Avir at Texarkana
4925 Elizabeth St · Texarkana, TX · 75503 · 9037934645
110 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $146,860 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$146,860 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.83 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 2 · $146,860 |
Inspection citations (33 in the current record)
-
Immediate jeopardy · J April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J March 6, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 7, 2026 · Quality of Life and Care
-
Immediate jeopardy · J March 6, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 7, 2026 · Pharmacy Service
-
Potential for harm · D December 4, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 26, 2025 · Resident Rights
-
Potential for harm · D December 4, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2025 · Quality of Life and Care
-
Potential for harm · E November 21, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 22, 2025 · Nutrition and Dietary
-
Potential for harm · D June 11, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 11, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 11, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 11, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 11, 2025
Ensure each resident receives an accurate assessment.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E June 11, 2025
Provide activities to meet all resident's needs.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · E June 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · D June 11, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 10, 2025 · Pharmacy Service
-
Potential for harm · E June 11, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 10, 2025 · Pharmacy Service
-
Potential for harm · F June 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 10, 2025 · Nutrition and Dietary
-
Potential for harm · E June 11, 2025
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
-
Potential for harm · D June 11, 2025
Keep all essential equipment working safely.
Corrected July 10, 2025 · Environmental
-
Potential for harm · D June 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E February 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 26, 2025 · Quality of Life and Care
-
Potential for harm · D May 15, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 10, 2024 · Resident Rights
-
Potential for harm · E May 15, 2024
Honor 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.
Corrected June 10, 2024 · Resident Rights
-
Potential for harm · E May 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2024 · Quality of Life and Care
-
Potential for harm · F May 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 10, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 30, 2026 | Fine | $14,385 |
| March 6, 2026 | Fine | $132,475 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676069 · certified since December 20, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.