Skilled nursing · TEXARKANA, TX

AVIR AT COWHORN CREEK

5524 COWHORN CREEK, TEXARKANA, TX 75503

76 bedsGovernment - Hospital district
0.0Clarity
Score history
Oct 20260.0 flagged
Sep 20260.0 flagged
Aug 20260.0 flagged
Jul 20260.0 flagged
Jun 20260.0 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 14 Aug 2026

Read this record before you tour: CMS rates it 1 out of 5 stars overall and 1 for the health inspection that drives it, registered-nurse time runs well below the national average, and CMS has placed an abuse icon on the record. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 14 Aug 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★☆☆☆☆ 1 of 5
Health inspection★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
23 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 16 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
68.2%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is better

This home
1.8%
National
14%

On sedatives / sleep medicationlower is better

This home
17.6%
National
15%

Falls causing major injurylower is better

This home
0.4%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$30,105 · 1 penalty
Abuse icon⚠ Present
Conflict flags in latest reconcile5

TX does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • Staffing below the line. Residents get 3 hr 16 min of nursing time a day against a national norm of 3 hr 37 min — thin staffing is the first warehouse warning sign.
  • CMS has placed an abuse icon on this facility. A substantiated finding of abuse, neglect, or exploitation is on the federal record.
  • $30,105 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for AVIR AT COWHORN CREEK?
AVIR AT COWHORN CREEK has an overall CMS Care Compare rating of 1 out of 5 stars.
Has AVIR AT COWHORN CREEK been cited for resident harm?
CMS has placed an abuse icon on AVIR AT COWHORN CREEK, indicating a substantiated finding of abuse, neglect, or exploitation.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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