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 July 1, 2026
1 of 5 overall
Christian Care Center in Texarkana, TX has an overall rating of 1 out of 5 stars, with 1-star health inspections, 2-star staffing, and 2-star quality measures. It has reported nurse staffing below the federal benchmark (3.53 vs. 4.1 hours per resident per day), $16,055 in fines over the last 24 months, and a recent federal penalty tied to cited deficiencies involving abuse/neglect prevention and reporting.
Facility ratings
Health inspections
Staffing
3.5296 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 3.5296.
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 · 119 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.