Cornerstone Retirement Community
State licensed4100 MOORES LN, Texarkana, TX 75503
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AVIR AT COWHORN CREEK brings skilled nursing and rehabilitation care to Texarkana, Texas with a focus on recovery and meaningful progress. Our team supports patients through healing with personalized attention and clinical expertise designed to help you regain independence.
Capacity
76 residents
Location
Texarkana, TX
Status
Listed in a public registry
5524 COWHORN CREEK, Texarkana, Texas 75503
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 February 12, 2026, state inspectors cited 24 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 16 minutes with each resident a day, about the same as the Texas average.
Medicare fined Avir at Cowhorn Creek once in the last three years, $30,545 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 16 minutes |
| Registered nurse time per resident, per day | 23 minutesBelow the Texas average |
| Nursing staff who left in the past year | 68%Above the Texas average |
68 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 29, 2026 · Complaint investigation · 2 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 6, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident receives an accurate assessment.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Assess the resident when there is a significant change in condition
Reasonably accommodate the needs and preferences of each resident.
Ensure medication error rates are not 5 percent or greater.
Assist a resident in gaining access to vision and hearing services.
Honor each resident's preferences, choices, values and beliefs.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Implement 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.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide enough food/fluids to maintain a resident's health.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Reasonably accommodate the needs and preferences of each resident.
Assist a resident in gaining access to vision and hearing services.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide and implement an infection prevention and control program.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives an accurate assessment.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Showing the 60 most recent. The full list is on Medicare.gov.
1 fine totaling $30,545 and 1 Medicare payment denial in the last three years.
5524 COWHORN CREEKTexarkana, TX 75503
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State inspectors visited on February 12, 2026 and cited 24 health deficiencies, 4 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 3 hours 16 minutes with each resident per day, including 23 minutes from registered nurses. 68% of nursing staff left over the past year.
Yes. Medicare fined Avir at Cowhorn Creek once in the last three years, totaling $30,545.
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.
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.
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.