Avir At Cowhorn Creek
5524 COWHORN CREEK, 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
- 76 · avg 71 residents/day
- Total nursing staff turnover
- 57.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $32,715 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312703
- Service type
- Medicare/medicaid
- Licensed capacity
- 76 beds
- Bed type breakdown
- 76 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- February 21, 2006
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 5524 Cowhorn Creek Opco, Llc
- Administrator
- Britney Betts Cleveland
Texas HHS licensing registry · as of April 16, 2026
About this community
Avir at Cowhorn Creek is a 76-bed nursing home in Texarkana, TX, operating under the Avir Health Group chain. CMS rates it 1 star overall, with a 1-star health inspection rating and a substantiated finding of resident abuse or neglect within the past 36 months. Staffing is also rated 1 star. The facility holds a $32,715 CMS fine. Quality measure ratings are mixed — 4 stars overall, 5 stars for long-stay residents, and 2 stars for short-stay.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier in Texas. Each resident receives about 188 minutes of total nursing care per day, roughly 53 minutes less than at a 4-star-staffing facility in Texas. Of that, only 12 minutes per day comes from a registered nurse, compared to 37 minutes at a 4-star-staffing facility in the state. Residents here require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those staffing hours stretch thinner than the raw numbers already suggest.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is recorded on the federal Care Compare database and reflects findings from inspections, complaints, or both.
CMS issued one fine totaling $32,715. About 30% of Texas nursing homes received no fines in this period; this facility's fine is above the Texas median of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the abuse finding
CMS has a substantiated abuse or neglect finding on record here — ask what happened, what staff were involved, and what specific policy changes followed.
RN coverage on a typical day
CMS data shows only 12 minutes of registered nurse time per resident per day — ask how many RNs are on shift, and during which hours.
Staffing on nights and weekends
Weekend nursing hours at this facility run lower than weekday hours; ask how many aides and nurses are on duty Saturday and Sunday nights specifically.
The $32,715 CMS fine
A fine above the Texas median was issued — ask what deficiency it was tied to and whether the underlying issue has been corrected.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how family members can raise concerns and how frequently the Resident Council meets.
Management company role in daily operations
The licensed owner is a hospital district authority, but day-to-day operations are managed by 5524 Cowhorn Creek Opco, LLC — ask which entity sets staffing levels and handles complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.