Home›Browse›Texas›Texarkana›Avir At Citizens Trail

Nursing homeFAID #14383

Avir At Citizens Trail

1008 CITIZENS TRAIL, TEXARKANA, TX, 75501

(903) 838-9526

avirhg.com

114 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo via Google · Christian Care Center

Address

1008 Citizens Trail

Texarkana, TX 75501

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Public record summary

What we can show you for free.

Bed capacity

114

CMS facility ID

675958

Care type

Nursing home

County

Bowie

Facility name

Avir At Citizens Trail

Street address

1008 CITIZENS TRAIL

City / state / ZIP

Texarkana, TX 75501

Phone

(903) 838-9526

Website

avirhg.com

About this facility — Avir At Citizens Trail

Avir At Citizens Trail is a Medicare/Medicaid-certified skilled nursing facility in Texarkana, Texas. It is licensed for 114 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 24 senior care facilities in Texarkana and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avir At Citizens Trail 61 times across 8 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $120,751 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Fannin County Hospital Authority

Direct owner · Operational control — 100% stake — since 2024

1008 Citizens Trail Opco, Llc

Operational control — since 2025

1008 Citizens Trail Property Owner Llc

Additional disclosable party — since 2025

Bradford, Jeffrey

Operational control · Additional disclosable party — since 2024

Ferguson, Clay

Operational control · Additional disclosable party — since 2024

Holt, Erin

Director — since 2020

Johnson, Justin

Operational control · Additional disclosable party — since 2024

Keeton, Wendy

Director — since 2012

Kissling, Monica

Director — since 2017

Mcbean, Patricia

Director — since 2021

Owens, Angela

Director — since 2016

Sanderson, Clark

Officer — since 2012

Slimmer, Christopher

Operational control · Additional disclosable party — since 2024

Trompler, Kelly

Director — since 2022

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op, Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

2003-04-03

CMS overall rating

1 of 5 stars

Health deficiencies

26 at the last standard inspection

Federal fines

$120,751 total

Last standard inspection

2025-11-20

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$170 per day (≈ $5,170/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

68% Medicaid · 10% Medicare · 23% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

39% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

114

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2025-11-20Health inspection26 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-11-21

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-11-21

F-0584

D · No harm found

Honor 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.

Corrected 2025-11-21

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-11-21

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-11-21

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-11-21

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-11-21

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-21

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-11-21

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-11-21

F-0693

D · No harm found

Ensure 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.

Corrected 2025-11-21

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-11-21

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-11-21

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-11-21

F-0726

D · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-11-21

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-11-21

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-11-21

F-0761

E · No harm found

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.

Corrected 2025-11-21

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-11-21

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-11-21

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-11-21

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-11-21

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-11-21

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-11-21

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-11-21

F-0926

D · No harm found

Have policies on smoking.

Corrected 2025-11-21

2024-08-21Health inspection5 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-08-22

F-0584

D · No harm found

Honor 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.

Corrected 2024-08-22

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-08-22

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-22

F-0758

D · No harm found

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.

Corrected 2024-08-22

6 earlier / fire-safety inspections (30 citations)

2024-07-17Health inspectionComplaint-triggered2 citations

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-08

F-0607

J · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-10-08

2024-02-24Health inspectionComplaint-triggered5 citations

F-0600

K · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-13

F-0607

K · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-03-13

F-0609

K · Immediate jeopardyFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-13

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-13

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-13

2023-07-12Health inspection14 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-08-09

F-0584

E · No harm found

Honor 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.

Corrected 2023-08-09

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-08-09

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-09

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-08-09

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-08-09

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-08-09

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-09

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-08-09

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-08-09

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-08-09

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-08-09

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-08-09

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-08-09

2025-11-20Fire-safety inspection2 citations

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-11-21

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-08-21Fire-safety inspection4 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-27

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-06

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-09-04

2023-07-12Fire-safety inspection3 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-08-14

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-16

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal penalties

2024-07-17Fine$16,055

2024-02-24Fine$104,696

Total fines$120,751

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675958.

Visitor reviews

What people say on Google.

4.278 ratings on Google

★Barbara Stearns · 2025-12-11 · via Google
“Despicable and unbelievable care for my husband who has Alzheimer’s. My husband’s condition is greatly deteriorating so I took the opportunity for respite care for him so that I might tour our local memory care facilities. He appeared to do well the first day and night, at about 32 hours in I was contacted by my hospice nurse stating the facility called her threatening to call the police on my hu…”

★Linda Hotzel · 2025-04-21 · via Google
“First off, watch over your loved one because they won't! Gave my sister wrong med doseage and wrong meds completely! Did not give her antibiotics IV for 9 days! Said was waiting on test results that DR said would have been back in 2days at latest. The Administrator and Social Worker tried their best to help solve problems. I was told by DON that the Administrator and Social Worker has nothing to d…”

★★★★★Cynthia Maxie Henderson · 2022-10-11 · via Google
“The security was impressive and the lobby was beautiful and welcoming. The facility is very clean and the staff was amazing. We met four ladies on staff and each of them were very helpful and attentive. One young lady realized we had not been there before and assisted us with the entry and exit as well as personally walking us to the room we were looking for. Our experience at your facility was d…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 61 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered