Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Citizens Trail during CMS and state inspections, most recent first.
A resident with vascular dementia and moderate cognitive impairment was not provided showers as per his preference, receiving only bed baths for over six weeks. Despite being able to communicate his needs, the facility did not adhere to the shower schedule, as confirmed by the DON and ADM, who acknowledged the oversight in respecting the resident's choice.
A resident in a long-term care facility was found without a pillowcase on his pillow, leading to discomfort and dissatisfaction. Despite the resident's request, a pillowcase was not provided until prompted by a surveyor. Interviews revealed that CNAs were responsible for ensuring bed linens were properly placed, highlighting a failure in maintaining a homelike environment.
A facility failed to develop a Baseline Care Plan within 48 hours for a newly admitted resident with complex medical needs, including severe cognitive impairment and the use of a feeding tube and urinary catheter. Interviews revealed that the admitting nurse was responsible for the plan, but it was not completed, and there was no formal policy in place. This omission could lead to staff being uninformed about the resident's care requirements.
A resident with Alzheimer's and other conditions, dependent on staff for personal hygiene, was observed with unremoved facial hair despite scheduled baths. Interviews with staff revealed inconsistencies in care responsibilities and documentation, with no record of the resident refusing care. Facility policies emphasize grooming for dignity, yet the deficiency persisted.
A resident with severe dementia and depression was prescribed Quetiapine, but the facility failed to document behavior and side effect monitoring for July and August 2024. Interviews revealed that staff did not ensure proper monitoring, which is crucial for assessing medication effectiveness and safety.
A resident with severe cognitive impairment was physically and verbally abused by a CNA, who shoved the resident and used derogatory language during care. The incident was witnessed by another CNA and reported to the DON. The facility failed to protect the resident from abuse and neglect, resulting in a deficiency classified as Immediate Jeopardy.
A resident was physically and verbally abused by a CNA, who was witnessed by another CNA. The incident was not reported within the required timeframe, and the investigation by the DON was insufficient, as it did not include interviewing the resident or conducting a comprehensive assessment.
Failure to Honor Resident's Shower Preference
Penalty
Summary
The facility failed to promote resident self-determination by not honoring a resident's preference for showers over bed baths. The resident, who has vascular dementia, hypertension, and muscle weakness, expressed a clear preference for showers, which was not respected. Despite being understood and able to communicate his needs, the resident reported not having received a shower in over six weeks, only receiving bed baths instead. This was confirmed by a review of the shower schedule, which showed no record of showers being provided during the specified period. Interviews with the resident and staff, including the Director of Nursing (DON) and the Administrator (ADM), revealed that the responsibility for ensuring adherence to the shower schedule lay with the charge nurses. The DON acknowledged the issue and confirmed that the resident had only received bed baths, despite his preference for showers. The ADM also recognized the responsibility of the nursing staff to follow the shower schedule, indicating a lapse in ensuring resident satisfaction with the services provided.
Failure to Provide Clean Bed Linens
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for a resident, as observed during a survey. The resident, who was severely cognitively impaired and required assistance for activities of daily living, was found without a pillowcase on his pillow. The resident expressed discomfort and dissatisfaction, stating that he used a T-shirt under his head to avoid lying directly on the old and frayed pillow. Despite his request, the pillowcase was not provided until prompted by the surveyor. Interviews with the Director of Nursing (DON) and the Administrator (ADM) revealed that it was the responsibility of Certified Nursing Assistants (CNAs) to ensure that bed linens were properly placed each day after being cleaned and delivered by housekeeping. The lack of a pillowcase was identified as a failure in maintaining a homelike environment, which could lead to resident dissatisfaction with the services provided by the facility.
Failure to Implement Baseline Care Plan for New Admission
Penalty
Summary
The facility failed to develop and implement a Baseline Care Plan for a resident within 48 hours of admission, which is a requirement to ensure effective and person-centered care. The resident, who was admitted with multiple complex medical conditions including hypoxic ischemic encephalopathy, dementia, major depressive disorder, and respiratory failure, did not have a Baseline Care Plan completed. This omission was identified during a review of the resident's records and confirmed through interviews with facility staff. The resident's medical history included severe cognitive impairment, use of a wheelchair for mobility, and the need for maximal to moderate assistance with activities of daily living. The resident also had an indwelling urinary catheter, was frequently incontinent of bowel, and had a feeding tube. Despite these needs, the facility did not have a Baseline Care Plan in place, which is crucial for guiding staff in providing appropriate care and ensuring all staff are informed about the resident's care requirements. Interviews with various staff members, including the LVN, ADON, and DON, revealed that the responsibility for completing the Baseline Care Plan lay with the admitting nurse, with oversight from nurse management. However, there was a lack of a formal policy on Baseline Care Plans, and the facility's leadership acknowledged the importance of having such a plan to communicate care needs effectively to staff and family. The absence of a Baseline Care Plan could lead to staff not knowing how to treat the resident effectively, potentially compromising the resident's care.
