Avir At Citizens Trail
1008 Citizens Trail, Texarkana, TX 75501 · Bowie County
For-profit · 114 certified beds · 46% occupancy · (903) 838-9526
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
Ownership
Part of the Avir Health Group chain (119 facilities), chain average overall rating 2.3★.