The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — 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 COWHORN CREEK
TEXARKANA, TX · Medicare-certified · 76 beds
Needs attention
Abuse citationGovernment-runChain member
1 of 5 overall
AVIR AT COWHORN CREEK (Texarkana, TX) has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing; reported nurse staffing is 3.56 hours per resident per day versus the 4.1 federal benchmark. It also has $46,315 in fines over the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.5648 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $46,315recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5648.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.95
- Nurse aides
- 2.28
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 67%
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
0%3.2%Worsening
Residents with a fall causing major injury
1.7%0%Improving
Residents with pressure ulcers (bedsores)
5.5%1.2%Improving
Residents with a urinary tract infection
0%1.7%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.6%47.8%Worsening
Residents whose ability to walk got worse
—22.2%—
Long-stay residents on antianxiety or sleep medication
11.6%21.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%10.8%Worsening
Residents with depressive symptoms
1.9%0%Improving
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
—95.4%—
Long-stay residents given the pneumonia vaccine
100%98.3%Worsening
Short-stay residents given the seasonal flu vaccine
—95.6%—
Short-stay residents given the pneumonia vaccine
98.5%96.4%Worsening
What the inspectors found
The home failed to honor each resident’s preferences, choices, values, and beliefs. Cited August 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 675 — 42 CFR §483.24 — S/S: K
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $46,315 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $46,315 in total fines · 1 payment denial.
- 5 days
Medicare/Medicaid payment denial
Aug 15, 2025
- $46,315
Federal fine
Aug 15, 2025
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 70.1 residents on an average day (92% of 76 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.