Nursing homes › Texas › Avir at Citizens Trail
1008 Citizens Trail, Texarkana, TX 75501 · 9038389526 · 114 certified beds
Per CMS filings, this facility is affiliated with Avir Health Group, a group operating 119 facilities in 1 states. Group record: average rating 2.3/5, 21 abuse citation icons, 3 facilities on the Special Focus list, $7,752,055 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.53 (Texas median: 3.27). RN hours: 0.48. Weekend total: 3.05. Nursing staff turnover: 67%.
All-time on record: 52 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-11-21 |
| 2025-11-20 | Implement a program that monitors antibiotic use. | F | Health | corrected 2025-11-21 |
| 2025-11-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-11-21 |
| 2025-11-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2025-11-21 |
| 2025-11-20 | 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. | E | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-11-21 |
| 2025-11-20 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | 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. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-11-21 |
| 2025-11-20 | Have policies on smoking. | D | Health | corrected 2025-11-21 |
| 2024-08-21 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2024-08-22 |
| 2024-08-21 | 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. | D | Health | corrected 2024-08-22 |
| 2024-08-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-08-22 |
| 2024-08-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-08-22 |
| 2024-08-21 | 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. | D | Health | corrected 2024-08-22 |
| 2024-07-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2023-10-08 |
| 2024-07-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | complaint | corrected 2023-10-08 |
| 2024-02-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-03-13 |
| 2024-02-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | complaint | corrected 2024-03-13 |
| 2024-02-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | complaint | corrected 2024-03-13 |
| 2024-02-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-03-13 |
| 2024-02-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-03-13 |
| 2023-07-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2023-08-09 |
| 2023-07-12 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2023-08-09 |
| Date | Type | Amount |
|---|---|---|
| 2024-07-17 | Fine | $16,055 |
| 2024-02-24 | Fine | $104,696 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2024 |
| HOLT, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 02/25/2020 |
| KEETON, WENDY | Corporate Director | Individual | NOT APPLICABLE | since 10/29/2012 |
| KISSLING, MONICA | Corporate Director | Individual | NOT APPLICABLE | since 06/27/2017 |
| MCBEAN, PATRICIA | Corporate Director | Individual | NOT APPLICABLE | since 08/30/2021 |
| OWENS, ANGELA | Corporate Director | Individual | NOT APPLICABLE | since 06/22/2016 |
| TROMPLER, KELLY | Corporate Director | Individual | NOT APPLICABLE | since 02/22/2022 |
| SANDERSON, CLARK | Corporate Officer | Individual | NOT APPLICABLE | since 10/29/2012 |
| 1008 CITIZENS TRAIL OPCO, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2025 |
| FANNIN COUNTY HOSPITAL AUTHORITY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2024 |
| BRADFORD, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2024 |
| FERGUSON, CLAY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2024 |
| JOHNSON, JUSTIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2024 |
| SLIMMER, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675958. Corrections: data@carerecords.org.