Nursing Home Record

For profit - Limited Liability company · 79 certified beds · CMS number 455946

Avir at Sweetwater, Texarkana, TX

CMS records 16 health deficiencies at Avir at Sweetwater in Texarkana, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 10, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Avir at Sweetwater as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Sweetwater may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Mar 10, 2026. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.

Mar 10, 2026 · Standard inspection

5 deficiencies, highest E

F926 · Smoking policies

Requirement cited (CMS): Have policies on smoking.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 20, 2026

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 20, 2026

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 20, 2026

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 24, 2026

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 Apr 20, 2026
Previous cycle: 6 deficiencies (standard inspection Dec 17, 2024)

Standard inspection Dec 17, 2024. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.

Dec 17, 2024 · Standard inspection

6 deficiencies, highest F

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 Jan 16, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 16, 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 Jan 16, 2025

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 16, 2025

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jan 16, 2025

F565 · Resident and family councils

Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 16, 2025
Earlier cycle: 5 deficiencies (standard inspection Oct 26, 2023)

Standard inspection Oct 26, 2023. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.

Oct 26, 2023 · Standard inspection

5 deficiencies, highest F

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 10, 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 Dec 10, 2023

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 Dec 10, 2023

F578 · Refusing treatment and advance directives

Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 10, 2023

F552 · Being informed about health and treatment

Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 10, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Avir at Sweetwater; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation3Mar 10, 2026; Dec 17, 2024; Oct 26, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.55 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.26 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.24 h
Nursing staff turnover
44.8% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Avir at Sweetwater, copied as published; Texas medians are ours.

Facility details

Address
4925 Elizabeth St., Texarkana, TX 75503
Phone
(325) 236-6653
County
Bowie
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Avir Health Group
Certified beds
79
Average residents per day
50.4
In Medicare/Medicaid since
Aug 29, 1991
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.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • How do doctors and nurses explain changes in treatment to residents and their families? (F552, cited 1 time)
  • Is there an active resident council or family council, and how often does it meet? (F565, cited 1 time)
  • How does the home record and follow a resident's advance directive? (F578, cited 1 time)

Other nursing homes in Texarkana and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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