nursing home in Texarkana, TX
Avir at Texarkana
4925 Elizabeth St, Texarkana, TX 75503 · (903) 793-4645
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★2
- Abuse citation
- New owner (last 12 months)
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Texarkana at a glance
Avir at Texarkana is a 110-bed for-profit nursing home in Texarkana, Texas (Bowie County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 4.6 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 11, 2025) found 20 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $95,459.
Nursing staff turnover is 61.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 110
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- December 20, 2005
- Resident/family council
- Resident
- County
- Bowie County
- CMS Certification Number
- 676069
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.56 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.10 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.25 hrs | 2.98 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 61.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 20 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 198.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $95,459 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 110 | 113 | 107 | |
| Average residents per day | 48 | 76 | 86 | |
| Occupancy | 43.5% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 11.6% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.8% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 24.8% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.5% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 10.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 93.9% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.4% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.3% | 88% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 73.4% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected April 27, 2026 |
| March 6, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | J Immediate jeopardy, isolated | Corrected March 7, 2026 |
| March 6, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | J Immediate jeopardy, isolated | Corrected March 7, 2026 |
| December 4, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 4, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 21, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 22, 2025 |
| November 21, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 22, 2025 |
| June 11, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 10, 2025 |
| June 11, 2025 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected July 10, 2025 |
| June 11, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 10, 2025 |
| June 11, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected July 10, 2025 |
| June 11, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 10, 2025 |
| June 11, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected July 10, 2025 |
| June 11, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected July 10, 2025 |
| June 11, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected July 10, 2025 |
| June 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 10, 2025 |
| June 11, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 27, 2025 |
| June 11, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 10, 2025 |
| June 11, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 10, 2025 |
| February 25, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected February 26, 2025 |
| May 15, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 12, 2024 |
| May 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected July 12, 2024 |
| May 15, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 12, 2024 |
| May 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 10, 2024 |
| May 15, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 10, 2024 |
| May 15, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 10, 2024 |
| May 15, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected June 10, 2024 |
| May 15, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected June 10, 2024 |
| May 15, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 10, 2024 |
| April 9, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 26, 2024 |
| April 9, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 22, 2023 |
| March 29, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 22, 2023 |
| March 29, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected June 27, 2023 |
| March 29, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 30, 2023 |
| March 29, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 30, 2023 |
| March 29, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 30, 2023 |
| March 29, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 30, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $95,459 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 30, 2026 | Fine | $9,350 |
| March 6, 2026 | Fine | $86,109 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD Organization | 5% or greater direct ownership interest | 100% | 09/01/2025 |
| 4925 ELIZABETH STREET PROPERTY OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| FERGUSON, CLAY Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| HUNTSMAN-HARTFIELD, MARY Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| GANN, KODY Individual | corporate officer | NOT APPLICABLE | 09/01/2025 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/11/2025 |
| FREUND, NOCHUM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/11/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/11/2025 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/11/2025 |
| 4925 ELIZABETH STREET OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 09/01/2025 |
Other nursing homes near Avir at Texarkana
Avir at Sweetwater
4925 Elizabeth St., Texarkana, TX 75503 · under 1 mi
For-profit · 79 beds · Part of Avir Health Group
★★★★★3AverageThe Villa at Texarkana
4920 Elizabeth St, Texarkana, TX 75503 · under 1 mi
For-profit · 106 beds · Part of Caring Healthcare Group
★★★★★3AverageHeritage Plaza Nursing Center
600 W 52nd St, Texarkana, TX 75501 · under 1 mi
For-profit · 95 beds · Part of Stonegate Senior Living
★★★★★3AverageReunion Plaza Senior Care and Rehabilitation Cente
1401 Hampton Rd, Texarkana, TX 75503 · under 1 mi
For-profit · 129 beds · Part of Stonegate Senior Living
★★★★★1Much below averageThe Cottages at Texarkana
4701 Jefferson Avenue, Texarkana, AR 71854 · 1.2 mi
For-profit · 140 beds · Part of Southern Administrative Services
★★★★★3AverageBailey Creek Health and Rehab
1621 East 42nd St, Texarkana, AR 71854 · 1.4 mi
For-profit · 74 beds · Part of Anthony & Bryan Adams
★★★★★2Below average
Frequently asked questions
What is Avir at Texarkana's rating?
Avir at Texarkana has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Texarkana receive?
Its most recent standard health inspection found 20 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Texarkana accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Texarkana?
It is for profit - limited liability company and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Texarkana and how do I contact it?
Avir at Texarkana is at 4925 Elizabeth St, Texarkana, TX 75503. Phone: (903) 793-4645.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.