Avir at Citizens Trail
1008 Citizens Trail · Texarkana, TX · 75501 · 9038389526
114 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $16,055 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 3 · $130,813 |
Inspection citations (52 in the current record)
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Potential for harm · E November 20, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D November 20, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D November 20, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D November 20, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · E November 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · E November 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · E November 20, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected November 21, 2025 · Nursing and Physician Services
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Potential for harm · D November 20, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · D November 20, 2025
Ensure that residents are free from significant medication errors.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · E November 20, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · E November 20, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 21, 2025 · Nutrition and Dietary
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Potential for harm · D November 20, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 21, 2025 · Nutrition and Dietary
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Potential for harm · F November 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 21, 2025 · Nutrition and Dietary
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Potential for harm · D November 20, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected November 21, 2025 · Nutrition and Dietary
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Potential for harm · D November 20, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 20, 2025
Provide and implement an infection prevention and control program.
Corrected November 21, 2025 · Infection Control
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Potential for harm · F November 20, 2025
Implement a program that monitors antibiotic use.
Corrected November 21, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2024 | Fine | $16,055 |
| February 24, 2024 | Fine | $104,696 |
| July 12, 2023 | Fine | $10,062 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675958 · certified since April 3, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.