Nursing home / skilled nursing
Avir At Cowhorn Creek
Nursing home / skilled nursing in Texarkana, Texas
| Provider details | |
|---|---|
| Address | 5524 Cowhorn Creek |
| City | Texarkana |
| State | Texas |
| ZIP code | 75503 |
| County | Bowie |
| Phone | 903-223-1188 |
| Website | https://avirhg.com/ |
| CMS certification number (CCN) | 675949 |
| Ownership | Government - Hospital district |
| Certified beds | 76 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | December 16, 2002 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, on-site therapy gym |
Avir At Cowhorn Creek is in 5524 Cowhorn Creek, Texarkana, TX 75503. Phone: 903-223-1188. Ownership: Government - Hospital district. CMS rates it 1 out of 5 stars overall (health inspection 1, staffing 1, quality measures 3).
Avir at Cowhorn Creek provides skilled nursing care in a newly renovated facility in Texarkana, near the local hospital. Residents can use an on-site therapy gym staffed by therapists who build a personal rehabilitation plan, and an on-site beauty salon. CMS inspection and staffing detail: total weighted health survey score 210.500; 1 federal fines totaling $30545.00; total nursing staff turnover 63.9%.
More about this provider
| Avir at Cowhorn Creek provides skilled nursing care in a newly renovated facility in Texarkana, with an on-site therapy gym and beauty salon. | |
| Services and programs | Skilled nursing care in a newly renovated facility near the local hospital in Texarkana; an on-site therapy gym staffed by expert therapists for personalized rehabilitation; pampering and personal grooming services in an on-site beauty salon. |
| Visiting and contact details | Call 903.223.1188 or complete the contact form to schedule a visit or learn more. Located at 5524 Cowhorn Creek, Texarkana, TX. |
| Website | https://avirhg.com/avir-at-cowhorn-creek/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 1 of 5 |
| Health inspection rating | 1 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 3 of 5 |
| Long-stay quality rating | 4 of 5 |
| Short-stay quality rating | 3 of 5 |
| RN staffing hours per resident per day | 0.38 |
| Total nurse staffing hours per resident per day | 3.15 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 148 |
| Total Weighted Health Survey Score | 210.500 |
| Rating Cycle 2/3 Total Health Score | 398 |
| Rating Cycle 1 Health Deficiency Score | 148 |
| Rating Cycle 2/3 Health Deficiency Score | 398 |
| Rating Cycle 1 Standard Survey Health Date | 2026-02-12 |
| Rating Cycle 1 Total Number of Health Deficiencies | 25 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 32 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 20 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 5 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 21 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.38726 |
| Nursing Case-Mix Index Ratio | 0.98370 |
| Total nursing staff turnover | 63.9 |
| Reported LPN Staffing Hours per Resident per Day | 0.94431 |
| Reported Licensed Staffing Hours per Resident per Day | 1.32923 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.82336 |
| Registered Nurse hours per resident per day on the weekend | 0.30342 |
| Total number of nurse staff hours per resident per day on the weekend | 2.86657 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 1 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Total Amount of Fines in Dollars | 30545.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 719 |
| Chain Name | AVIR HEALTH GROUP |
| Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD |
| Chain Average QM Rating | 3.8 |
| Chain Average Staffing Rating | 1.5 |
| Number of Facilities in Chain | 118 |
| Chain Average Overall 5-star Rating | 2.2 |
| Chain Average Health Inspection Rating | 2.4 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 67.1 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Bowie County
- Avir At Citizens Trail — Texarkana
- Avir At Texarkana — Texarkana
- Cornerstone Retirement Community — Texarkana
Common questions about Avir At Cowhorn Creek
Where is Avir At Cowhorn Creek located?
Avir At Cowhorn Creek is at 5524 Cowhorn Creek, Texarkana, Texas 75503.
What care and services does Avir At Cowhorn Creek offer?
Avir At Cowhorn Creek offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, on-site therapy gym.
Is Avir At Cowhorn Creek Medicare-certified?
Yes. Avir At Cowhorn Creek is certified for both Medicare and Medicaid.
What is Avir At Cowhorn Creek's quality rating?
CMS gives Avir At Cowhorn Creek an overall star rating of 1 out of 5.
How do I contact Avir At Cowhorn Creek?
Call Avir At Cowhorn Creek at 903-223-1188.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.