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Avir at Cowhorn Creek

5524 Cowhorn Creek, Texarkana, Texas 75503

Overview

Avir at Cowhorn Creek has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 6th of 7 nursing homes in Texarkana. It scores best on quality of care (3 of 5) and lowest on health inspections (1 of 5).

Residents receive about 3.2 hours of nursing care per day, fewer than at 67% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.4 hours come from registered nurses.

Its most recent standard inspection, on February 12, 2026, found 25 health deficiencies, more than the Texas average of 9.6. 5 of them came from complaint investigations. Medicare records 1 fine totaling $30,545 in the past three years.

Avir at Cowhorn Creek is a government-run facility with 76 certified beds, caring for about 67 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2002.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In Texarkana6th of 7 facilities

Top 86%

Within 100 miles124th of 147 facilities

Top 85%

In Texas1060th of 1,166 facilities

Top 91%

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Inspections and penalties

Most recent standard inspection
February 12, 2026
Health deficiencies cited
25
Complaint-related deficiencies
5
Fines in the last 3 years
1 totaling $30,545
Payment denials
1
Total penalties
2

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.15 hrs
  • Registered nurses (RN)0.38 hrs
  • Licensed practical nurses (LPN)0.94 hrs
  • Nurse aides1.82 hrs
  • Physical therapists0.03 hrs

Facility details

Ownership
Government - Hospital district
Certified beds
76
Average residents per day
67
Participates in
Medicare and Medicaid
Medicare/Medicaid since
December 16, 2002
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes