Nursing homes across Bowie County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Cornerstone Retirement Community runs 40 certified beds in Texarkana under nonprofit ownership, and its staffing numbers are the strongest part of the picture: 4.08 nurse hours per resident day, about 6% above the national average, with a staff retention rate better than most homes in the country. Weekend coverage dips roughly 15% below weekday levels, so ask how that plays out on Saturdays and Sundays. The concerns sit elsewhere. Nineteen deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $39,764 fine, weigh against the strong staffing scores. The most recent inspection was February 4, 2026, so that record is current.
Sweetwater Healthcare Center runs on thin staffing. At 2.55 nurse hours per resident per day, it sits about 34% under the national average of 3.86, and weekends are roughly 12% leaner than weekdays, meaning the thinnest coverage lands when families tend to visit. Turnover, at 44.8%, is basically in line with the national figure, so the issue isn't churn so much as how few hands are scheduled at once. On paper the home looks strong elsewhere: four stars each for health inspections and quality measures, with 16 deficiencies on record, none rising to harm or jeopardy and none abuse-related, from an inspection dated March 2026. A for-profit LLC with 79 certified beds, it's a place where the clinical record reads better than the daily coverage.
The Villa At Texarkana holds a four-star record on health inspections and quality measures, but its staffing tells a different story. At 3.36 nurse hours per resident day, it runs about 13% under the national average, and weekends dip roughly 11% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 59% sits well above the 45.8% national figure, meaning the people caring for residents are often new. Thirty deficiencies appear on the current record, including one at the harm level and two tied to abuse. A recent March 2026 inspection keeps the oversight current, but steady leadership and enough hands on deck are the harder problems here.
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.
Heritage Plaza runs 3.15 nurse staffing hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday levels. That thin coverage shows up in the numbers: 57.4 percent annual turnover against a national 45.8 percent, and 43 deficiencies on the current record, including three at the harm or jeopardy level and five tied to abuse. Three fines total $89,633, and the most recent inspection was April 23, 2025. Corporate-owned and certified for 95 beds, it scores well on quality measures but poorly on inspections and staffing, a pattern worth asking about directly before you visit.
Avir At Cowhorn Creek runs 76 certified beds under hospital-district ownership, and the staffing numbers are where the trouble starts: 3.26 nurse hours per resident day against a national average of 3.86, with weekends running about 10 percent thinner than weekdays. Turnover sits at 68.2 percent, well above the 45.8 percent national figure, so residents see a lot of new faces. The inspection record shows 65 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with one $30,105 fine and a survey date of February 2026. Quality measures score mid-range, but staffing and inspections both land at one star, and that combination is what drives the grade down.
Avir At Citizens Trail runs 114 certified beds under for-profit LLC ownership in Texarkana, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below the home's own weekday level, meaning coverage thins out exactly when families tend to visit. Annual turnover of 66.7% is well above the national 45.8%, so the people caring for residents keep changing. The current inspection record shows 52 deficiencies, including 7 at the harm or jeopardy level and 5 abuse-related, with two fines totaling $120,751 and the most recent inspection dated November 2025.
Reunion Plaza runs on 3.01 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 14% below its own weekday numbers. Staff turnover sits at 64.5%, well above the 45.8% national figure, which means the people caring for your family member are often new and still learning the building. The inspection record shows 86 deficiencies, seven of them serious enough to put residents in harm's way, plus one tied to abuse. Three fines add up to $283,086, and the most recent inspection came in February 2026. For-profit corporate ownership, a one-star health inspection rating, and a one-star staffing rating all point the same direction.