Avir at Cowhorn Creek
Nursing Home Facility
5524 Cowhorn Creek, Texarkana, TX 75503
Avir at Cowhorn Creek is a senior care community located in Texarkana, TX. It provides nursing home care and senior living for older adults in the Texarkana area. To learn more or schedule a tour, call (903) 223-1188.
Operated by Avir Health Group, which runs 88 communities in our directory.
Avir at Cowhorn Creek is licensed for 76 beds, about typical for the area, where senior care communities in Texarkana average about 74 beds.
Federal reporting puts occupancy at about 89% of its licensed beds. That is above the Texarkana average of roughly 66%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Texarkana average about 2.0 stars. Its most recent standard health inspection was in February 2026 and recorded 28 deficiencies.
Residents receive about 3.3 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 68%, which is high and can affect continuity of care.
The community is located in Bowie County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 65 problems at Avir at Cowhorn Creek. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 22 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $30,105. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Put residents in immediate danger, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Put residents in immediate danger, a pattern
Quality of Life and Care
Honor each resident's preferences, choices, values and beliefs.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Show 20 more
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Assess the resident when there is a significant change in condition
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Assist a resident in gaining access to vision and hearing services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, one or a few residents
Administration
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Avir at Cowhorn Creek offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 76
- Occupancy 89%
- Nursing hours per resident/day 3.3
- Annual staff turnover 68%
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Avir at Cowhorn Creek yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.