Avir At Citizens Trail
1008 Citizens Trail, Texarkana, TX 75501 · Bowie County
For-profit · 114 certified beds · 46% occupancy · (903) 838-9526
Avir At Citizens Trail reviews: what the government record shows
The U.S. government (CMS) rates Avir At Citizens Trail 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 6 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.53 hrs/resident/day (+8% vs TX median)
- Antipsychotic drug use
- 12.4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 6.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $120,751
- Inspection findings
- 52 cited, 6 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.53 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 6 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $120,751 in federal fines in roughly the last three years.
- !Serious-fall rate of 6.7% is well above the Texas median of 3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Citizens Trail
Is Avir At Citizens Trail a good nursing home?
Avir At Citizens Trail in Texarkana, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Avir At Citizens Trail staffed?
Avir At Citizens Trail reports 3.53 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Avir At Citizens Trail been fined or flagged for abuse?
Avir At Citizens Trail has paid approximately $120,751 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.53 nurse hours per resident per day. 8% above the Texas median of 3.27.
Nursing staff turnover: 66.7% · RN turnover: 71.4%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Nov 20, 2025Corrected Nov 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Nov 20, 2025Corrected Nov 21, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0881 · Nov 20, 2025Corrected Nov 21, 2025
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
- Potential for harmTag F0550 · Nov 20, 2025Corrected Nov 21, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0656 · Nov 20, 2025Corrected Nov 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0689 · Nov 20, 2025Corrected Nov 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0698 · Nov 20, 2025Corrected Nov 21, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
- Potential for harmTag F0761 · Nov 20, 2025Corrected Nov 21, 2025
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0804 · Nov 20, 2025Corrected Nov 21, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0558 · Nov 20, 2025Corrected Nov 21, 2025
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 52 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.