Avir At Cowhorn Creek
5524 Cowhorn Creek, Texarkana, TX, 75503
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Order the reportFederal 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.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Avir Health Group
- Certified beds
- 76 · avg 70 residents/day
- Total nursing staff turnover
- 65.1% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $46,315 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 675949
- Certified beds
- 76 beds · avg 70 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Guadalupe County Hospital Board
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (10 on record)
- 5524 Cowhorn Creek Property Owner, Llc
5% or Greater Security Interest · 100% · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Angela Wade
Corporate Officer · since 2025
- Britney Betts
Adp of The Snf · since 2025
- Clay Walt Ferguson
Operational/managerial Control · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 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 65)
- D0755·Apr 13, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0880·Feb 12, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Feb 12, 2026
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F0812·Feb 12, 2026
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·Feb 12, 2026
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·Feb 12, 2026
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0759·Feb 12, 2026
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Feb 12, 2026
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20251 fine · $46K · 1 payment denial
Most recent events
- Aug 15, 2025Payment denial · 5 days · starting Sep 13, 2025
- Aug 15, 2025Fine · $46K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Feb 12, 2026. 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 Cowhorn Creekinto 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.
Order the full background report — $249Where 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.