The nursing home failed to protect residents from abuse and neglect by others. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Avir at Citizens Trail
TEXARKANA, TX · Medicare-certified · 114 beds
Needs attention
For-profitChain member
1 of 5 overall
Avir at Citizens Trail in Texarkana, TX has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, a recent federal penalty, and $16,055 in fines over the last 24 months. Staffing is 3 stars, but reported nurse staffing is 3.28 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.2799 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $16,055recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2799.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 1.07
- Nurse aides
- 1.71
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.6%Improving
Residents with a fall causing major injury
7.7%Worsening
Residents with pressure ulcers (bedsores)
5.5%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.9%Improving
Residents whose ability to walk got worse
11.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.7%Worsening
Short-stay residents newly given an antipsychotic
5.3%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.1%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
97.7%Steady
Short-stay residents given the pneumonia vaccine
98.8%Worsening
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 26 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,055 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $130,813 in total fines.
- $16,055
Federal fine
Jul 17, 2024
- $104,696
Federal fine
Feb 24, 2024
- $10,062
Federal fine
Jul 12, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 50.7 residents on an average day (44% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.