The Villa At Texarkana
4920 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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Caring Healthcare Group
- Certified beds
- 106 · avg 89 residents/day
- Total nursing staff turnover
- 53.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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
- 308532
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 14 licensed-only · 106 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- December 2, 1983
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Txk Management Llc
- Administrator
- Lorraine Haynes
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Caring Healthcare Group chain — 14 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (4 on record)
- Edward r Murrell
Corporate Director · since 2022
- Lorraine Murray
W-2 Managing Employee · since 2022
- Txk Management, Llc
Operational/managerial Control · 100% · since 2022
- Winnie-stowell Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
Recent change of ownership
April 2022 (4 years ago) · acquired from The Villa 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
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 31)
- D0550·Dec 11, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0880·Dec 11, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Dec 11, 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D0758·Dec 11, 2024
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is li…
- D0700·Dec 11, 2024
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail…
- D0689·Dec 11, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0641·Dec 11, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0584·Dec 11, 2024
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Dec 11, 2024. 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
The Villa at Texarkana is a 120-bed nursing home in Bowie County operated under a hospital district license and managed by TXK Management LLC. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 5-star long-stay quality rating. Staffing comes in at 3 stars, and short-stay quality measures rate 2 stars. The facility holds 106 Medicare/Medicaid-certified beds and reported an average daily census of 88.9 residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — residents receive about 234 minutes of nursing care per day, roughly 7 minutes less than what facilities rated 4 stars on staffing deliver in Texas. That places this facility among the roughly 19% of Texas nursing homes that share this staffing tier. The gap is narrow in absolute terms, though residents who need more hands-on help will feel any shortfall more directly.
RN turnover stands out: only about 2 in 10 registered nurses left in the past year. That sits below the state's 25th-percentile cutoff — better than roughly three-quarters of Texas nursing homes on this measure. Stable registered nurse staffing tends to mean more continuity in the people overseeing care plans and medication management.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay quality measures
CMS rates short-stay quality outcomes 2 stars here — ask which specific measures drive that rating and what the facility is doing to address them.
Staffing on weekends
CMS data shows weekend nursing hours average 3.37 hours per resident per day, below the weekday figure — ask how staffing levels and supervisor coverage differ on Saturdays and Sundays.
Management company's role
The facility is licensed to Winniestowell Hospital District but managed day-to-day by TXK Management LLC — ask how decisions about staffing, budget, and care policy are divided between the two.
No family council currently
The facility has a Resident Council but not a Family Council — ask how family members are expected to raise concerns or track changes in a resident's care.
Capacity and current availability
With 88.9 residents per day against 106 certified beds, the facility is running at roughly 84% occupancy — ask whether beds are currently available and what the typical wait looks like.
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.