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Avir At Cowhorn Creek

5524 Cowhorn Creek, Texarkana, TX 755039032231188Ownership: Government - Hospital districtCertified beds: 76Avg. daily residents: 68Chain: Avir Health Group (116 facilities)County: Bowie
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Avir At Cowhorn Creek, a Medicare & Medicaid–certified nursing home in Texarkana, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Avir At Cowhorn Creek holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 68% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $30,105 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.26 total nurse staff hours per resident per day
about the state average (3.39)
0.38 RN hours per resident per day
below the state average (0.43)
2.93 weekend nurse staff hours per resident per day
68.2% total nursing staff turnover
above the state average (55.3)
Not reported RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 12, 2026 most recent standard health inspection
28 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
25 health deficiencies in the two prior cycles combined
$30,105 in federal fines across 1 penalty (last 3 years)
below the state average ($45,542)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
April 13, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
February 12, 20260727Have 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.F · Potential for more than minimal harm
February 12, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
February 12, 20260636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E · Potential for more than minimal harm
February 12, 20260640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E · Potential for more than minimal harm
February 12, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E · Potential for more than minimal harm
February 12, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E · Potential for more than minimal harm
February 12, 20260804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E · Potential for more than minimal harm
February 12, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
February 12, 20260558Reasonably accommodate the needs and preferences of each resident.D · Potential for more than minimal harm

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Other Nursing Homes in Texarkana

Heritage Plaza Nursing Center (3★)The Villa At Texarkana (3★)Avir At Citizens Trail (1★)All Texarkana facilities →

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.