Data / Nursing homes / Texas / Avir at Cowhorn Creek
Avir at Cowhorn Creek, Texarkana, TX: 1 star rating, fined $30,545 across 1 fine and had 1 payment denial
Avir at Cowhorn Creek in Texarkana, TX is owned by Guadalupe County Hospital Board, is rated 1 of 5 stars by Medicare, and was fined $30,545 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 69 health citations from inspections in that time, the latest survey on August 14, 2026, and 2 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.
Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
- Address
- 5524 Cowhorn Creek, Texarkana, TX 75503
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 76
- Residents per day
- 67 on average
- Ownership type
- Government, Hospital district
- Legal business name
- Guadalupe County Hospital Board
- Chain
- Avir Health Group, 118 facilities
- Fines
- $30,545 across 1 fine, three years to October 1, 2026
- Payment denials
- 1
- Health citations
- 69, of which 2 with actual harm or immediate jeopardy
- Latest survey
- August 14, 2026
- CMS Certification Number
- 675949
- 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.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| August 15, 2025 | Fine | $30,545 | Not listed | data.cms.gov | |
| August 15, 2025 | Payment denial | Not listed | September 13, 2025 | 5 | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 14, 2026 | F842 | Safeguard 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 harm | Corrected | August 15, 2026 | data.cms.gov |
| July 29, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 30, 2026 | data.cms.gov |
| July 29, 2026 | F656 | Develop 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 harm | Corrected | July 30, 2026 | data.cms.gov |
| July 6, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 7, 2026 | data.cms.gov |
| April 13, 2026 | F755 | Provide 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 harm | Corrected | April 14, 2026 | data.cms.gov |
| February 12, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F813 | Have 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 harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F812 | Procure 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 harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F806 | Ensure 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 harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F685 | Assist a resident in gaining access to vision and hearing services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F677 | Provide 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 harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F656 | Develop 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 harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F637 | Assess the resident when there is a significant change in condition | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| February 12, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| August 15, 2025 | F675 | Honor each resident's preferences, choices, values and beliefs. | K: pattern, immediate jeopardy | Corrected | August 16, 2025 | data.cms.gov |
| August 15, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K: pattern, immediate jeopardy | Corrected | August 16, 2025 | data.cms.gov |
| August 15, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 18, 2025 | data.cms.gov |
| August 15, 2025 | F806 | Ensure 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 harm | Corrected | August 18, 2025 | data.cms.gov |
| August 15, 2025 | F677 | Provide 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 harm | Corrected | August 18, 2025 | data.cms.gov |
| August 15, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 18, 2025 | data.cms.gov |
| August 15, 2025 | F561 | Honor 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 harm | Corrected | August 18, 2025 | data.cms.gov |
| April 9, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 10, 2025 | data.cms.gov |
| April 9, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 10, 2025 | data.cms.gov |
| April 9, 2025 | F550 | Honor 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 harm | Corrected | April 10, 2025 | data.cms.gov |
| December 4, 2024 | F812 | Procure 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 harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F758 | Implement 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 harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B: pattern, minimal harm potential | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| December 4, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 6, 2024 | data.cms.gov |
| October 29, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 30, 2024 | data.cms.gov |
| October 29, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 1, 2024 | data.cms.gov |
| October 29, 2024 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 30, 2024 | data.cms.gov |
| October 29, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 30, 2024 | data.cms.gov |
| October 29, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 30, 2024 | data.cms.gov |
| October 29, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 31, 2024 | data.cms.gov |
| March 13, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 15, 2024 | data.cms.gov |
| March 13, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 15, 2024 | data.cms.gov |
| November 16, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F758 | Implement 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 harm | Corrected | November 21, 2023 | data.cms.gov |
| November 16, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F677 | Provide 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 harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F656 | Develop 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 harm | Corrected | November 22, 2023 | data.cms.gov |
| November 16, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 22, 2023 | data.cms.gov |
| November 16, 2023 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 17, 2023 | data.cms.gov |
| November 16, 2023 | F575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C: widespread, minimal harm potential | Corrected | November 17, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (1 managers, 5 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Guadalupe County Hospital Board | Direct owner | 100% | September 1, 2025 | data.cms.gov |
| 5524 Cowhorn Creek OPCO LLC | Operational or managerial control | Not listed | September 1, 2025 | data.cms.gov |
| 5524 Cowhorn Creek Property Owner, LLC | Additional disclosable party | Not listed | September 1, 2025 | data.cms.gov |
| Welltower Inc | Additional disclosable party | Not listed | September 1, 2025 | data.cms.gov |
| Welltower NNN Group, LLC | Additional disclosable party | Not listed | September 1, 2025 | data.cms.gov |
| Welltower OP LLC | Additional disclosable party | Not listed | September 1, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Guadalupe County Hospital Board owns or manages
- Every nursing home Welltower Inc owns or manages
- Every nursing home Welltower OP LLC owns or manages
- This facility on Medicare Care Compare
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.