Avir At Citizens Trail has received an F grade based on CMS data, with a score of 0/100 — 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 3.15 total nurse hours per resident per day, Avir At Citizens Trail 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 52 deficiencies at Avir At Citizens Trail, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.05 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.64 | 2.4 | Below Average |
| Weekend Total Nursing | 2.84 | 3.8 | Below Average |
| Weekend RN Hours | 0.38 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Nov 19, 2025 · Infection Control Deficiencies
- Tag 0881 Severity FImplement a program that monitors antibiotic use.Nov 19, 2025 · Infection Control Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 19, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 19, 2025 · Resident Assessment and Care Planning 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 | 4.5% | 4.5% | Average |
| Falls with major injury | 8.1% | 3.0% | Worse |
| On antipsychotic medication | 19.5% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.1% | 14.0% | Better |
| Excessive weight loss | 5.6% | 7.5% | Better |
| New/worsened incontinence | 23.3% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $130,813
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 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: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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