All states › Texas › Texarkana › Avir at Texarkana
4925 Elizabeth St Texarkana, TX 75503 · Bowie County
All 7 nursing homes in Texarkana, TX (7 take Medicaid)
CMS certification number 676069 · See this home on Medicare Care Compare
Is Avir at Texarkana 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 Texarkana 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 4.29 hours per resident per day at Avir at Texarkana, above the Texas median of 3.30 (US median: 3.72). About 0.61 of those hours are from registered nurses. On weekends it falls to 3.95 hours, 8% below its all-week average. 66.7% 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. 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at Texarkana: Medicare and Medicaid
Avir at Texarkana 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 June 11, 2025 and found 12 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 35 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 35 citations at Avir at Texarkana across 10 inspection dates, 14 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 30, 2026 (complaint inspection). The most common areas cited were quality of life and care (8) and resident rights (7). 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 J, April 30, 2026). 6 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2026 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 30, 2026 · 1 citation, 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.
March 6, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide safe, appropriate pain management for a resident who requires such services.
JProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 4, 2025 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 21, 2025 · 2 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 11, 2025 · 13 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide activities to meet all resident's needs.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DKeep all essential equipment working safely.
February 25, 2025 · 1 citation · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 15, 2024 · 6 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DReasonably accommodate the needs and preferences of each resident.
DKeep all essential equipment working safely.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
April 9, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 29, 2023 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Avir at Texarkana
- Inspectors cited the home at the immediate-jeopardy level on April 30, 2026 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 August 14, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 66.7% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- 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 $95,459 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 30, 2026 | Fine | $9,350 |
| Mar 6, 2026 | Fine | $86,109 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
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Location
Hospitals near Avir at Texarkana
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.9 mi
-
1.4 mi
Centracare Health System - Sauk Centre Sauk CentreEmergency roomMedian ER visit 1h 49m for patients treated and sent home
-
1.5 mi
CHRISTUS St Michael Health System TexarkanaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 27m 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 Texarkana › All nursing homes in Texarkana ›
Compare Avir at Texarkana with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Cornerstone Retirement Community · Texarkana · 4 stars · 2.5 mi
- The Villa at Texarkana · Texarkana · 3 stars · 0.1 mi
- Heritage Plaza Nursing Center · Texarkana · 3 stars · 0.2 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.