All states › Texas › Texarkana › Avir at Citizens Trail
1008 Citizens Trail Texarkana, TX 75501 · Bowie County
All 7 nursing homes in Texarkana, TX (7 take Medicaid)
CMS certification number 675958 · See this home on Medicare Care Compare
Is Avir at Citizens Trail a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Citizens Trail as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.72 hours per resident per day at Avir at Citizens Trail, above the Texas median of 3.30 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 3.24 hours, 13% below its all-week average. 68.8% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Citizens Trail: Medicare and Medicaid
Avir at Citizens Trail is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 20, 2025 and found 26 deficiencies. In total, inspectors issued 52 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 52 citations at Avir at Citizens Trail across 5 inspection dates, 7 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 17, 2024 (complaint inspection). The most common areas cited were quality of life and care (16) and resident rights (8). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, February 24, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
November 20, 2025 · 26 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHave policies on smoking.
August 21, 2024 · 5 citations
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
July 17, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
February 24, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
KTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 12, 2023 · 14 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EReasonably accommodate the needs and preferences of each resident.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident receives an accurate assessment.
DProvide activities to meet all resident's needs.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Avir at Citizens Trail
- Inspectors cited the home at the immediate-jeopardy level on February 24, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 17, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 68.8% a year. How many of the staff come from agencies?
- The home averages about 43% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $120,751 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 17, 2024 | Fine | $16,055 |
| Feb 24, 2024 | Fine | $104,696 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Avir at Citizens Trail
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.7 mi
- 1.8 mi
-
2.5 mi
Centracare Health System - Sauk Centre Sauk CentreEmergency roomMedian ER visit 1h 49m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Citizens Trail › All nursing homes in Texarkana ›
Compare Avir at Citizens Trail with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Cornerstone Retirement Community · Texarkana · 4 stars · 3.1 mi
- The Villa at Texarkana · Texarkana · 3 stars · 3.1 mi
- Heritage Plaza Nursing Center · Texarkana · 3 stars · 3.3 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.