Avir at Citizens Trail

1008 Citizens Trail, Texarkana, TX 75501

Phone: 9038389526

CMS ratings and facility information

Avir at Citizens Trail is a Medicare-certified nursing facility in Texarkana, Bowie County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measures rating2 of 5
Certified beds114
OwnershipFor profit - Limited Liability company
CMS certification number675958

Staffing

Total nurse hours per resident day3.53
RN hours per resident day0.48
Nurse aide hours per resident day1.91
Total nursing staff turnover percent66.7
RN turnover percent71.4

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations3.91events_per_1000_resident_days20250101-20251231
Emergency-department visits3.82events_per_1000_resident_days20250101-20251231
Falls with major injury6.74percent2025Q2-2026Q1
Pressure ulcers5.15percent2025Q2-2026Q1
Urinary tract infections0.54percent2025Q2-2026Q1
Antipsychotic medication use12.38percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-11-200812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-11-200880Provide and implement an infection prevention and control program.F
2025-11-200881Implement a program that monitors antibiotic use.F
2025-11-200550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2025-11-200656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-11-200689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-11-200698Provide safe, appropriate dialysis care/services for a resident who requires such services.E
2025-11-200761Ensure 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.E
2025-11-200804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-11-200558Reasonably accommodate the needs and preferences of each resident.D
2025-11-200584Honor 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.D
2025-11-200628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D
2025-11-200658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-11-200677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-11-200684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-11-200692Provide enough food/fluids to maintain a resident's health.D
2025-11-200693Ensure 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.D
2025-11-200695Provide safe and appropriate respiratory care for a resident when needed.D
2025-11-200697Provide safe, appropriate pain management for a resident who requires such services.D
2025-11-200726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2025-11-200755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-11-200760Ensure that residents are free from significant medication errors.D
2025-11-200806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2025-11-200813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2025-11-200842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-200926Have policies on smoking.D
2024-08-210561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D
2024-08-210584Honor 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.D
2024-08-210655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2024-08-210677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-08-210758Implement 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.D
2023-07-120689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-07-120725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2023-07-120812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-07-120558Reasonably accommodate the needs and preferences of each resident.E
2023-07-120584Honor 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.E
2023-07-120656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-07-120677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-07-120755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-07-120641Ensure each resident receives an accurate assessment.D
2023-07-120679Provide activities to meet all resident's needs.D
2023-07-120686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2023-07-120692Provide enough food/fluids to maintain a resident's health.D
2023-07-120697Provide safe, appropriate pain management for a resident who requires such services.D
2023-07-120880Provide and implement an infection prevention and control program.D

Penalties

DateTypeAmount
2024-07-17Fine,055
2024-02-24Fine4,696

Ownership records

NameTypeRole
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
HOLT, ERINIndividualCORPORATE DIRECTOR
KEETON, WENDYIndividualCORPORATE DIRECTOR
KISSLING, MONICAIndividualCORPORATE DIRECTOR
MCBEAN, PATRICIAIndividualCORPORATE DIRECTOR
OWENS, ANGELAIndividualCORPORATE DIRECTOR
TROMPLER, KELLYIndividualCORPORATE DIRECTOR
SANDERSON, CLARKIndividualCORPORATE OFFICER
1008 CITIZENS TRAIL OPCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FANNIN COUNTY HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL
BRADFORD, JEFFREYIndividualOPERATIONAL/MANAGERIAL CONTROL
FERGUSON, CLAYIndividualOPERATIONAL/MANAGERIAL CONTROL
JOHNSON, JUSTINIndividualOPERATIONAL/MANAGERIAL CONTROL
SLIMMER, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL
1008 CITIZENS TRAIL PROPERTY OWNER LLCOrganizationADP OF THE SNF
WELLTOWER NNN GROUP, LLCOrganizationADP OF THE SNF
WELLTOWER OP, LLCOrganizationADP OF THE SNF
BRADFORD, JEFFREYIndividualADP OF THE SNF
FERGUSON, CLAYIndividualADP OF THE SNF
JOHNSON, JUSTINIndividualADP OF THE SNF
SLIMMER, CHRISTOPHERIndividualADP OF THE SNF

Compare nursing homes in Bowie County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.