Avir at Citizens Trail
1008 CITIZENS TRAIL, TEXARKANA, TX 75501 · CCN 675958
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 114
- Avg residents/day
- 50.3
- Phone
- 9038389526
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-20 | 26 | 9.1 | 9.5 | +16.9 worse |
| 2 | 2024-08-21 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2023-07-12 | 19 | 8.1 | 9.3 | +10.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 4 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.15 | 55.2% |
| RN staffing (reported) | 0.46 | 45.5% |
| Total nurse staffing (adjusted) | 3.85 | — |
Fines & penalties
- Total fines
- $130,813
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- AVIR HEALTH GROUP
- Facilities in chain
- 90
- Chain avg overall
- 2.30 / 5
Inspection citations (52)6 immediate jeopardy1 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0584Honor 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.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0693Ensure 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.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- EF0761Ensure 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.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0926Have policies on smoking.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-08-21 · Health · corrected 2024-08-22
Potential for more than minimal harm
- DF0584Honor 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.2024-08-21 · Health · corrected 2024-08-22
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-08-21 · Health · corrected 2024-08-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-21 · Health · corrected 2024-08-22
Potential for more than minimal harm
- DF0758Implement 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.2024-08-21 · Health · corrected 2024-08-22
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-17 · Health · corrected 2023-10-08
Immediate jeopardy
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-17 · Health · corrected 2023-10-08
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-24 · Health · corrected 2024-03-13
Immediate jeopardy
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-24 · Health · corrected 2024-03-13
Immediate jeopardy
- KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-24 · Health · corrected 2024-03-13
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-24 · Health · corrected 2024-03-13
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-24 · Health · corrected 2024-03-13
Actual harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0584Honor 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.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-12 · Health · corrected 2023-08-09
Immediate jeopardy
- DF0692Provide enough food/fluids to maintain a resident's health.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-07-12 · Health · corrected 2023-08-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-06-01 |
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| SUMMIT LTC TEXARKANA LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| BRADFORD, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| FERGUSON, CLAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| JOHNSON, JUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| SLIMMER, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| HOLT, ERIN | Individual | CORPORATE DIRECTOR | — | 2020-02-25 |
| KEETON, WENDY | Individual | CORPORATE DIRECTOR | — | 2012-10-29 |
| KISSLING, MONICA | Individual | CORPORATE DIRECTOR | — | 2017-06-27 |
| MCBEAN, PATRICIA | Individual | CORPORATE DIRECTOR | — | 2021-08-30 |
| OWENS, ANGELA | Individual | CORPORATE DIRECTOR | — | 2016-06-22 |
| TROMPLER, KELLY | Individual | CORPORATE DIRECTOR | — | 2022-02-22 |
| SANDERSON, CLARK | Individual | CORPORATE OFFICER | — | 2012-10-29 |
Other facilities in TEXARKANA
| Name | Overall | Beds |
|---|---|---|
| THE VILLA AT TEXARKANA | ★★★★☆ | 106 |
| HERITAGE PLAZA NURSING CENTER | ★★☆☆☆ | 95 |
| CORNERSTONE RETIREMENT COMMUNITY | ★★☆☆☆ | 40 |
| REUNION PLAZA SENIOR CARE AND REHABILITATION CENTE | ★☆☆☆☆ | 129 |
| AVIR AT COWHORN CREEK | ★☆☆☆☆ | 76 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.