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Avir at Citizens Trail, Texarkana, TX: 1 star rating, fined $120,751 across 2 fines

Avir at Citizens Trail in Texarkana, TX is owned by Fannin County Hospital Authority, is rated 1 of 5 stars by Medicare, and was fined $120,751 across 2 fines in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on November 20, 2025, and 6 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
1008 Citizens Trail, Texarkana, TX 75501
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
114
Residents per day
49 on average
Ownership type
For profit, limited liability company
Legal business name
Fannin County Hospital Authority
Chain
Avir Health Group, 118 facilities
Fines
$120,751 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
38, of which 6 with actual harm or immediate jeopardy
Latest survey
November 20, 2025
CMS Certification Number
675958
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 17, 2024Fine$16,055Not listeddata.cms.gov
February 24, 2024Fine$104,696Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
November 20, 2025F926Have policies on smoking.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F881Implement a program that monitors antibiotic use.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 20, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
August 21, 2024F758Implement 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 limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
August 21, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
August 21, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
August 21, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
August 21, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
July 17, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyPast noncomplianceOctober 8, 2023data.cms.gov
July 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceOctober 8, 2023data.cms.gov
February 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMarch 13, 2024data.cms.gov
February 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.K: pattern, immediate jeopardyCorrectedMarch 13, 2024data.cms.gov
February 24, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K: pattern, immediate jeopardyCorrectedMarch 13, 2024data.cms.gov
February 24, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedMarch 13, 2024data.cms.gov
February 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 15 individual or personal trusts (4 managers, 7 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Fannin County Hospital AuthorityDirect owner100%June 1, 2024data.cms.gov
1008 Citizens Trail OPCO, LLCOperational or managerial controlNot listedAugust 1, 2025data.cms.gov
Fannin County Hospital AuthorityOperational or managerial controlNot listedJune 1, 2024data.cms.gov
1008 Citizens Trail Property Owner LLCAdditional disclosable partyNot listedAugust 1, 2025data.cms.gov
Welltower NNN Group, LLCAdditional disclosable partyNot listedAugust 1, 2025data.cms.gov
Welltower OP LLCAdditional disclosable partyNot listedAugust 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.