The Villa at Texarkana

4920 Elizabeth St · Texarkana, TX · 75503 · 9037923812

106 certified beds For profit - Limited Liability company Chain: Caring Healthcare Group

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 94
Staffing 20% 54
Federal penalties 15% 100
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.573.48 min · 4.1 strong
RN hours / resident-day0.290.55–0.75
Weekend hours / resident-day3.02≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · D March 11, 2026

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected March 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2026

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected March 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 11, 2026

    Provide activities to meet all resident's needs.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · D March 11, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 12, 2026 · Quality of Life and Care

  • Potential for harm · E March 11, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 12, 2026 · Nutrition and Dietary

  • Potential for harm · D December 11, 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 December 12, 2024 · Resident Rights

  • Potential for harm · D December 11, 2024

    Ensure each resident receives an accurate assessment.

    Corrected December 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 11, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · D December 11, 2024

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected December 12, 2024 · Quality of Life and Care

  • Potential for harm · D December 11, 2024

    Implement 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.

    Corrected December 12, 2024 · Pharmacy Service

  • Potential for harm · D December 11, 2024

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected December 12, 2024 · Nutrition and Dietary

  • Potential for harm · D December 11, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 12, 2024 · Infection Control

  • Potential for harm · D December 11, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 12, 2024 · Resident Rights

  • Potential for harm · E November 15, 2023

    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 November 16, 2023 · Resident Rights

  • Potential for harm · D November 15, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 16, 2023 · Quality of Life and Care

  • Potential for harm · D November 15, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 16, 2023 · Quality of Life and Care

  • Potential for harm · D November 15, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 16, 2023 · Pharmacy Service

  • Potential for harm · D November 15, 2023

    Ensure 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.

    Corrected November 16, 2023 · Pharmacy Service

  • Potential for harm · F November 15, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 16, 2023 · Nutrition and Dietary

  • Actual harm · G October 24, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 25, 2023 · Quality of Life and Care

  • Potential for harm · D October 24, 2023 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected October 25, 2023 · Resident Rights

  • Potential for harm · D October 24, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 25, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 24, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 25, 2023 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675966 · certified since May 8, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.