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Avir at Texarkana

4925 Elizabeth St, Texarkana, TX 75503 · (903) 793-4645 · 110 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★☆ 4/5
Quality measures★★☆☆☆ 2/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.
CMS source flags an ownership change within its 12-month reporting window. This flag refers to the source reporting period. Check the dates of the ownership filing and inspections before attributing findings to an operator.

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Same-type reference in TX

CMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Avir at Texarkana

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 61.7%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at AVIR HEALTH GROUP. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Avir Health Group, a group operating 116 facilities in 1 state. Group record: average rating 2.3/5, 19 abuse citation icons, 6 facilities on the Special Focus list, $6,811,835 in federal fines. This facility rates below its group average (2.3/5).

See all 116 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.56 (Texas median: 3.27). RN hours: 0.57. Weekend total: 4.25. Nursing staff turnover: 62%.

Inspection deficiencies

In the downloaded CMS dataset: 33 deficiency citations, including 3 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-30Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. JcomplaintPast Non-Compliance
2026-03-06Provide safe, appropriate pain management for a resident who requires such services. Jcomplaintcorrected 2026-03-07
2026-03-06Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Jcomplaintcorrected 2026-03-07
2025-12-04Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2025-12-26
2025-12-04Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2025-12-26
2025-11-21Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2025-11-22
2025-11-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-11-22
2025-06-11Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-07-10
2025-06-11Provide activities to meet all resident's needs. EHealthcorrected 2025-07-10
2025-06-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2025-07-10
2025-06-11Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2025-07-10
2025-06-11Provide and implement an infection prevention and control program. EHealthcorrected 2025-07-10
2025-06-11Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2025-07-10
2025-06-11Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. DHealthcorrected 2025-07-10
2025-06-11Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2025-07-10
2025-06-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-05-27
2025-06-11Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2025-07-10
2025-06-11Ensure each resident receives an accurate assessment. DHealthcorrected 2025-07-10
2025-06-11Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2025-07-10
2025-06-11Keep all essential equipment working safely. DHealthcorrected 2025-07-10
2025-02-25Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2025-02-26
2024-05-15Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-06-10
2024-05-15Honor 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. EHealthcorrected 2024-06-10
2024-05-15Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2024-06-10
2024-05-15Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2024-06-10
2024-05-15Keep all essential equipment working safely. DHealthcorrected 2024-06-10
2024-05-15Make sure that a working call system is available in each resident's bathroom and bathing area. Dcomplaintcorrected 2024-06-10
2024-04-09Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2024-04-26
2024-04-09Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-04-26
2023-03-29Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-03-30
2023-03-29Honor 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. EHealthcorrected 2023-03-30
2023-03-29Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2023-03-30
2023-03-29Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2023-03-30

Federal penalties

DateTypeAmount
2026-04-30Fine$9,350
2026-03-06Fine$132,475

Ownership & control records (CMS filings)

NameRoleType%Since
GUADALUPE COUNTY HOSPITAL BOARD5% Or Greater Direct Ownership InterestOrganization100%since 09/01/2025
GANN, KODYCorporate OfficerIndividualNOT APPLICABLEsince 09/01/2025
4925 ELIZABETH STREET OPCO, LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 09/01/2025
TRAVITSKY, AARONOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/01/2025

Compare nearby (Bowie County)

How to cite this page: CareRecords, “Avir at Texarkana — compliance, penalty and ownership record” (CCN 676069), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/avir-at-texarkana-texarkana-tx/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676069. Corrections: data@carerecords.org.