Avir At Cowhorn Creek
5524 Cowhorn Creek, Texarkana, TX 75503 · Bowie County
Government · 76 certified beds · 89% occupancy · (903) 223-1188
The U.S. government (CMS) rates Avir At Cowhorn Creek 1 out of 5 stars overall — much below average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.26 nurse hours per resident per day. About the Texas median.
Nursing staff turnover: 68.2%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0600 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0675 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0727 · Feb 12, 2026Corrected Feb 13, 2026
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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0812 · Feb 12, 2026Corrected Feb 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0636 · Feb 12, 2026Corrected Feb 13, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0640 · Feb 12, 2026Corrected Feb 13, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Feb 12, 2026Corrected Feb 13, 2026
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
- Potential for harmTag F0755 · Feb 12, 2026Corrected Feb 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0804 · Feb 12, 2026Corrected Feb 13, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Feb 12, 2026Corrected Feb 13, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 65 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Avir Health Group chain (119 facilities), chain average overall rating 2.3★.