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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 Cowhorn Creek

Avir at Cowhorn Creek

5524 Cowhorn Creek, Texarkana, TX 755039032231188
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
4/5
Beds
76
certified
This facility has been flagged for abuse.
1 fine(s) totaling $32,715

Key Findings

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

• Has 76 certified beds with an average of 70.9 residents per day (93% occupancy)

• Last health inspection found 22 deficiencies (inspected Dec 4, 2024)

• Has been fined a total of $32,715 across 1 fine(s)

• Total nursing staff: 3.13 hours per resident per day

• Staff turnover rate: 57.8% (high)

• Part of the Avir Health Group chain (79 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
76
Avg Residents/Day
70.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 16, 2002
Sprinklers
Yes
Council
Resident
County
Bowie
Last Inspection
Dec 4, 2024
Deficiencies (Cycle 1)
22
Weighted Score
292.5
Infection Citations
0

Deficiency Citations (53)

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
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
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
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: 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: Apr 9, 2025Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: Apr 9, 2025Corrected: NoCycle: 1
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0640Minimal Harm

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

Survey: Dec 4, 2024Corrected: NoCycle: 1
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: Dec 4, 2024Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Dec 4, 2024Corrected: NoCycle: 1
F0809Potential for Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey: Dec 4, 2024Corrected: 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: Dec 4, 2024Corrected: NoCycle: 1
F0685Potential for Harm

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

Survey: Dec 4, 2024Corrected: 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: Oct 29, 2024Corrected: NoCycle: 2
F0600Potential for Harm

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

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Mar 13, 2024Corrected: NoCycle: 2
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Mar 13, 2024Corrected: NoCycle: 2

+ 23 more deficiencies

Total Fines
$32,715
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineAug 15, 2025
$32,715
Payment DenialAug 15, 2025
5 days denied

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

Nurse Aide1.97 hrs
National avg: 2.35 hrs
LPN0.96 hrs
National avg: 0.86 hrs
RN0.20 hrs
National avg: 0.68 hrs
Total Nursing3.13 hrs
National avg: 3.89 hrs
Weekend Total2.89 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
57.8%
RN Turnover
66.7%
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 (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

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Reunion Plaza Senior Care and Rehabilitation Cente

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Avir at Texarkana

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Health
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Quality
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The Villa at Texarkana

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Health
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1.7 mi

Heritage Plaza Nursing Center

Texarkana, TX · 95 beds

For profit$94,538 in finesAbuse
Health
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Avir at Citizens Trail

Texarkana, TX · 114 beds

For profit$130,813 in fines
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3.0 mi

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 4/5. This facility is rated below average.
Has Avir at Cowhorn Creek had any health inspection violations?▾
Avir at Cowhorn Creek had 22 deficiency citations in its most recent health inspection (Dec 4, 2024). The facility has been fined a total of $32,715 across 1 fine(s).
What are the staffing levels at Avir at Cowhorn Creek?▾
Avir at Cowhorn Creek provides 3.13 total nursing staff hours per resident per day, including 0.20 RN hours, 0.96 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 57.8%.
How many beds does Avir at Cowhorn Creek have?▾
Avir at Cowhorn Creek has 76 certified beds with an average of 70.9 residents per day, resulting in approximately 93% 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 Cowhorn Creek?▾
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 Avir Health Group

This chain operates 79 facilities. View all →