Avir at Texarkana, Texarkana, Texas
- 33
- Citations from health inspectionsTexas average: 28 a home
- 3
- Residents harmed or put in dangerTexas average: 2.3 a home
- $95,459
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Nine inspection visits produced 33 citations. Residents were in immediate danger in three findings. Federal fines came to $95,459 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 4 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 4.56 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.57 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 61.7%against the Texas average of 55.3%
- Beds that are certified
- 110
- Ownership
- Limited Liability company (for profit)
- Chain
- Avir Health Group, with 118 homes
- Street address
- 4925 Elizabeth St, Texarkana, Texas 75503
- County
- Bowie
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated April 30, 2026
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated March 6, 2026
- F755 Pharmacy Services: immediate danger to residents, one or a few residents, found on a complaint visit.
- F697 Pain Management: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated Dec. 4, 2025
Two citations dated Nov. 21, 2025
13 citations dated June 11, 2025
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated Feb. 25, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Six citations dated May 15, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
Two citations dated April 9, 2024
Four citations dated March 29, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| April 30, 2026 | Fine | $9,350 |
| March 6, 2026 | Fine | $86,109 |
Ownership and Management of the Home
- The home is run by 4925 Elizabeth Street Opco, LLC (operational or managerial control).
- The direct 100% owner is Guadalupe County Hospital Board.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 676069. Other homes in Texas.