AVIR AT COWHORN CREEK — Nursing Home in TEXARKANA, TX

5524 COWHORN CREEK, TEXARKANA, TX, 75503 | 9032231188

CMS Five-Star Rating

★☆☆☆☆ 1/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicare Medicaid
Certified Beds76
Average Residents/Day71.8
CMS Certification Number675949

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 3.22 HPRD
RN Staffing 0.29 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection February 12, 2026
Total Deficiencies 20

AVIR AT COWHORN CREEK had 20 health inspection deficiencies on its most recent inspection (February 12, 2026).

Inspection Findings — February 12, 2026

  • Honor the resident's right to organize and participate in resident/family groups in the facility. (Level D)
    Corrected — February 13, 2026
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Level D)
    Corrected — February 13, 2026
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Level E)
    Corrected — February 13, 2026
  • Assess the resident when there is a significant change in condition (Level D)
    Corrected — February 13, 2026
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (Level E)
    Corrected — February 13, 2026
  • Ensure each resident receives an accurate assessment. (Level D)
    Corrected — February 13, 2026
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Level D)
    Corrected — February 13, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level E)
    Corrected — February 13, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable. (Level D)
    Corrected — February 13, 2026
  • Assist a resident in gaining access to vision and hearing services. (Level D)
    Corrected — February 13, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level D)
    Corrected — February 13, 2026
  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Level F)
    Corrected — February 13, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Level E)
    Corrected — February 13, 2026
  • Ensure medication error rates are not 5 percent or greater. (Level D)
    Corrected — February 13, 2026
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Level E)
    Corrected — February 13, 2026
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Level D)
    Corrected — February 13, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level F)
    Corrected — February 13, 2026
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Level D)
    Corrected — February 13, 2026
  • Provide and implement an infection prevention and control program. (Level E)
    Corrected — February 13, 2026
  • Reasonably accommodate the needs and preferences of each resident. (Level D)
    Corrected — February 13, 2026
CareQED Analysis

Avir at Cowhorn Creek is a 76-bed nursing home in Texarkana, Texas. It holds a 1-star CMS overall rating. Total nurse staffing is 3.2 hours per resident day, below the Texas average of 3.4. Its most recent inspection, in February 2026, cited 20 deficiencies, none of them severe. CMS has flagged this facility with an abuse icon.

The recent inspection found multiple non-severe deficiencies, which indicates problems were identified but not judged to be at the highest severity. Because the facility carries an abuse flag and the citations focus on residents’ rights, grievance handling, and protection from abuse, it would be important to ask what specific steps the facility has put in place to prevent abuse, resolve complaints, and strengthen direct-care staffing.

Frequently Asked Questions

Is AVIR AT COWHORN CREEK Medicare and Medicaid certified?

AVIR AT COWHORN CREEK is Medicare certified and Medicaid certified according to CMS data.

What is AVIR AT COWHORN CREEK's CMS star rating?

AVIR AT COWHORN CREEK has an overall CMS rating of 1 out of 5 stars.

How is staffing at AVIR AT COWHORN CREEK?

AVIR AT COWHORN CREEK reports 3.22043 total nurse hours per resident day.

Has AVIR AT COWHORN CREEK had health inspection deficiencies?

On its most recent inspection, AVIR AT COWHORN CREEK had 20 total deficiencies, including 0 classified as severe.

How many beds does AVIR AT COWHORN CREEK have?

AVIR AT COWHORN CREEK has 76 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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