Avir At Citizens Trail
Nursing home · 1008 CITIZENS TRAIL, Texarkana, TX 75501 · Bowie County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 114
- State license
- 004848
- Medicare CCN
- 675958
- Licensed entity
- FANNIN COUNTY HOSPITAL AUTHORITY
- Chain
- AVIR HEALTH GROUP
- Ownership
- For profit - Limited Liability company
- Phone
- (903) 838-9526
- Nurse staffing
- 3.53 hours per resident per day; 66.7% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 2★ · Quality 2★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Jul 17, 2024 — Fine ($16,055)
- Feb 24, 2024 — Fine ($104,696)
Inspection findings
-
Nov 20, 2025 Health · 28 findings
-
Not serious
Scope/severity E
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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 Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0658 Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
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.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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 Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0926 Environmental Deficiencies
Have policies on smoking.
Corrected Nov 21, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Nov 21, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity E
-
Aug 21, 2024 Health · 9 findings
-
Not serious
Scope/severity D
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Aug 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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 Aug 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Aug 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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 Aug 22, 2024 · CMS health inspection
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Sep 27, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Sep 6, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity E
K0929 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected Sep 4, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Jul 17, 2024 Health · 2 findings
-
Serious
Scope/severity J
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Oct 8, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Oct 8, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Feb 24, 2024 Health · 5 findings
-
Serious
Scope/severity K
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Mar 13, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Mar 13, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 13, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 13, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
-
Jul 12, 2023 Health · 17 findings
-
Not serious
Scope/severity E
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0584 Resident Rights Deficiencies
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 Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Aug 9, 2023 · CMS health inspection
-
Serious
Scope/severity J
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 9, 2023 · CMS health inspection
-
Not serious
Scope/severity F
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Aug 14, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Aug 16, 2023 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- BRADFORD, JEFFREY — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- BRADFORD, JEFFREY — adp of the snf, NOT APPLICABLE, since 06/01/2024
- FERGUSON, CLAY — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- FERGUSON, CLAY — adp of the snf, NOT APPLICABLE, since 06/01/2024
- HOLT, ERIN — corporate director, NOT APPLICABLE, since 02/25/2020
- JOHNSON, JUSTIN — adp of the snf, NOT APPLICABLE, since 06/01/2024
- JOHNSON, JUSTIN — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- KEETON, WENDY — corporate director, NOT APPLICABLE, since 10/29/2012
- KISSLING, MONICA — corporate director, NOT APPLICABLE, since 06/27/2017
- MCBEAN, PATRICIA — corporate director, NOT APPLICABLE, since 08/30/2021
- OWENS, ANGELA — corporate director, NOT APPLICABLE, since 06/22/2016
- SANDERSON, CLARK — corporate officer, NOT APPLICABLE, since 10/29/2012
- SLIMMER, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- SLIMMER, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 06/01/2024
- TROMPLER, KELLY — corporate director, NOT APPLICABLE, since 02/22/2022
- 1008 CITIZENS TRAIL OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 08/01/2025
- 1008 CITIZENS TRAIL PROPERTY OWNER LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
- FANNIN COUNTY HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 06/01/2024
- FANNIN COUNTY HOSPITAL AUTHORITY — operational/managerial control, NOT APPLICABLE, since 06/01/2024
- WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
- WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.