Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected, date of correction 30 Jul 2026
Avir at Cowhorn Creek
Nursing home · 5524 Cowhorn Creek, Texarkana, TX 75503 · Bowie County · (903) 223-1188Medicare and Medicaid certified
68
health deficiencies
across 10 surveys
across 10 surveys
2
at actual harm or worse
2 immediate jeopardy
2 immediate jeopardy
$30,545
in federal fines
1 penalty, 1 payment denial
1 penalty, 1 payment denial
CMS star ratings
Medicare’s Care Compare ratings, 1 to 5 stars, as published. Health inspection is the one built from the deficiencies below.
★★★★★
Overall
★★★★★
Health inspection
★★★★★
Staffing
★★★★★
Quality measures
How it compares in Bowie County
6.8 health deficiencies per survey, against a county median of 5.6. Lower is better.
Fewer deficiencies per survey than 29 out of 100 nursing homes in Bowie County. Per survey, not raw count, because a home surveyed ten times will always have more findings on paper than one surveyed twice.
Deficiencies by level of harm
| Immediate jeopardy | 2 | |
| Actual harm | 0 | |
| Potential for harm | 64 | |
| No harm | 2 |
CMS grades every deficiency by scope and severity, A to L. A to C is no harm, D to F potential for harm, G to I actual harm, J to L immediate jeopardy. Fire safety is surveyed separately: 4 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 68, with dates, severity and corrections, is in the report.
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Read all 68 deficiencies
Every finding as CMS published it, the survey date, the harm level, the correction, and the full ownership trail. One payment, no subscription.
Get the full report, $12Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. This page last updated 24 Oct 2026. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
Full report $12, one time
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