Nursing homes › Texas › Avir at Cowhorn Creek
5524 Cowhorn Creek, Texarkana, TX 75503 · 9032231188 · 76 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: 3.26 (Texas median: 3.27). RN hours: 0.38. Weekend total: 2.93. Nursing staff turnover: 68%.
All-time on record: 65 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-14 |
| 2026-02-12 | 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. | F | Health | corrected 2026-02-13 |
| 2026-02-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-02-13 |
| 2026-02-12 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Health | corrected 2026-02-13 |
| 2026-02-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Health | corrected 2026-02-13 |
| 2026-02-12 | 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 2026-02-13 |
| 2026-02-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-02-13 |
| 2026-02-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-02-13 |
| 2026-02-12 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-02-13 |
| 2026-02-12 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Assess the resident when there is a significant change in condition | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-02-13 |
| 2026-02-12 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2026-02-13 |
| 2025-08-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2025-08-16 |
| 2025-08-15 | Honor each resident's preferences, choices, values and beliefs. | K | complaint | corrected 2025-08-16 |
| 2025-08-15 | 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. | E | complaint | corrected 2025-08-18 |
| 2025-08-15 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2025-08-18 |
| 2025-08-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-08-18 |
| 2025-08-15 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2025-08-18 |
| 2025-08-15 | 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. | D | complaint | corrected 2025-08-18 |
| 2025-04-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-04-10 |
| 2025-04-09 | 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. | D | complaint | corrected 2025-04-10 |
| 2025-04-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-04-10 |
| 2024-12-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-12-06 |
| 2024-12-04 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Health | corrected 2024-12-06 |
| 2024-12-04 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-12-06 |
| 2024-12-04 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Health | corrected 2024-12-06 |
| 2024-12-04 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-12-06 |
| 2024-12-04 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-12-06 |
| 2024-12-04 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-12-06 |
| 2024-12-04 | Assist a resident in gaining access to vision and hearing services. | D | complaint | corrected 2024-12-06 |
| 2024-12-04 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2024-12-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-15 | Fine | $30,105 |
| 2025-08-15 | Payment Denial | 5 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 09/01/2025 |
| GANN, KODY | Corporate Officer | Individual | NOT APPLICABLE | since 09/01/2025 |
| 5524 COWHORN CREEK OPCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2025 |
| TRAVITSKY, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675949. Corrections: data@carerecords.org.