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 HHS 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 HHS licensing registry · as of April 16, 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 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.