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C

64/100

Average

Avir At Texarkana

4925 Elizabeth St, Texarkana, TX 75503

CMS 1/5 stars #4 of 8 in Bowie County (903) 793-4645
Certified beds
110
Occupancy
43%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • $95,459 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 62%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

  • Changed ownership in the last 12 months

    New owners often change staffing and management. Ratings from before the sale may not reflect current care.

Our read on Avir At Texarkana

Avir At Texarkana runs a for-profit LLC with 110 certified beds, and the numbers pull in different directions. Nurse staffing sits at 4.56 hours per resident day, roughly 18% above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, and annual turnover hits 61.7% against a national 45.8%, so the hours are there, the consistency isn't. What drags the record down is the inspection history: 33 deficiencies, three at harm or jeopardy level and five abuse-related, with two fines totaling $146,860 and a health inspection rating of 1 out of 5. Ownership changed within the last 12 months, and the most recent inspection was June 11, 2025.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing25/30Stability5/15Outcomes5/15Enforcement2/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

25/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →5.25 total nurse hours per resident per day (national median 3.77)
  • →0.57 RN hours per resident per day
  • →Weekend staffing drops 7% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →62% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →2 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$95,459 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C), CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day4.56 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.57 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.25 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover61.70%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 11, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of AVIR HEALTH GROUP, which operates 118 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Avir At Texarkana

What is the ElderGrade for Avir At Texarkana? +

Avir At Texarkana holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avir At Texarkana? +

Residents receive an average of 4.56 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avir At Texarkana been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Avir At Texarkana accept Medicaid? +

Yes, Avir At Texarkana is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.