AVIR AT COWHORN CREEK

5524 COWHORN CREEK, TEXARKANA, TX 75503 · CCN 675949 · 76 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2025-08-15 — IMMEDIATE JEOPARDY (tag F0675, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Honor each resident's preferences, choices, values and beliefs.

2025-08-15 — IMMEDIATE JEOPARDY (tag F0600, severity K)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.64

state median 2.67

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.22

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

68%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $30,105 in fines.

Date	Type	Amount
2025-08-15	Fine	$30,105
2025-08-15	Payment Denial	payment denial

Ownership

Ownership type: Government - Hospital district. Part of the AVIR HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Avir at Beaumont (BEAUMONT, TX) — CMS overall1 of 5
Avir at New Braunfels (New Braunfels, TX) — CMS overall1 of 5
Avir at Rose Trail (TYLER, TX) — CMS overall1 of 5
Avir at Petal Hill (Tyler, TX) — CMS overall2 of 5
Avir at Jeffrey Place (Waco, TX) — CMS overall3 of 5
Avir at Temple West (TEMPLE, TX) — CMS overall3 of 5
Avir at Center (CENTER, TX) — CMS overall4 of 5
Avir at Graham (GRAHAM, TX) — CMS overall5 of 5

Full citation history

By severity: No harm, potential for minimal harm: 2 · Potential for more than minimal harm: 61 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2026-04-13	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-02-12	F0558	Resident Rights Deficiencies	D	not recorded
2026-02-12	F0565	Resident Rights Deficiencies	D	not recorded
2026-02-12	F0582	Resident Rights Deficiencies	D	not recorded
2026-02-12	F0636	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-12	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-12	F0640	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-12	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-12	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-12	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-12	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-02-12	F0685	Quality of Life and Care Deficiencies	D	not recorded
2026-02-12	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-02-12	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2026-02-12	F0755	Pharmacy Service Deficiencies	E	not recorded
2026-02-12	F0759	Pharmacy Service Deficiencies	D	not recorded
2026-02-12	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2026-02-12	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2026-02-12	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-02-12	F0813	Nutrition and Dietary Deficiencies	D	not recorded
2026-02-12	F0880	Infection Control Deficiencies	E	not recorded
2025-08-15	F0561	Resident Rights Deficiencies	D	not recorded
2025-08-15	F0585	Resident Rights Deficiencies	E	not recorded
2025-08-15	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	K	not recorded
2025-08-15	F0675	Quality of Life and Care Deficiencies	K	not recorded
2025-08-15	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-08-15	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2025-08-15	F0838	Administration Deficiencies	D	not recorded
2025-04-09	F0550	Resident Rights Deficiencies	E	not recorded
2025-04-09	F0585	Resident Rights Deficiencies	D	not recorded
2025-04-09	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-12-04	F0553	Resident Rights Deficiencies	E	not recorded
2024-12-04	F0558	Resident Rights Deficiencies	D	not recorded
2024-12-04	F0623	Resident Rights Deficiencies	D	not recorded
2024-12-04	F0640	Resident Assessment and Care Planning Deficiencies	B	not recorded
2024-12-04	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-12-04	F0685	Quality of Life and Care Deficiencies	D	not recorded
2024-12-04	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-12-04	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-12-04	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-12-04	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-12-04	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2024-12-04	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-10-29	F0550	Resident Rights Deficiencies	D	not recorded
2024-10-29	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-29	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-29	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-29	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-10-29	F0880	Infection Control Deficiencies	D	not recorded
2024-03-13	F0550	Resident Rights Deficiencies	D	not recorded
2024-03-13	F0805	Nutrition and Dietary Deficiencies	D	not recorded
2023-11-16	F0575	Resident Rights Deficiencies	C	not recorded
2023-11-16	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-16	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-16	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-11-16	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-11-16	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-11-16	F0688	Quality of Life and Care Deficiencies	D	not recorded
2023-11-16	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-11-16	F0712	Nursing and Physician Services Deficiencies	E	not recorded
2023-11-16	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-11-16	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-11-16	F0849	Administration Deficiencies	D	not recorded
2023-11-16	F0880	Infection Control Deficiencies	E	not recorded
2023-11-16	F0940	Administration Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “AVIR AT COWHORN CREEK, TEXARKANA” at medicare.gov/care-compare.