Avir at Citizens Trail
Avir at Citizens Trail is a 114-bed nursing home in TEXARKANA, Texas. CMS has certified it for Medicare and Medicaid since 2003-04-03. It averages 52.1 residents a day.
What harm was found in the violations cited at Avir at Citizens Trail?
CMS lists 52 health-inspection deficiencies for Avir at Citizens Trail since 2023-07-12, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-11-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-20 | F0812, F0880, F0881 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | F |
| 2025-11-20 | F0550, F0656, F0689, F0698, F0761, F0804 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-11-20 | F0558, F0584, F0628, F0658, F0677, F0684, F0692, F0693, F0695, F0697, F0726, F0755, F0760, F0806, F0813, F0842, F0926 | Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Ensure 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have policies on smoking. | D |
| 2024-08-21 | F0561, F0584, F0655, F0677, F0758 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. | D |
| 2024-07-17 | F0600, F0607 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J |
| 2024-02-24 | F0600, F0607, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K |
| 2024-02-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-02-24 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-07-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-07-12 | F0725, F0812 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-07-12 | F0558, F0584, F0656, F0677, F0755 | Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-07-12 | F0641, F0679, F0686, F0692, F0697, F0880 | Ensure each resident receives an accurate assessment. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Provide and implement an infection prevention and control program. | D |
Why was Avir at Citizens Trail fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2024-07-17 | Fine | $16,055 |
| 2024-02-24 | Fine | $104,696 |
How is Avir at Citizens Trail staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.52956 | 3.38539 |
| Total nursing staff turnover (%) | 66.7 | 55.3 |
| Average number of residents per day | 52.1 | 75.8 |
Who owns Avir at Citizens Trail, and what chain is it in?
Avir at Citizens Trail is registered with CMS as For profit - Limited Liability company, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the AVIR HEALTH GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FANNIN COUNTY HOSPITAL AUTHORITY | since 06/01/2024 |
| CORPORATE DIRECTOR | HOLT, ERIN, KEETON, WENDY, KISSLING, MONICA, MCBEAN, PATRICIA, OWENS, ANGELA, TROMPLER, KELLY | since 02/22/2022 |
| CORPORATE OFFICER | SANDERSON, CLARK | since 10/29/2012 |
| OPERATIONAL/MANAGERIAL CONTROL | 1008 CITIZENS TRAIL OPCO, LLC, FANNIN COUNTY HOSPITAL AUTHORITY, BRADFORD, JEFFREY, FERGUSON, CLAY, JOHNSON, JUSTIN, SLIMMER, CHRISTOPHER | since 06/01/2024 |
| ADP OF THE SNF | 1008 CITIZENS TRAIL PROPERTY OWNER LLC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLC, BRADFORD, JEFFREY, FERGUSON, CLAY, JOHNSON, JUSTIN, SLIMMER, CHRISTOPHER | since 06/01/2024 |
Were you or a family member harmed at Avir at Citizens Trail?