Avir at Citizens Trail

Nursing Home · Texarkana, TX

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number675958

Contact & location

1008 Citizens Trail
Texarkana, TX 75501
Bowie County
Phone
(903) 838-9526
ZIP code
75501 – all care providers

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Facility details

Certified beds
114
Residents per day
52.1 (46% occupied)
Ownership
For profit - Limited Liability company
Legal name
Fannin County Hospital Authority
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
April 3, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.53 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.48 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.13 (state 0.95 · U.S. 0.86)
Nurse aides
1.91 (state 2.00 · U.S. 2.32)
Weekend total
3.05 (state 2.98 · U.S. 3.42)
Nursing staff turnover
66.7 (state 55.3 · U.S. 45.8)%
RN turnover
71.4 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
November 20, 2025
Health deficiencies (last cycle)
26.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
52 health · 9 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-11-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Honor 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Have policies on smoking.
F0926 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2024-08-21 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-08-21 Honor 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-08-21 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-08-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-08-21 Implement 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-07-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-10-08
2024-07-17 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-10-08
2024-02-24 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-03-13
2024-02-24 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-03-13
2024-02-24 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-03-13
2024-02-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-03-13
2024-02-24 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-13
2023-07-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-08-09
2023-07-12 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Honor 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09
2023-07-12 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-08-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $120,751 in fines.

DateTypeAmount
2024-07-17Fine$16,055
2024-02-24Fine$104,696

Ownership & management

NameRoleSince
Fannin County Hospital Authority (organization)5%+ Direct Ownership Interest · 100%
1008 Citizens Trail Property Owner LLC (organization)Administrator · NOT APPLICABLE
Bradford, Jeffrey (individual)Administrator · NOT APPLICABLE
Ferguson, Clay (individual)Administrator · NOT APPLICABLE
Johnson, Justin (individual)Administrator · NOT APPLICABLE
Slimmer, Christopher (individual)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Holt, Erin (individual)Corporate Director · NOT APPLICABLE
Keeton, Wendy (individual)Corporate Director · NOT APPLICABLE
Kissling, Monica (individual)Corporate Director · NOT APPLICABLE
McBean, Patricia (individual)Corporate Director · NOT APPLICABLE
Owens, Angela (individual)Corporate Director · NOT APPLICABLE
Trompler, Kelly (individual)Corporate Director · NOT APPLICABLE
Sanderson, Clark (individual)Corporate Officer · NOT APPLICABLE
1008 Citizens Trail Opco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Bradford, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Fannin County Hospital Authority (organization)Operational/managerial Control · NOT APPLICABLE
Ferguson, Clay (individual)Operational/managerial Control · NOT APPLICABLE
Johnson, Justin (individual)Operational/managerial Control · NOT APPLICABLE
Slimmer, Christopher (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at Citizens Trail?

Avir at Citizens Trail has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at Citizens Trail have?

It has 114 certified beds and cares for about 52 residents per day.

Has Avir at Citizens Trail been fined?

Yes. CMS lists 2 penalties totaling $120,751 in the last three years.

Who owns Avir at Citizens Trail?

It is part of Avir Health Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at Citizens Trail?

(903) 838-9526. The facility is located at 1008 Citizens Trail, Texarkana, TX 75501.

Other nursing homes in Texarkana

Compare all nursing homes in Texarkana, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.