Failure to Provide Personal Hygiene Care for Resident
Penalty
Summary
The facility failed to provide necessary personal hygiene services for a female resident who was unable to perform activities of daily living independently. The resident, who had Alzheimer's disease, major depressive disorder, and generalized anxiety disorder, was dependent on staff for personal hygiene, including shaving. Despite being scheduled for baths three times a week, observations revealed that the resident had noticeable facial hair that had not been removed, indicating a lapse in care. Interviews with staff, including a CNA, LVN, DON, and the Administrator, revealed inconsistencies in the execution of personal hygiene tasks. The CNA responsible for the resident admitted to not having provided care recently due to working in a different hall and acknowledged that new aides should attempt to remove facial hair. The LVN and DON confirmed that CNAs were responsible for shaving female residents, with oversight from nurses, and noted that any refusals should be documented. However, there was no documentation of the resident refusing care, and the facial hair remained unaddressed. The facility's policies on shaving and activities of daily living emphasized the importance of grooming to promote dignity and well-being. Despite these policies, the resident's facial hair was not removed, and there was no documentation of refusal, highlighting a failure in adhering to established care protocols. This deficiency in care could potentially impact the resident's self-esteem and dignity, as noted by the staff during interviews.
Failure to Monitor Psychotropic Medication Effects
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary psychotropic drugs due to inadequate behavior and side effect monitoring. Specifically, the resident was prescribed Quetiapine, an antipsychotic medication, but there was no documentation of behavior or side effect monitoring during the months of July and August 2024. This lack of monitoring could prevent the facility from determining whether the medication was effective or if the resident was experiencing any adverse effects. The resident, who had severe dementia with behavioral disturbances and major depressive disorder, was admitted to the facility with a history of inappropriate behaviors. Despite being on Quetiapine, there was no order for side effect or behavioral monitoring noted in the resident's records. Interviews with the resident's responsible party and staff revealed that the facility did not adequately document or monitor the resident's response to the medication, which is crucial for assessing the need for continued use or dose adjustments. Interviews with facility staff, including the LVN, ADON, and DON, highlighted a lack of clarity and responsibility regarding the implementation of behavior and side effect monitoring. The staff acknowledged that such monitoring is essential for ensuring the medication's effectiveness and safety. However, the monitoring was not documented in the resident's chart, which could delay necessary treatment adjustments and prevent the physician from making informed decisions about the resident's care.
Resident Abuse and Neglect by CNA
Penalty
Summary
The facility failed to protect a resident from abuse and neglect, as evidenced by an incident involving a Certified Nursing Assistant (CNA) who physically and verbally abused a resident. The resident, who had severe cognitive impairment and was dependent on staff for all activities of daily living, was subjected to derogatory language and physical shoving by CNA A. This incident was witnessed by another CNA, who reported that CNA A used inappropriate language and force while providing care to the resident. The resident involved in the incident had a history of severe cognitive impairment and was reliant on staff for all personal care needs. Despite this vulnerability, the resident was subjected to abusive behavior by a staff member, which included being shoved and spoken to in a derogatory manner. The resident's care plan indicated that she was incontinent and required assistance with all activities of daily living, highlighting her dependence on staff for proper care and protection. The incident was reported by CNA B, who witnessed the abuse and informed the Director of Nursing (DON) the following day. The facility's failure to prevent this abuse and neglect was identified as a deficiency, with the noncompliance being classified as Immediate Jeopardy (IJ) due to the potential risk it posed to the resident and others. The report indicates that the facility had not ensured the resident's right to be free from abuse and neglect, leading to this serious deficiency.
Removal Plan
- Facility notification of abuse incident to responsible party, MD, Ombudsman and HHSC.
- Completion of in-services on abuse. Abuse policy educates staff on identifying abuse and neglect as well as timeframes associated with reporting abuse and neglect to the State Agency.
- Termination of confirmed perpetrator.
- Residents of facility interviewed did not indicate that they had been abused and were safe. Safe surveys were conducted with residents and no resident reported feeling unsafe.
Failure to Implement Abuse Prevention Policies
Penalty
Summary
The facility failed to implement its written policies and procedures to prevent abuse, neglect, and theft, resulting in an incident involving a resident. A Certified Nursing Assistant (CNA), identified as CNA A, was reported to have physically and verbally abused a resident by shoving her and using derogatory language during care. This incident was witnessed by another CNA, identified as CNA B, who failed to report the abuse within the required two-hour timeframe as per the facility's policy. The Director of Nursing (DON) did not conduct a thorough investigation following the incident. The investigation was limited to only four safe surveys, and the resident involved was not interviewed. The DON was the first to be informed of the incident by CNA B, but the report was delayed, and the investigation did not include a comprehensive assessment of the resident's safety or well-being. The facility's failure to adhere to its abuse prevention policies and procedures could potentially affect any resident and contribute to further abuse. The incident highlights a breakdown in communication and reporting protocols, as well as inadequate investigation practices, which are critical in ensuring resident safety and compliance with regulatory standards.
Removal Plan
- Facility notification of abuse incident to responsible party, MD, Ombudsman and HHSC.
- Completion of in-services on abuse.
- Abuse policy educates staff on identifying abuse and neglect as well as timeframes associated with reporting abuse and neglect to the State Agency.
- Staff and management recognizing the steps to report abuse and neglect.
- ADM and DON being able to articulate the steps of an investigation.
- Termination of confirmed perpetrator.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Texarkana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Cowhorn Creek | 3 mi | — | 22 | 0 |
| The Villa At Texarkana | 3.1 mi | — | 9 | 0 |
| Cornerstone Retirement Community | 3.1 mi | — | 5 | 0 |
| Avir At Texarkana | 3.2 mi | — | 7 | 3 |
| Reunion Plaza Senior Care And Rehabilitation Cente | 3.2 mi | — | 24 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.