Avir At Cowhorn Creek
5524 Cowhorn Creek, Texarkana, TX 75503 · Bowie County
Government · 76 certified beds · 89% occupancy · (903) 223-1188
The U.S. government (CMS) rates Avir At Cowhorn Creek 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.26 nurse hours per resident per day. About the Texas median.
Nursing staff turnover: 68.2%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0600 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0675 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0727 · Feb 12, 2026Corrected Feb 13, 2026
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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0812 · Feb 12, 2026Corrected Feb 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0636 · Feb 12, 2026Corrected Feb 13, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0640 · Feb 12, 2026Corrected Feb 13, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Feb 12, 2026Corrected Feb 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0755 · Feb 12, 2026Corrected Feb 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0804 · Feb 12, 2026Corrected Feb 13, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Feb 12, 2026Corrected Feb 13, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 65 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Avir Health Group chain, which operates 119 facilities, with a chain-average CMS rating of 2.3 stars.