Avir At Cowhorn Creek
Texarkana, TX · Medicare and Medicaid-certified nursing home (CCN 675949) · 76 certified beds
Health inspection: 1 · Quality measures: 3 · Staffing: 1
Federal fines: 1 totaling $30,105 · 1 payment denial
Phone: (903) 223-1188 · Verify on Medicare Care Compare ↗
CMS gives Avir At Cowhorn Creek an overall rating of 1 out of 5 stars, below the Texas state average of 2.65. Its health inspection rating is 1 out of 5, and its staffing rating is also 1 out of 5.
Avir At Cowhorn Creek reports 3.26 total nurse hours per resident per day, including 0.38 RN hours per resident per day, with a nursing staff turnover rate of 68.2%. Its CMS staffing rating is 1 out of 5 stars.
Avir At Cowhorn Creek has 1 federal fine on record totaling $30,105.00, along with 1 payment denial. CMS also displays its abuse icon for this facility, and it is designated an SFF Candidate under CMS's Special Focus program for persistently underperforming facilities under increased inspection.
About this facility
Avir At Cowhorn Creek is a government-owned (hospital district) nursing home in Texarkana, Bowie County, Texas, certified for both Medicare and Medicaid. The facility has 76 certified beds with an average of 67.8 residents. It has been Medicare/Medicaid certified since December 16, 2002.
According to CMS Care Compare, Avir At Cowhorn Creek holds an overall rating of 1 out of 5 stars, which is below the Texas state average of 2.65. The health inspection rating is 1 out of 5, the quality measure rating is 3 out of 5, and the staffing rating is 1 out of 5.
Total nurse staffing is reported at 3.26 hours per resident per day, with 0.38 RN hours per resident per day. Nursing staff turnover is high, at 68.2%.
CMS records show 1 federal fine totaling $30,105.00, and 1 payment denial on record for this facility.
CMS displays its abuse icon for Avir At Cowhorn Creek, and families should review the facility's full inspection record on Care Compare. The facility is also designated as an SFF Candidate under CMS's Special Focus program, meaning CMS has identified it as having a history of persistent quality problems and it is being monitored more closely than other facilities.
Avir At Cowhorn Creek is part of the Avir Health Group chain, which operates 116 facilities nationally with an average chain rating of 2.3 out of 5. There has been no ownership change in the past 12 months. This information is sourced from CMS Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avir At Cowhorn Creek has an overall CMS rating of 1 out of 5 stars, which is below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
The facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.26 hours per resident per day, including 0.38 RN hours, with a nursing turnover rate of 68.2%. The CMS staffing rating is 1 out of 5 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $30,105.00 and 1 payment denial.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
Yes, CMS displays its abuse icon for this facility, and it is designated an SFF Candidate under the Special Focus program for persistently underperforming facilities.
How large is this facility and how many residents live there?
The facility has 76 certified beds with an average of 67.8 residents.
Who owns this facility — and is it part of a chain?
It is owned by a government hospital district and is part of the Avir Health Group chain, which operates 116 facilities with an average rating of 2.3 out of 5.
How long has this facility been Medicare/Medicaid certified?
It has been certified since December 16, 2002.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; this facility scores 1, 1, 1, and 3 out of 5 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This is not specified in the CMS data provided; contact the facility at 9032231188 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This data does not cover tour details; contact the facility at 9032231188 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current data at https://www.medicare.gov/care-compare/details/nursing-home/675949?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.