Avir at Citizens Trail: Staffing, Turnover, and Inspection Record
Avir at Citizens Trail is a 114-bed for-profit nursing home in Texarkana, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 4% below the Texas average of 2.00, and 66.7% nursing staff turnover (Texas average 55.3%).
Avir at Citizens Trail
1008 Citizens TrailTexarkana, TX 75501
Bowie County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Citizens Trail, nurse aides logged 1.91 hours per resident per day, 4% below the Texas average. With about 52 residents a day, that works out to roughly 100 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.00 | 2.32 |
| Licensed practical nurses | 1.13 | 0.95 | 0.86 |
| Registered nurses | 0.48 | 0.43 | 0.69 |
| All nursing staff | 3.53 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.05 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
66.7% of nursing staff at Avir at Citizens Trail left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 71.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 26 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $120,751 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 17, 2024 | Fine | $16,055 |
| Feb 24, 2024 | Fine | $104,696 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Citizens Trail holds 1 of 5 overall; the Texas average is 2.6.
About Avir at Citizens Trail
- Ownership: For profit - Limited Liability company
- Chain: Avir Health Group, 116 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Apr 3, 2003
- Councils: resident council
- Area: urban
Nursing homes near Avir at Citizens Trail
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Cowhorn Creek Texarkana · SFF candidate · abuse citation | 3.0 | 76 | 1.94 | 3.26 | 68.2% | 1 | $30,105 |
| The Villa at Texarkana Texarkana | 3.1 | 106 | 1.94 | 3.36 | 59.0% | 3 | None |
| Cornerstone Retirement Community Texarkana | 3.1 | 40 | 2.41 | 4.08 | 38.1% | 4 | $39,764 |
| Avir at Texarkana Texarkana · abuse citation | 3.2 | 110 | 3.10 | 4.56 | 61.7% | 1 | $141,825 |
| Reunion Plaza Senior Care and Rehabilitation Cente Texarkana | 3.2 | 129 | 1.61 | 3.01 | 64.5% | 1 | $269,387 |
| Heritage Plaza Nursing Center Texarkana | 3.3 | 95 | 1.70 | 3.15 | 57.4% | 3 | $89,633 |
| The Springs of Texarkana Texarkana | 3.3 | 173 | 2.47 | 3.72 | 52.6% | 4 | $14,665 |
| Bailey Creek Health and Rehab Texarkana | 3.9 | 74 | 2.34 | 3.53 | 50.0% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.