Avir at Cowhorn Creek
Nursing home in Texarkana, Texas, CMS certification number 675949
5524 Cowhorn Creek, Texarkana, TX 75503 · Bowie County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 76
- Certified for
- Medicare and Medicaid
- Last standard inspection
- February 12, 2026
- Deficiencies at that inspection
- 25
- Fines in 3 years
- $30,545 (1)
Does Avir at Cowhorn Creek take Medicare and Medicaid?
Yes to both. Avir at Cowhorn Creek is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Avir at Cowhorn Creek reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.15
- Registered nurse hours
- 0.38
- Licensed practical nurse hours
- 0.94
- Nurse aide hours
- 1.82
- Weekend total hours
- 2.87
- Nursing staff turnover
- 63.9%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on February 12, 2026 and cited 25 deficiencies, plus 5 from complaint visits.
The visit before, on December 4, 2024, found 12.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avir at Cowhorn Creek 1 time in the past 3 years, for $30,545 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 67.1 residents live here, about 88% of its 76 certified beds.
- Certified beds
- 76
- Average residents per day
- 67.1
- Certified since
- December 16, 2002
- Resident or family council
- Resident
Who owns Avir at Cowhorn Creek
- Legal business name
- Guadalupe County Hospital Board
- Ownership type
- Government - Hospital district
- Chain
- 118 homes nationally under Avir Health Group, 2.2-star chain average
Other nursing homes near Avir at Cowhorn Creek
- Cornerstone Retirement Community4100 Moores Lane, Texarkana 75503
- Reunion Plaza Senior Care and Rehabilitation Cente1401 Hampton Rd, Texarkana 75503
- Avir at Texarkana4925 Elizabeth St, Texarkana 75503
- The Villa at Texarkana4920 Elizabeth St, Texarkana 75503
- Heritage Plaza Nursing Center600 W 52nd St, Texarkana 75501
See also all nursing homes in Texarkana.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 7 in Texarkana, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avir at Cowhorn Creek, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avir at Cowhorn Creek
What is the CMS star rating of Avir at Cowhorn Creek?
1 out of 5 stars overall.
Does Avir at Cowhorn Creek accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avir at Cowhorn Creek?
25 cited at the last standard visit.
Who owns Avir at Cowhorn Creek?
Guadalupe County Hospital Board, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.