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
Christian Care Center
Registered name: Avir at Citizens Trail
TEXARKANA, TX · Medicare-certified · 114 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Christian Care Center in Texarkana, TX has a 1 out of 5 overall rating, with 1 star for health inspections and 2 stars for staffing and quality measures. It has the lowest overall rating, no fines in the last 24 months, and reported nurse staffing of 3.53 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.5296 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5296.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.13
- Nurse aides
- 1.91
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.8%12.9%Improving
Residents with a fall causing major injury
6%4%Improving
Residents with pressure ulcers (bedsores)
6%3.8%Improving
Residents with a urinary tract infection
0%2.1%Worsening
Residents who lost too much weight
6.1%5.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3%18.9%Worsening
Residents whose ability to walk got worse
8.4%4.1%Improving
Long-stay residents on antianxiety or sleep medication
20%17.1%Improving
Short-stay residents newly given an antipsychotic
—7.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.1%13.3%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.7%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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: 2 fines · $120,751 in total fines.
- $16,055
Federal fine
Jul 17, 2024
- $104,696
Federal fine
Feb 24, 2024
Operator & ownership
Recent ownership change · Jun 1, 2024
Now operated by Avir at Citizens Trail, previously Christian Care Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 118 homes · 2.3 stars avg
- Occupancy
- 52.1 residents on an average day (46% 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.