The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
AVIR at Texarkana
Registered name: Avir at Texarkana
Texarkana, TX · Medicare-certified · 110 beds
Needs attention
Abuse citationNew ownership (past 12 mo)For-profitChain member
Data as of July 1, 2026
1 of 5 overall
AVIR at Texarkana has a 1-star overall rating, with a 1-star health inspection rating, a recent abuse citation, and $146,860 in fines over the last 24 months. Staffing is rated 4 stars and reported nurse staffing is 4.56 hours per resident per day, above the federal benchmark of 4.1, while quality measures are rated 2 stars.
Facility ratings
Health inspections
Staffing
4.5607 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $146,860recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5607.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.90
- Nurse aides
- 3.10
- Weekend nursing
- 4.25
Hours per resident per day.
Total staff turnover: 62%
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
19%23.8%Worsening
Residents with a fall causing major injury
2.3%2.2%No change
Residents with pressure ulcers (bedsores)
12.1%9.2%Improving
Residents with a urinary tract infection
4.7%2.3%Improving
Residents who lost too much weight
2.9%2.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.6%20%Improving
Residents whose ability to walk got worse
—33%—
Long-stay residents on antianxiety or sleep medication
23.5%27%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
6.3%8.4%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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—81.2%—
Short-stay residents given the pneumonia vaccine
65%90.2%Improving
What the inspectors found
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
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
Recent history
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $14,385 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $132,475 was recorded.
- 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: 2 fines · $146,860 in total fines.
- $14,385
Federal fine
Apr 30, 2026
- $132,475
Federal fine
Mar 6, 2026
Operator & ownership
Recent ownership change · Sep 1, 2025
Now operated by Guadalupe County Hospital Board, previously City of Ennis.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 47.8 residents on an average day (43% 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.