Texarkana, TX · less than 1 mile away
Avir at Cowhorn Creek
⌖ Texarkana, TX · Bowie County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds76
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)
About Avir at Cowhorn Creek
Avir at Cowhorn Creek is a 76-bed government-run nursing home in Texarkana, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7. At its last full inspection (Feb 2026), inspectors found 24 problems, more than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 16 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 68% of its nursing staff left in the past year. Medicare fined it $30,545 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (4 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAvir At Cowhorn Creek
LocationBowie County, Texas
Phone(903) 223-1188
Address5524 Cowhorn Creek, Texarkana, TX 75503 · Bowie County
CMS provider number675949
Ownership typeGovernment (hospital district)
Operating companyAvir Health Group · 118 homes
Investors reported to MedicareReal estate investment trust (REIT): Welltower What this means
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 16, 2002 (23 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Feb 2026.Strength
About average
- Nurse staffing per resident3 hr 16 min a dayTexas average: 3 hr 23 minAbout average
Things to ask about
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- Fines and penalties1 fine totaling $30,545; 1 Medicare payment denialFederal penalties from the last three years, most recently in Aug 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection24 (Feb 2026)Texas average: 9.4. Most citations are minor and corrected within weeks.Worse than state average
- Registered nurse time per resident23 min a dayTexas average: 26 minWorse than state average
- Nursing staff turnover68% a yearTexas average: 55%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital20.8%State average: 25.7%About average
- Needed an emergency room visit9.9%State average: 12.3%About average
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.4%State average: 3.3%Better than average
- Pressure sores (bedsores)4.5%State average: 3.8%About average
- Given antipsychotic drugs1.8%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.8State average: 2.2Worse than average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 42% Medicaid
- 10% Medicare
- 48% Private pay, insurance and other
Beds in use, on average92%Texas typical: 67%
Cost of care per resident day$226Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 3 stars in January 2019. It has ranged from 1 to 3 stars and changed 11 times.
Overall rating1★
Health inspections1★
Staffing1★
Quality of care3★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 2 | 4 | 2 | 4.1 |
| Jan 2020 | 1 | 1 | 2 | 2 | 3.8 |
| Jan 2021 | 1 | 1 | 2 | 2 | 4.1 |
| Jan 2022 | 1 | 2 | 1 | 3 | 3.4 |
| Jan 2023 | 1 | 2 | 2 | 1 | 3.9 |
| Jan 2024 | 3 | 3 | 2 | 2 | 3.4 |
| Feb 2025 | 2 | 2 | 4 | 4 | 3.8 |
| Feb 2026 | 1 | 1 | 1 | 4 | 3.1 |
| Sep 2026 | 1 | 1 | 1 | 3 | 3.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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