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Nursing homeFAID #14470

Avir At Texarkana

4925 ELIZABETH ST, TEXARKANA, TX, 75503
(903) 793-4645
110 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
110
CMS facility ID
676069
Care type
Nursing home
County
Bowie
Facility name
Avir At Texarkana
Street address
4925 ELIZABETH ST
City / state / ZIP
Texarkana, TX 75503
Phone
(903) 793-4645

Avir At Texarkana is a Medicare/Medicaid-certified skilled nursing facility in Texarkana, Texas. It is licensed for 110 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 Texarkana 44 times across 14 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $141,825 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.

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Guadalupe County Hospital Board
Direct owner — 100% stake — since 2025
4925 Elizabeth Street Opco, Llc
Operational control — since 2025
4925 Elizabeth Street Property Owner, Llc
Additional disclosable party — since 2025
Dagan, Amitai
Owner of a disclosable party — since 2025
Ferguson, Clay
Additional disclosable party — since 2025
Freund, Nochum
Owner of a disclosable party — since 2025
Gann, Kody
Officer — since 2025
Goldberger, Abraham
Owner of a disclosable party — since 2025
Goldberger, Faigy
Owner of a disclosable party — since 2025
Huntsman-hartfield, Mary
Additional disclosable party — since 2025
Travitsky, Aaron
Operational control — since 2025
Welltower Inc
Additional disclosable party — since 2025
Welltower Nnn Group, Llc
Additional disclosable party — since 2025
Welltower Op, Llc
Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
2005-12-20
CMS overall rating
1 of 5 stars
Health deficiencies
20 at the last standard inspection
Federal fines
$141,825 total
Last standard inspection
2025-06-11
Nurse staffing
4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$179 per day (≈ $5,440/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 3% Medicare · 23% private/other
Occupancy
47% (fiscal year 2023)
Vs. state median
35% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
110
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-30Health inspectionComplaint-triggered1 citation
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.
2026-03-06Health inspectionComplaint-triggered2 citations
F-0697
J · Immediate jeopardyFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-03-07
F-0755
J · Immediate jeopardyFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-07
10 earlier / fire-safety inspections (41 citations)
2025-12-04Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-26
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-26
2025-11-21Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-22
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-22
2025-06-11Health inspectionComplaint-triggered13 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-10
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 2025-07-10
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-10
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-27
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-07-10
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-07-10
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 2025-07-10
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-10
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-10
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 2025-07-10
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2025-07-10
2025-02-25Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-26
2024-05-15Health inspectionComplaint-triggered6 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-10
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 2024-06-10
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 2024-06-10
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 2024-06-10
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-06-10
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-10
2024-04-09Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-26
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-26
2023-03-29Health inspection4 citations
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 2023-03-30
F-0656
D · 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 2023-03-30
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-30
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 2023-03-30
2025-06-11Fire-safety inspection5 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-07-10
K-0343
F · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-07-10
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-10
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-10
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-07-10
2024-05-15Fire-safety inspection3 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-12
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-12
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-07-12
2023-03-29Fire-safety inspection3 citations
K-0324
C · No harm found
Provide properly protected cooking facilities.
Corrected 2023-06-27
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-06-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-22

Federal penalties

2026-04-30Fine$9,350
2026-03-06Fine$132,475
Total fines$141,825
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 676069.
What people say on Google.
2.613 ratings on Google
★Treveece Wadley · 2025-01-18 · via Google

“My dad was at this place 3 days when I pick him up no one help me put him in his wheelchair nor in my car; the never gave him his insulin they lost his teeth he left there with pneumonia and sugar level at 480. I don’t recommend no one to have there live one to stay there not even a day. I call this place left several messages no call back at all to check on my dad they finally call after 2 weeks …”

★K Sawyer · 2025-02-23 · via Google

“2/22/2025 I was held against my will today. I had to literally call the police to leave because my DON told the RN supervisor not to relieve me, and then proceeded to tell me I would face abandonment charges if I left. Needless to say the only reason I gave one star is because I’m going to miss the people there that I’ve grown so close to.”

★Marsha Stinson · 2019-06-11 · via Google

“Do not leave your loved ones in the poorly managed facility. Staff is unconcerned for the well being of residents. Total disregard for the needs of the helpless and vulnerable. The staff sitting at the front desk, as you walk in, will not lift their heads to greet residents or families. They are unapproachable. Our loved one did not receive incontinence care and was rarely bathed. Meals were sub s…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 44 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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