Avir At Citizens Trail
1008 CITIZENS TRAIL, Texarkana, TX, 75501
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 114 · avg 50 residents/day
- Total nursing staff turnover
- 55.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $130,813 total
State licensing & capacity
- License number
- 312012
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 20 Medicare-only · 94 Medicaid/Medicare
- Current license effective
- June 1, 2024
- Current license expires
- June 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1008 Citizens Trail Opco Llc
- Administrator
- Jeffrey J Bradford
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (15 on record)
- Summit Ltc Texarkana Llc
Adp of The Snf · since 2024
- Christopher m Slimmer
Operational/managerial Control · since 2024
- Clay Walt Ferguson
Adp of The Snf · since 2024
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
- Jeffrey Bradford
Operational/managerial Control · since 2024
- Justin b Johnson
Operational/managerial Control · since 2024
+ 9 additional owners on the federal record.
Recent change of ownership
June 2024 (1 year ago) · acquired from Christian Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 52)
- D0926·Nov 20, 2025
Environmental Deficiencies
Have policies on smoking.
- F0881·Nov 20, 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- F0880·Nov 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Nov 20, 2025
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.
- D0813·Nov 20, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F0812·Nov 20, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0806·Nov 20, 2025
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.
- E0804·Nov 20, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Federal penalties
By year
- 20242 fines · $121K
- 20231 fine · $10K
Most recent events
- Jul 17, 2024Fine · $16K
- Feb 24, 2024Fine · $105K
- Jul 12, 2023Fine · $10K
Largest single fine on record: $105K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Nov 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Citizens Trail is a 114-bed nursing home in Texarkana operated under the Avir Health Group name, licensed through June 2027. CMS rates it 1 star overall — the lowest rating — with 1-star scores for both health inspections and staffing. Three CMS fines total $130,813 since the last inspection cycle. The facility is currently housing about 50 residents in 114 licensed beds, a 44% occupancy rate.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier. Each resident receives about 189 minutes of nursing care per day, roughly 52 minutes less than at a 4-star-staffing facility in Texas. Of those 189 minutes, only about 27 are with a registered nurse. Nearly 38% of Texas nursing homes share this 1-star staffing rating, so this is not an isolated outlier — but it sits at the lower end of the state's distribution.
The facility has received 3 CMS fines totaling $130,813. The median total fine amount among penalized Texas nursing homes is roughly $20,699, so this total is about six times that median. About 30% of Texas facilities have received no fines at all.
One administrator has turned over in the past year. That is above the baseline threshold for stability, and residents experience administrative transitions directly through changes in care coordination and daily operations.
The facility is operating at roughly 44% of its 114 licensed beds — about 50 residents on a given day. This level of low occupancy, alongside the safety and staffing signals above, is a data point families may want to ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
CMS reports 189 total nursing minutes per resident per day and only 27 RN minutes — ask how many nurses are on each shift, particularly nights and weekends when the reported weekend hours drop to about 170 minutes.
What the $130,813 in fines covered
Three CMS fines totaling $130,813 have been assessed — ask what deficiencies triggered each fine and what specific changes were made in response.
Administrator transition and current leadership
One administrator departed in the past year; ask who is currently in that role, how long they have been in place, and what their background is.
Why occupancy is at 44%
The facility has about 50 residents in 114 licensed beds — ask whether the low census reflects a recent ownership or operational change, or a longer-term trend.
Resident Council activity
CMS records show a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns through it or outside it.
Management company role in daily operations
The licensee is Fannin County Hospital Authority but day-to-day management is listed under 1008 Citizens Trail Opco LLC — ask which entity sets staffing budgets and responds to care complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.