CareWitness
Federal record · CMS Care Compare · CCN 675958 · Processed JUN 1 2026
CareWitnessTexasTexarkanaNursing HomesAvir At Citizens Trail

Avir At Citizens Trail

1008 Citizens Trail, Texarkana, TX, 75501

Type
Nursing home
Medicare/Medicaid certified · CCN 675958

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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 June 2026.

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CMS Star Ratings

Overall1 / 5
Health inspections1 / 5
Staffing3 / 5
Quality measures2 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Avir Health Group
Certified beds
114 · avg 51 residents/day
Total nursing staff turnover
54.5%near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
RN turnover
33.3%lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $130,813 total

Medicare certification

CMS Certification Number
675958
Certified beds
114 beds · avg 51 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Fannin County Hospital Authority
Chain affiliation
Avir Health Group

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitOtherHolding company in ownership

Chain affiliation

Part of the Avir Health Group chain — 117 facilities. Chain-wide average overall rating 2.2 / 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 (2 years 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 May 2026.

Federal inspection record

52 health citations on file6 immediate-jeopardy findings8 from complaints3 federal fines totalling $131K

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.

View the full inspection history on CMS Care Compare →

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 Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Avir At Citizens Trailinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.