Nursing home
Avir at Citizens Trail
1008 Citizens Trail, Texarkana, TX 75501 · Map
For profit - Limited Liability company · Part of Avir Health Group (90 facilities) · 114 certified beds
Avir at Citizens Trail is a Medicare-certified nursing home in Texarkana, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 20, 2025 cited 26 deficiencies.
- 3 fines totaling $130,813In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Citizens Trail compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.64 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 55.2% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 26.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 20, 2025 inspection was corrected by November 21, 2025
Penalties in CMS records: 3 fines totaling $130,813, 3 total penalties.
What inspectors found at Avir at Citizens Trail
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Nov 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Nov 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1008 Citizens Trail
Texarkana, TX 75501 - CMS certification #
- 675958
- Ownership
- For profit - Limited Liability company
- Certified beds
- 114
- Avg residents/day
- 50.3
- Provider type
- Medicare and Medicaid
- First certified
- 2003-04-03
- Chain
- Avir Health Group (90 facilities)
- Setting
- Urban
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Citizens Trail using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Citizens Trail says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Beyond salon services and on-demand dining, residents at Avir at Citizens Trail also enjoy daily life enrichment activities, regular religious services for spiritual support, and scheduled transportation for appointments and outings.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Wadley Regional Medical Center, Texarkana. 1.8 miles away, straight line.
- Nearest Medicare nursing home
- Avir at Cowhorn Creek, Texarkana. 3.0 miles away, straight line.
- Nearest home health agency office
- Elara Caring, Texarkana. 1.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75501 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Vamana, Inc, Texarkana, 2.4 miles away, straight line (CMS rating 1 of 5 stars)
Davita Miller County Dialysis, Texarkana, 2.9 miles away, straight line (CMS rating 2 of 5 stars)
Davita Texarkana Regional Dialysis, Texarkana, 3.1 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 18 Medicare hospices tell CMS they serve ZIP code 75501.
Gentiva, office in Texarkana, 2.1 miles away, straight line
Enhabit Hospice, office in Texarkana, 2.2 miles away, straight line
Hospice Of Hope, office in Texarkana, 2.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Correct Care, Inc., Ashdown. 17.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avir at Citizens Trail a good nursing home?
CMS gives Avir at Citizens Trail an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Citizens Trail staffed?
Avir at Citizens Trail reports 3.15 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Citizens Trail had inspection problems?
Its most recent CMS inspection cited 26 deficiencies.
How many beds does Avir at Citizens Trail have?
Avir at Citizens Trail is certified for 114 beds.