Avir at Texarkana in Texarkana, TX

Avir at Texarkana is a medicare and medicaid certified nursing home in Texarkana, Texas. It is located in Bowie county at 4925 Elizabeth St, Texarkana, Texas 75503. You can reach out to the office of Avir at Texarkana via phone at (903) 793-4645. This skilled nursing facility has 110 federally certified beds with average occupancy rate of 43.45%. Its legal business name is Guadalupe County Hospital Board and has the following ownership type - For Profit - Limited Liability Company. It is part of Avir Health Group, a chain of 116 nursing homes.

Avir at Texarkana (Medicare CCN 676069) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 2005 (21 years certified) and the last quality survey was conducted in June, 2025.

Contact Information

Avir at Texarkana
4925 Elizabeth St, Texarkana, Texas 75503
(903) 793-4645

Map and Direction



Nursing Home Profile

NameAvir at Texarkana
Location4925 Elizabeth St, Texarkana, Texas
Certified ByMedicare and Medicaid
No. of Certified Beds110
Occupancy Rate43.45%
Medicare ID (CCN)676069
Legal Business NameGuadalupe County Hospital Board
Ownership TypeFor Profit - Limited Liability Company
ChainAvir Health Group (116 nursing homes)
Chain Average Overall Rating2.3 out of 5

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Avir at Texarkana in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1154962074
MatchConfirmed listed in Medicare enrollment records
Organization NameGuadalupe County Hospital Board
Doing Business AsAvir at Texarkana
Address4925 Elizabeth St, Texarkana, TX 75503
Phone Number903-793-4645

NPI Number1104076322
MatchPossible same name, address or phone number
Organization NamePinnacle Health Facilities Xxvii LP
Doing Business AsEdgewood Manor
Address4925 Elizabeth St, Texarkana, TX 75503
Phone Number903-793-4645

NPI Number1689662488
MatchPossible same name, address or phone number
Organization NameTexarkana Elder Services, Inc. Dba Edgewood Manor Nursing Home
Address4925 Elizabeth St, Texarkana, TX 75503
Phone Number903-793-4645

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Avir at Texarkana are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Avir at Texarkana give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Avir at Texarkana, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day4.563.86
Registered nurse (RN) hours per resident per day0.570.69
Licensed practical nurse (LPN) hours per resident per day0.90.86
Nurse aide hours per resident per day3.12.32
Total nurse staff hours per resident per day on the weekend4.253.42
RN hours per resident per day on the weekend0.30.48
Physical therapist hours per resident per day0.010.07
Total nursing staff turnover61.7%45.8%
Registered nurse turnover66.7%42.9%
Number of administrators who have left the nursing home10.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)Yes
Number of Fines2
Total Amount of Fines in Dollars$141,825
Number of Payment Denials0
Total Number of Penalties2

Health Inspections:

In its most recent inspection cycle (standard health inspection in June, 2025, plus any complaint inspections), inspectors cited Avir at Texarkana for 20 health deficiencies (national average: 9.3). The 30 most recent of its 33 citations since 2023 are listed below.

DateDeficiencyHarm LevelStatus
Apr 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Immediate jeopardy, isolatedPast non-compliance (already corrected)
Mar 6, 2026Provide safe, appropriate pain management for a resident who requires such services.
F0697, Quality of Life and Care, Complaint inspection
Immediate jeopardy, isolatedCorrected by Mar 7, 2026
Mar 6, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755, Pharmacy Service, Complaint inspection
Immediate jeopardy, isolatedCorrected by Mar 7, 2026
Dec 4, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580, Resident Rights, Complaint inspection
Potential for harm, isolatedCorrected by Dec 26, 2025
Dec 4, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, isolatedCorrected by Dec 26, 2025
Nov 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Complaint inspection
Potential for harm, patternCorrected by Nov 22, 2025
Nov 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Nov 22, 2025
Jun 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by Jul 10, 2025
Jun 11, 2025Provide activities to meet all resident's needs.
F0679, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Jul 10, 2025
Jun 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Jul 10, 2025
Jun 11, 2025Ensure medication error rates are not 5 percent or greater.
F0759, Pharmacy Service, Standard inspection
Potential for harm, patternCorrected by Jul 10, 2025
Jun 11, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jul 10, 2025
Jun 11, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Jun 11, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Jun 11, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Jun 11, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection
Potential for harm, isolatedPast non-compliance (already corrected)
Jun 11, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Jun 11, 2025Ensure each resident receives an accurate assessment.
F0641, Resident Assessment and Care Planning, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Jun 11, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Jun 11, 2025Keep all essential equipment working safely.
F0908, Environmental, Standard inspection
Potential for harm, isolatedCorrected by Jul 10, 2025
Feb 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Potential for harm, patternCorrected by Feb 26, 2025
May 15, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by Jun 10, 2024
May 15, 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.
F0584, Resident Rights, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2024
May 15, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by Jun 10, 2024
May 15, 2024Reasonably accommodate the needs and preferences of each resident.
F0558, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Jun 10, 2024
May 15, 2024Keep all essential equipment working safely.
F0908, Environmental, Standard inspection
Potential for harm, isolatedCorrected by Jun 10, 2024
May 15, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919, Environmental, Standard inspection, Complaint inspection
Potential for harm, isolatedCorrected by Jun 10, 2024
Apr 9, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, isolatedCorrected by Apr 26, 2024
Apr 9, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, isolatedCorrected by Apr 26, 2024
Mar 29, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, widespreadCorrected by Mar 30, 2023

Quality of Resident Care:

These quality measures of Avir at Texarkana, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased24.813.87
Percentage of long-stay residents who lose too much weight2.765.19
Percentage of long-stay residents with a catheter inserted and left in their bladder00.82
Percentage of long-stay residents with a urinary tract infection2.211.59
Percentage of long-stay residents who have depressive symptoms012.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury1.13.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.3593.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine73.3882.04
Percentage of short-stay residents who newly received an antipsychotic medication01.56
Percentage of long-stay residents whose ability to walk independently worsened16.514.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication23.9719.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine93.8895.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine81.2579.75
Percentage of long-stay residents with pressure ulcers11.634.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.8319.01
Percentage of long-stay residents who received an antipsychotic medication18.7515.38

Reviews and Comments


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Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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