Avir At Cowhorn Creek has received an F grade based on CMS data, with a score of 21/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Texarkana facility should carefully review its inspection history and quality metrics.
With 3.13 total nurse hours per resident per day, Avir At Cowhorn Creek falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 53 deficiencies at Avir At Cowhorn Creek, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.13 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.20 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.96 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.97 | 2.4 | Below Average |
| Weekend Total Nursing | 2.89 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Aug 14, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0675 Severity KHonor each resident's preferences, choices, values and beliefs.Aug 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eAug 14, 2025 · Resident Rights Deficiencies
- Tag 0561 Severity DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Aug 14, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Aug 14, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.5% | 4.5% | Worse |
| Falls with major injury | 0.4% | 3.0% | Better |
| On antipsychotic medication | 2.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 15.6% | 14.0% | Worse |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 6.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $32,715
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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