The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
Nursing home report
Avir at Texarkana
Texarkana, TX · Medicare-certified · 110 beds
Needs attention
For-profitChain member
1 of 5 overall
Avir at Texarkana has a 1-star overall rating, with 1-star health inspections, 3-star staffing, and 2-star quality measures. It has had $127,250 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 4.09 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
4.0941 hrs/resident/day
Quality measures
Last inspection: March 6, 2026Penalties, last 24 months: $127,250recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0941.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.67
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 58%
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
8.7%19%Worsening
Residents with a fall causing major injury
2.2%0%Improving
Residents with pressure ulcers (bedsores)
7.2%11.2%Worsening
Residents with a urinary tract infection
6.8%2%Improving
Residents who lost too much weight
7.9%2.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%37.1%Worsening
Residents whose ability to walk got worse
—33%—
Long-stay residents on antianxiety or sleep medication
28.9%23.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.4%0%Improving
Residents with new or worsening incontinence
4.3%7.4%Worsening
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
—93.9%—
Long-stay residents given the pneumonia vaccine
95.6%95.9%No change
Short-stay residents given the seasonal flu vaccine
—81.2%—
Short-stay residents given the pneumonia vaccine
75%79.4%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — 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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to provide activities that met all residents’ needs. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $127,250 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $127,250 in total fines.
- $127,250
Federal fine
Mar 6, 2026
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 49.2 residents on an average day (45% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 20 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.