Nursing Home
Avir at Cowhorn Creek
Certified beds
76
Avg. 68 residents a day
Ownership
Government
Hospital district
Medicare
Certified
Since Dec 2002
Medicaid
Certified
Since Dec 2002
CMS rating
1
Much below average
CMS star ratings
Staffing
| Role | This homeHome | Texas avgTX | U.S. avgU.S. | |
|---|---|---|---|---|
| Total nurse staffing | 3.26 | 3.39 | 3.86 | |
| Registered nurse (RN) | 0.38 | 0.43 | 0.68 | |
| Licensed practical nurse (LPN) | 0.94 | 0.95 | 0.86 | |
| Nurse aide | 1.94 | 2.01 | 2.32 | |
| Total nurse staffing, weekends | 2.93 | 2.98 | 3.42 | |
| Physical therapist | 0.04 | 0.07 | 0.07 |
This homeU.S. average
Staff turnover
| Measure | This homeHome | Texas avgTX | U.S. avgU.S. |
|---|---|---|---|
| Total nursing staff turnover | 68.2% | 55.3% | 45.8% |
| Administrators who left | 0 | 0.7 | 0.5 |
Staffing is reported by the facility to CMS through payroll-based journal data. Texas and U.S. averages are calculated by WeFoundCare from the same CMS file (1,177 Texas and 14,680 U.S. facilities).
Inspections and penalties
Most recent inspection
24health deficiencies
Feb 12, 2026 · 20 standard, 4 complaint
Texas average: 9.4 · U.S. average: 9.2
Texas average: 9.4 · U.S. average: 9.2
Prior inspection
32health deficiencies
Dec 4, 2024 · standard and complaint surveys combined
Fines1 fine · $30,545
Payment denials1
Abuse citation flagNot flagged
Special Focus FacilityNo
Care types offered
Nursing home
Skilled nursing, 76 Medicare-certified beds
Memory care
No Alzheimer certification on file
Location
5524 Cowhorn Crk, Texarkana, TX 75503
Bowie County · 1.6 mi from the center of Texarkana
Facility details
Legal business nameGuadalupe County Hospital Board
OperatorAvir Health Group
OwnershipHospital district government
Facilities in chain118
Medicare approvedDec 16, 2002
Chain average rating2.3 of 5
Resident and family councilResident council
Ownership change, last 12 monthsNo
Sprinklers in all required areasYes
CMS Certification Number675949
Source: CMS Care Compare, Nursing Home Provider Information, processed Sep 1, 2026.
Last updated on WeFoundCare: Oct 20, 2026.
Suggest a correctionLast updated on WeFoundCare: Oct 20, 2026.