Avir at Citizens Trail

1008 CITIZENS TRAIL, TEXARKANA, TX 75501 · CCN 675958 · 114 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 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 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-07-17 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-07-17 IMMEDIATE JEOPARDY (tag F0600, severity J)
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.
2024-02-24 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-02-24 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.
2024-02-24 IMMEDIATE JEOPARDY (tag F0609, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-02-24 IMMEDIATE JEOPARDY (tag F0607, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2023-07-12 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.96

state median 2.67

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.39

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

1

with residents present

Nursing staff turnover

67%

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 $120,751 in fines.

DateTypeAmount
2024-07-17Fine$16,055
2024-02-24Fine$104,696

Ownership

Ownership type: For profit - Limited Liability company. Part of the AVIR HEALTH GROUP chain.

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

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 45 · Immediate jeopardy: 6

Survey dateTagCategorySeverityCorrected
2025-11-20F0550Resident Rights DeficienciesEnot recorded
2025-11-20F0558Resident Rights DeficienciesDnot recorded
2025-11-20F0584Resident Rights DeficienciesDnot recorded
2025-11-20F0628Resident Rights DeficienciesDnot recorded
2025-11-20F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-11-20F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-11-20F0677Quality of Life and Care DeficienciesDnot recorded
2025-11-20F0684Quality of Life and Care DeficienciesDnot recorded
2025-11-20F0689Quality of Life and Care DeficienciesEnot recorded
2025-11-20F0692Quality of Life and Care DeficienciesDnot recorded
2025-11-20F0693Quality of Life and Care DeficienciesDnot recorded
2025-11-20F0695Quality of Life and Care DeficienciesDnot recorded
2025-11-20F0697Quality of Life and Care DeficienciesDnot recorded
2025-11-20F0698Quality of Life and Care DeficienciesEnot recorded
2025-11-20F0726Nursing and Physician Services DeficienciesDnot recorded
2025-11-20F0755Pharmacy Service DeficienciesDnot recorded
2025-11-20F0760Pharmacy Service DeficienciesDnot recorded
2025-11-20F0761Pharmacy Service DeficienciesEnot recorded
2025-11-20F0804Nutrition and Dietary DeficienciesEnot recorded
2025-11-20F0806Nutrition and Dietary DeficienciesDnot recorded
2025-11-20F0812Nutrition and Dietary DeficienciesFnot recorded
2025-11-20F0813Nutrition and Dietary DeficienciesDnot recorded
2025-11-20F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-11-20F0880Infection Control DeficienciesFnot recorded
2025-11-20F0881Infection Control DeficienciesFnot recorded
2025-11-20F0926Environmental DeficienciesDnot recorded
2024-08-21F0561Resident Rights DeficienciesDnot recorded
2024-08-21F0584Resident Rights DeficienciesDnot recorded
2024-08-21F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-21F0677Quality of Life and Care DeficienciesDnot recorded
2024-08-21F0758Pharmacy Service DeficienciesDnot recorded
2024-07-17F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-07-17F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-02-24F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-02-24F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-02-24F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-02-24F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-24F0689Quality of Life and Care DeficienciesGnot recorded
2023-07-12F0558Resident Rights DeficienciesEnot recorded
2023-07-12F0584Resident Rights DeficienciesEnot recorded
2023-07-12F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-12F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2023-07-12F0677Quality of Life and Care DeficienciesEnot recorded
2023-07-12F0679Quality of Life and Care DeficienciesDnot recorded
2023-07-12F0686Quality of Life and Care DeficienciesDnot recorded
2023-07-12F0689Quality of Life and Care DeficienciesJnot recorded
2023-07-12F0692Quality of Life and Care DeficienciesDnot recorded
2023-07-12F0697Quality of Life and Care DeficienciesDnot recorded
2023-07-12F0725Nursing and Physician Services DeficienciesFnot recorded
2023-07-12F0755Pharmacy Service DeficienciesEnot recorded
2023-07-12F0812Nutrition and Dietary DeficienciesFnot recorded
2023-07-12F0880Infection Control DeficienciesDnot 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 Citizens Trail, TEXARKANA” at medicare.gov/care-compare.