 2 fine(s) totaling $120,751.
What are the staffing levels at Avir at Citizens Trail?▾
Avir at Citizens Trail provides 3.53 total nursing staff hours per resident per day, including 0.48 RN hours, 1.13 LPN hours, and 1.91 nurse aide hours. The total staff turnover rate is 66.7%.
How many beds does Avir at Citizens Trail have?▾
Avir at Citizens Trail has 114 certified beds with an average of 52.1 residents per day, resulting in approximately 46% occupancy. The facility is For profit - Limited Liability company owned and is part of the Avir Health Group chain.
Are there other nursing homes near Avir at Citizens Trail?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in Texarkana. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avir at Citizens Trail?▾
On Google Maps, Avir at Citizens Trail has a rating of 4.2 out of 5 based on 77 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Avir Health Group

This chain operates 119 facilities. View all →