CareWitness
Federal record · CMS Care Compare · CCN 676069 · Processed JUN 1 2026
CareWitnessTexasTexarkanaNursing HomesAvir At Texarkana

Avir At Texarkana

4925 Elizabeth St, Texarkana, TX, 75503

Type
Nursing home
Medicare/Medicaid certified · CCN 676069

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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
110 · avg 49 residents/day
Total nursing staff turnover
58.3%near the Texas averageTexas 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
1 departednear the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
2 fines · $146,860 total

Medicare certification

CMS Certification Number
676069
Certified beds
110 beds · avg 49 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
Guadalupe County Hospital Board
Chain affiliation
Avir Health Group

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitOtherReal-estate trust in ownership

Chain affiliation

Part of the Avir Health Group chain — 117 facilities. Chain-wide average overall rating 2.2 / 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

  • Kody Gann

    Corporate Officer · since 2025

+ 4 additional owners on the federal record.

Recent change of ownership

September 2025 (10 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 May 2026.

Federal inspection record

33 health citations on file3 immediate-jeopardy findings12 from complaints2 federal fines totalling $147K

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 33)

  • J0600·Apr 30, 2026Complaint

    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.

  • J0755·Mar 6, 2026Complaint

    Pharmacy Service Deficiencies

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • J0697·Mar 6, 2026Complaint

    Quality of Life and Care Deficiencies

    Provide safe, appropriate pain management for a resident who requires such services.

  • 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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20262 fines · $147K

Most recent events

  • Apr 30, 2026Fine · $14K
  • Mar 6, 2026Fine · $132K

Largest single fine on record: $132K.

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 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 Texarkanainto 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.