Ellery Care
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Avir At Cowhorn Creek

5524 Cowhorn Creek, Texarkana, TX 75503 · Bowie County

Government · 76 certified beds · 89% occupancy · (903) 223-1188

Deciding as a family?

Avir At Cowhorn Creek reviews: what the government record shows

The U.S. government (CMS) rates Avir At Cowhorn Creek 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 2 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
3.26 hrs/resident/day (+0% vs TX median)
Antipsychotic drug use
1.8% of long-stay residents (TX median 8.3%)
Falls with major injury
0.4% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$30,105
Inspection findings
65 cited, 2 immediate-jeopardy
Federal abuse-warning flag
Yes

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.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.26 hrs/resident/day is below the Texas median of 3.27.
  • !Currently carries the federal abuse-warning icon on CMS Care Compare.
  • !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·What was the abuse-warning finding, and what has changed since?
  • ·Can we see the most recent inspection report and the plan of correction?

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 Cowhorn Creek

Is Avir At Cowhorn Creek a good nursing home?

Avir At Cowhorn Creek 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 Cowhorn Creek staffed?

Avir At Cowhorn Creek reports 3.26 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Cowhorn Creek been fined or flagged for abuse?

Avir At Cowhorn Creek has paid approximately $30,105 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

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.

TX median 3.27

3.26 nurse hours per resident per day. About the Texas median.

Total nurse
3.26 hrs
RN
0.38 hrs
LPN
0.94 hrs
Aide
1.94 hrs

Nursing staff turnover: 68.2%

Safety & compliance flags

  • Federal abuse warning icon
  • Special Focus Facility candidate

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.

65
total findings
2
immediate jeopardy
0
caused actual harm
22
from complaints
  • Immediate jeopardyTag F0600 · Aug 15, 2025ComplaintCorrected Aug 16, 2025

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Immediate jeopardyTag F0675 · Aug 15, 2025ComplaintCorrected Aug 16, 2025

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0727 · Feb 12, 2026Corrected Feb 13, 2026

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0812 · Feb 12, 2026Corrected Feb 13, 2026

    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 F0636 · Feb 12, 2026Corrected Feb 13, 2026

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0640 · Feb 12, 2026Corrected Feb 13, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0656 · Feb 12, 2026Corrected Feb 13, 2026

    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 F0755 · Feb 12, 2026Corrected Feb 13, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0804 · Feb 12, 2026Corrected Feb 13, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Feb 12, 2026Corrected Feb 13, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

Showing the 10 most recent and serious of 65 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.

1.8%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

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.

Falls with major injury
0.4%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4.5%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

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.

Total fines
$30,105
Number of fines
1
Payment denials
1

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is government (government - hospital district). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.