Skilled nursing
Avir at Citizens Trail
0.00 reviews · 0 verifiedTEXARKANA, TXLic. 675958
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $104,696Source: CMS Penalties
FINECMS fine: $16,055Source: CMS Penalties
FINECMS fine: $10,062Source: CMS Penalties
VBPLower SNF VBP program ranking (#12,560)Source: CMS SNF VBP (PDC)
VBP-THigh nursing staff turnover in VBP period (66%)Source: CMS SNF VBP (PDC)
Provided by facility
Avir at Citizens Trail is a healthcare provider dedicated to delivering compassionate care through skilled nursing, rehabilitation, and long-term care services across Texas. The facility focuses on personalized care plans tailored to individual needs, ensuring that every patient feels supported and empowered. With a team of experienced professionals, Avir emphasizes quality and empathy in their approach to healthcare, offering services such as advanced wound management, cardiac support, and comprehensive rehabilitation programs.
TherapiesOn-Site Rehabilitation Services
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.89 total HPRDRN 0.50 · weekend 94%Oct 2025 – Dec 2025
Survey history
8 inspections61 deficiencies on record
Federal IDs
CCN 675958
Overall: 1/5 · Health: 1/5 · Staffing: 3/5 · QM: 2/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Health surveyNov 2025 · CMS26 deficiencies
- F-550SS E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-558SS D — Reasonably accommodate the needs and preferences of each resident.
- F-584SS D — 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.
- F-628SS D — Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
- F-693SS D — 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.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-697SS D — Provide safe, appropriate pain management for a resident who requires such services.
- F-698SS E — Provide safe, appropriate dialysis care/services for a resident who requires such services.
- F-726SS D — 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.
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-760SS D — Ensure that residents are free from significant medication errors.
- F-761SS E — 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.
- F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-806SS D — Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Fire safetyNov 2025 · STATE FIRE MARSHAL2 deficiencies
- K-511SS D — Have properly installed electrical wiring and gas equipment.
- K-521SS C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Health surveyAug 2024 · CMS5 deficiencies
- F-561SS D — Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F-584SS D — 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.
- F-655SS D — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-758SS D — 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.
Fire safetyAug 2024 · STATE FIRE MARSHAL4 deficiencies
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-372SS F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-521SS C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- K-929SS E — Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Health surveyJul 2024 · CMS2 deficiencies
- F-600SS J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-607SS J — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Health surveyFeb 2024 · CMS5 deficiencies
- F-600SS K — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-607SS K — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-609SS K — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyJul 2023 · CMS14 deficiencies
- F-558SS E — Reasonably accommodate the needs and preferences of each resident.
- F-584SS E — 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.
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-677SS E — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-679SS D — Provide activities to meet all resident's needs.
- F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
- F-697SS D — Provide safe, appropriate pain management for a resident who requires such services.
- F-725SS F — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F-755SS E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyJul 2023 · STATE FIRE MARSHAL3 deficiencies
- K-222SS F — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-372SS F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-521SS C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Write a reviewOperated by AVIR HEALTH GROUP (independent) since 2003.
- Jun 2024
operator transition — FANNIN COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — FANNIN COUNTY HOSPITAL AUTHORITY