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 HHS 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 HHS licensing registry · as of April 16, 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 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.