Avir at Cowhorn Creek

5524 Cowhorn Creek, Texarkana, TX 75503

Phone: 9032231188

CMS ratings and facility information

Avir at Cowhorn Creek 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 rating1 of 5
Quality measures rating3 of 5
Certified beds76
OwnershipGovernment - Hospital district
CMS certification number675949

Staffing

Total nurse hours per resident day3.26
RN hours per resident day0.38
Nurse aide hours per resident day1.94
Total nursing staff turnover percent68.2

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.78events_per_1000_resident_days20250101-20251231
Emergency-department visits2.03events_per_1000_resident_days20250101-20251231
Falls with major injury0.44percent2025Q2-2026Q1
Pressure ulcers4.53percent2025Q2-2026Q1
Urinary tract infections0.9percent2025Q2-2026Q1
Antipsychotic medication use1.82percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-02-120727Have 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.F
2026-02-120812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-120636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E
2026-02-120640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E
2026-02-120656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2026-02-120755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-02-120804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2026-02-120880Provide and implement an infection prevention and control program.E
2026-02-120558Reasonably accommodate the needs and preferences of each resident.D
2026-02-120565Honor the resident's right to organize and participate in resident/family groups in the facility.D
2026-02-120582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D
2026-02-120637Assess the resident when there is a significant change in conditionD
2026-02-120641Ensure each resident receives an accurate assessment.D
2026-02-120644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2026-02-120677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2026-02-120685Assist a resident in gaining access to vision and hearing services.D
2026-02-120689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-120759Ensure medication error rates are not 5 percent or greater.D
2026-02-120806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2026-02-120813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2024-12-040812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-12-040553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E
2024-12-040804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-12-040809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E
2024-12-040558Reasonably accommodate the needs and preferences of each resident.D
2024-12-040623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2024-12-040655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2024-12-040685Assist a resident in gaining access to vision and hearing services.D
2024-12-040688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D
2024-12-040692Provide enough food/fluids to maintain a resident's health.D
2024-12-040758Implement 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
2024-12-040640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B
2023-11-160656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-11-160712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E
2023-11-160880Provide and implement an infection prevention and control program.E
2023-11-160641Ensure each resident receives an accurate assessment.D
2023-11-160645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2023-11-160677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-11-160686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2023-11-160688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D
2023-11-160692Provide enough food/fluids to maintain a resident's health.D
2023-11-160758Implement 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
2023-11-160761Ensure 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.D
2023-11-160849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2023-11-160940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D
2023-11-160575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.C

Penalties

DateTypeAmount
2025-08-15Fine,105
2025-08-15Payment Denial

Ownership records

NameTypeRole
GUADALUPE COUNTY HOSPITAL BOARDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
GANN, KODYIndividualCORPORATE OFFICER
5524 COWHORN CREEK OPCO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
TRAVITSKY, AARONIndividualOPERATIONAL/MANAGERIAL CONTROL
DAGAN, AMITAIIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
FREUND, NOCHUMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
GOLDBERGER, ABRAHAMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
GOLDBERGER, FAIGYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
5524 COWHORN CREEK PROPERTY OWNER, LLCOrganizationADP OF THE SNF
WELLTOWER INCOrganizationADP OF THE SNF
WELLTOWER NNN GROUP, LLCOrganizationADP OF THE SNF
WELLTOWER OP, LLCOrganizationADP OF THE SNF
BETTS, BRITNEYIndividualADP OF THE SNF
FERGUSON, CLAYIndividualADP 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.