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HomeTexasAvir at Cowhorn Creek

Avir at Cowhorn Creek

5524 Cowhorn Creek, Texarkana, TX 755039032231188WebsiteGoogle Maps
2.8on Google(16 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
3/5
Beds
76
certified
This facility has been flagged for abuse.
1 fine(s) totaling $30,105

How Avir at Cowhorn Creek 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
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.26 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.38 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
68.2%
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 68.2%, 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
25
deficiency citations
Inspected Dec 4, 2024
Most recent cycle
28
deficiency citations
Inspected Feb 12, 2026
The most recent cycle recorded 3 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 Cowhorn Creek is a 1-star Medicare and Medicaid certified nursing home in Texarkana, Texas with 76 certified beds. It has been operating since 2002. Its overall CMS rating is 1 out of 5.

Beds
76
Avg Residents/Day
67.8
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 16, 2002
Sprinklers
Yes
Council
Resident
County
Bowie
Last Inspection
Feb 12, 2026
Deficiencies (Cycle 1)
28
Weighted Score
335.5
Infection Citations
0

Deficiency Citations (65)

F0755Potential for Harm

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

Survey: Apr 13, 2026Corrected: NoCycle: 1
F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0813Potential for Harm

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

Survey: Feb 12, 2026Corrected: 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: Aug 15, 2025Corrected: NoCycle: 1
F0675Immediate Jeopardy

Honor each resident's preferences, choices, values and beliefs.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Aug 15, 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 15, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Aug 15, 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: Aug 15, 2025Corrected: NoCycle: 1
F0838Potential for Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey: Aug 15, 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: Apr 9, 2025Corrected: NoCycle: 2
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Apr 9, 2025Corrected: NoCycle: 2

+ 35 more deficiencies

Total Fines
$30,105
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineAug 15, 2025
$30,105
Payment DenialAug 15, 2025
5 days denied

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

Nurse Aide1.94 hrs
National avg: 2.32 hrs
LPN0.94 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.69 hrs
Total Nursing3.26 hrs
National avg: 3.86 hrs
Weekend Total2.93 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
68.2%
RN Turnover
0.0%
Administrators Left
0

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Sep 1, 2025
GANN, KODYCORPORATE OFFICERIndividualN/ASep 1, 2025
5524 COWHORN CREEK OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2025
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 14, 2025
FREUND, NOCHUMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 14, 2025
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 14, 2025
GOLDBERGER, FAIGYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 14, 2025
5524 COWHORN CREEK PROPERTY OWNER, LLCADP OF THE SNFOrganizationN/ASep 1, 2025
WELLTOWER INCADP OF THE SNFOrganizationN/ASep 1, 2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationN/ASep 1, 2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationN/ASep 1, 2025
BETTS, BRITNEYADP OF THE SNFIndividualN/ASep 1, 2025
FERGUSON, CLAYADP OF THE SNFIndividualN/ASep 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avir at Cowhorn Creek and nearby alternatives.

All Texas facilities
Avir at Cowhorn Creek
Texarkana, TXCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $30,105
Cornerstone Retirement Community
Texarkana, TX4,752 ft
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: $39,764
Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana, TX1.0 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $283,086
Avir at Texarkana
Texarkana, TX1.6 miAbuse flag
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $146,860
The Villa at Texarkana
Texarkana, TX1.7 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Heritage Plaza Nursing Center
Texarkana, TX1.8 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $89,633
Avir at Citizens Trail
Texarkana, TX3.0 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $120,751
FacilityDistanceCMSHealthStaffingRecorded fines
Avir at Cowhorn Creek
Texarkana, TX · Current facility
—1/51/51/5$30,105
Cornerstone Retirement Community
Texarkana, TX
4,752 ft4/53/55/5$39,764
Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana, TX
1.0 mi1/51/51/5$283,086
Avir at Texarkana
Texarkana, TX
1.6 mi1/51/54/5$146,860
The Villa at Texarkana
Texarkana, TX
1.7 mi3/54/51/5None recorded
Heritage Plaza Nursing Center
Texarkana, TX
1.8 mi2/52/52/5$89,633
Avir at Citizens Trail
Texarkana, TX
3.0 mi1/51/52/5$120,751

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 Cowhorn Creek?▾
Avir at Cowhorn Creek 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 3/5. This facility is rated below average.
How much does Avir at Cowhorn Creek 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 Cowhorn Creek participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avir at Cowhorn Creek had any health inspection violations?▾
Avir at Cowhorn Creek had 28 deficiency citations in its most recent health inspection (Feb 12, 2026). The current CMS dataset records 1 fine(s) totaling $30,105.
What are the staffing levels at Avir at Cowhorn Creek?▾
Avir at Cowhorn Creek provides 3.26 total nursing staff hours per resident per day, including 0.38 RN hours, 0.94 LPN hours, and 1.94 nurse aide hours. The total staff turnover rate is 68.2%.
How many beds does Avir at Cowhorn Creek have?▾
Avir at Cowhorn Creek has 76 certified beds with an average of 67.8 residents per day, resulting in approximately 89% occupancy. The facility is Government - Hospital district owned and is part of the Avir Health Group chain.
Are there other nursing homes near Avir at Cowhorn Creek?▾
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 Cowhorn Creek?▾
On Google Maps, Avir at Cowhorn Creek has a rating of 2.8 out of 5 based on 16 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 →