Avir At Texarkana
4925 ELIZABETH ST., Texarkana, TX, 75503
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 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
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 110 · avg 53 residents/day
- Total nursing staff turnover
- 53.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 312706
- Service type
- Medicare/medicaid
- Licensed capacity
- 110 beds
- Bed type breakdown
- 13 Medicare-only · 97 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- October 2, 1978
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 4925 Elizabeth Street Opco, Llc
- Administrator
- Mary Hartfield
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 (10 on record)
- 4925 Elizabeth Street Opco, Llc
Operational/managerial Control · since 2025
- 4925 Elizabeth Street Property Owner, Llc
Adp of The Snf · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Clay Walt Ferguson
Adp of The Snf · since 2025
- Guadalupe County Hospital Board
5% or Greater Direct Ownership Interest · 100% · since 2025
- Hccf Management Group xi Llc
Adp of The Snf · since 2025
+ 4 additional owners on the federal record.
Recent change of ownership
September 2025 (8 months ago) · acquired from Avir at Texarkana
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
Recent health-deficiency citations (most recent 8 of 30)
- D0842·Dec 4, 2025Complaint
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.
- D0580·Dec 4, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0812·Nov 21, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0689·Nov 21, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0600·Jun 11, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0908·Jun 11, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- E0880·Jun 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jun 11, 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.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Jun 11, 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 Texarkana is a 110-bed nursing home in Texarkana, TX, operated under the Avir Health Group banner and licensed through 2028. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. The facility is running at roughly 48% of licensed capacity — about 53 residents in a building built for 110.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 188 minutes of nursing care per day — roughly 53 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 188 minutes stretch thinner than the raw number suggests. Of that daily total, only 28 minutes come from a registered nurse; a 4-star-staffing facility in Texas averages 37 RN minutes per resident.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That determination comes from inspection records filed with CMS.
The facility is operating at roughly 48% of its 110 licensed beds — about 53 residents on a given day. That figure, paired with the 2-star overall rating and the abuse finding, is available context for families weighing what a low census means in this particular situation.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS records show substantiated abuse or neglect findings here within the past 36 months — ask what specifically occurred, what changed, and how the facility monitors for recurrence.
Staffing on nights and weekends
Reported weekend nursing hours here average 2.75 hours per resident per day — lower than the overall daily average; ask how many nurses and aides are on the floor during nights and weekends.
Why census is so low
The facility is running at about 48% of its 110 licensed beds; ask whether the low occupancy reflects a planned renovation, referral slowdowns, or something else.
Management company's role
Day-to-day operations are run by 4925 Elizabeth Street Opco, LLC under a hospital district licensee — ask who makes staffing and care decisions and how those two entities coordinate.
Resident council activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns between visits.
Administrator tenure
Mary Hartfield is listed as administrator with no recorded turnover in the past year; ask how long she has been in this role and whether that is expected to continue.
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.