Avir at Cowhorn Creek: Staffing, Turnover, and Inspection Record
Avir at Cowhorn Creek is a 76-bed government-run nursing home in Texarkana, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.94 nurse aide hours per resident per day, 3% below the Texas average of 2.00, and 68.2% nursing staff turnover (Texas average 55.3%).
Avir at Cowhorn Creek
5524 Cowhorn CreekTexarkana, TX 75503
Bowie County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
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 Cowhorn Creek, nurse aides logged 1.94 hours per resident per day, 3% below the Texas average. With about 68 residents a day, that works out to roughly 132 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.94 | 2.00 | 2.32 |
| Licensed practical nurses | 0.94 | 0.95 | 0.86 |
| Registered nurses | 0.38 | 0.43 | 0.69 |
| All nursing staff | 3.26 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.93 | 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
68.2% of nursing staff at Avir at Cowhorn Creek left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 28 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $30,105 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 15, 2025 | Fine | $30,105 |
| Aug 15, 2025 | Payment Denial | 5 days from Sep 13, 2025 |
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 Cowhorn Creek holds 1 of 5 overall; the Texas average is 2.6.
About Avir at Cowhorn Creek
- Ownership: Government - Hospital district
- Chain: Avir Health Group, 116 homes
- Legal name: Guadalupe County Hospital Board
- Medicare and Medicaid certified since: Dec 16, 2002
- Councils: resident council
- Area: urban
Nursing homes near Avir at Cowhorn Creek
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cornerstone Retirement Community Texarkana | 0.9 | 40 | 2.41 | 4.08 | 38.1% | 4 | $39,764 |
| Reunion Plaza Senior Care and Rehabilitation Cente Texarkana | 1.0 | 129 | 1.61 | 3.01 | 64.5% | 1 | $269,387 |
| Avir at Texarkana Texarkana · abuse citation | 1.6 | 110 | 3.10 | 4.56 | 61.7% | 1 | $141,825 |
| The Villa at Texarkana Texarkana | 1.7 | 106 | 1.94 | 3.36 | 59.0% | 3 | None |
| Heritage Plaza Nursing Center Texarkana | 1.8 | 95 | 1.70 | 3.15 | 57.4% | 3 | $89,633 |
| The Cottages at Texarkana Texarkana | 2.8 | 140 | 3.43 | 5.12 | 46.8% | 3 | $28,022 |
| Avir at Citizens Trail Texarkana | 3.0 | 114 | 1.91 | 3.53 | 66.7% | 1 | $120,751 |
| Bailey Creek Health and Rehab Texarkana | 3.0 | 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.
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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.