3120 SMITH ST, Texarkana, TX 75501
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
About Avir at Citizens Trail
Avir at Citizens Trail brings expert skilled nursing and rehabilitation care to Texarkana, Texas, where experienced staff focus on recovery and restoration. Our compassionate team creates personalized treatment plans designed to help residents regain independence and return home stronger.
Community at a glance
Capacity
114 residents
Location
Texarkana, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1008 CITIZENS TRAIL, Texarkana, Texas 75501
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on November 20, 2025, state inspectors cited 26 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 32 minutes with each resident a day, about the same as the Texas average.
Medicare fined Avir at Citizens Trail 2 times in the last three years, $120,751 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 32 minutes |
| Registered nurse time per resident, per day | 29 minutesAbove the Texas average |
| Nursing staff who left in the past year | 67%Above the Texas average |
Inspections
38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
November 20, 2025 · Standard inspection · 26 citations
Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Nov 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Nov 21, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Nov 21, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Nov 21, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 21, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 21, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Nov 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 21, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Nov 21, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 21, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 21, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 21, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 21, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 21, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 21, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 21, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Nov 21, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 21, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 21, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 21, 2025Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 21, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 21, 2025Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Nov 21, 2025Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 21, 2025
August 21, 2024 · Standard inspection · 5 citations
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 22, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 22, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 22, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 22, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 22, 2024
July 17, 2024 · Complaint investigation · 2 citations+
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Oct 8, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Oct 8, 2023
February 24, 2024 · Complaint investigation · 5 citations+
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 13, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 13, 2024
Fines and payment denials
2 fines totaling $120,751 in the last three years.
- July 17, 2024Fine: $16,055
- February 24, 2024Fine: $104,696
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Fannin County Hospital Authority
- Medicare-certified beds
- 114
- Average residents per day
- 52
- Accepts
- Medicare and Medicaid
- First certified
- April 3, 2003
- Part of a chain
- Avir Health Group, 118 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675958
Location
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1008 CITIZENS TRAILTexarkana, TX 75501
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Questions about Avir at Citizens Trail
How did Avir at Citizens Trail do on its last inspection?+
State inspectors visited on November 20, 2025 and cited 26 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at Avir at Citizens Trail?+
Nurses and aides spend 3 hours 32 minutes with each resident per day, including 29 minutes from registered nurses. 67% of nursing staff left over the past year.
Has Avir at Citizens Trail been fined by Medicare?+
Yes. Medicare fined Avir at Citizens Trail 2 times in the last three years, totaling $120,751.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.