For profit - Limited Liability company · 114 certified beds · CMS number 675958
Avir at Citizens Trail, Texarkana, TX
CMS records 52 health deficiencies at Avir at Citizens Trail in Texarkana, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Nov 20, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $120,751 in the last three years.
- 52deficiencies, 3 cycles (TX median 25)
- 26in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $120,751fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Citizens Trail as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Citizens Trail may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (26 deficiencies)
Standard inspection Nov 20, 2025. CMS counts 26 health deficiencies and 2 fire safety deficiencies in this cycle.
Nov 20, 2025 · Standard inspection
26 deficiencies, highest F
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 21, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 21, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 21, 2025
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F726 · Competent nurses and nurse aides
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2025
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2025
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 21, 2025
Previous cycle: 5 deficiencies (standard inspection Aug 21, 2024)
Standard inspection Aug 21, 2024. CMS counts 5 health deficiencies and 4 fire safety deficiencies in this cycle.
Aug 21, 2024 · Standard inspection
5 deficiencies, highest D
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2024
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2024
Earlier cycle: 21 deficiencies (standard inspection Jul 12, 2023)
Standard inspection Jul 12, 2023. CMS counts 21 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 17, 2024 · Complaint inspection
2 deficiencies, highest J
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 8, 2023
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 8, 2023
Feb 24, 2024 · Complaint inspection
5 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Mar 13, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 13, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 13, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 13, 2024
Jul 12, 2023 · Standard inspection
14 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 9, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2023
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 9, 2023
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2023
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Aug 9, 2023
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2023
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2023
Tags cited in more than one inspection
12 tags cited on more than one inspection date at Avir at Citizens Trail; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 3 | Nov 20, 2025; Aug 21, 2024; Jul 12, 2023 |
| F656 Comprehensive person-centered care plan | 3 | Nov 20, 2025; Feb 24, 2024; Jul 12, 2023 |
| F677 Help with daily care | 3 | Nov 20, 2025; Aug 21, 2024; Jul 12, 2023 |
| F689 Accident prevention and supervision | 3 | Nov 20, 2025; Feb 24, 2024; Jul 12, 2023 |
| F558 Accommodating individual needs and preferences | 2 | Nov 20, 2025; Jul 12, 2023 |
| F600 Freedom from abuse and neglect | 2 | Jul 17, 2024 (PNC); Feb 24, 2024 |
| F607 Abuse prevention policies | 2 | Jul 17, 2024 (PNC); Feb 24, 2024 |
| F692 Nutrition and hydration | 2 | Nov 20, 2025; Jul 12, 2023 |
| F697 Pain management | 2 | Nov 20, 2025; Jul 12, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Nov 20, 2025; Jul 12, 2023 |
| F812 Food safety and sanitation | 2 | Nov 20, 2025; Jul 12, 2023 |
| F880 Infection prevention and control program | 2 | Nov 20, 2025; Jul 12, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 17, 2024 | Fine | $16,055 |
| Feb 24, 2024 | Fine | $104,696 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.53 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.48 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.05 h
- Nursing staff turnover
- 66.7% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 2 of 5
CMS figures for Avir at Citizens Trail, copied as published; Texas medians are ours.
Facility details
- Address
- 1008 Citizens Trail, Texarkana, TX 75501
- Phone
- (903) 838-9526
- County
- Bowie
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 114
- Average residents per day
- 52.1
- In Medicare/Medicaid since
- Apr 3, 2003
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often are rooms cleaned and bed linens changed? (F584, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
Other nursing homes in Texarkana and the same chain
- Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana · 90 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Heritage Plaza Nursing Center
Texarkana · 40 deficiencies - Avir at Texarkana
Texarkana · 33 deficiencies - The Villa at Texarkana
Texarkana · 29 deficiencies - Cornerstone Retirement Community
Texarkana · 20 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.