Avir At Cowhorn Creek

Nursing Home

5524 Cowhorn Creek
Texarkana, TX 75503 · Bowie County
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Call (903) 223-1188

Official website not yet verified

Overall Medicare rating★★★★★

Overall: state avg 2.8 · U.S. 3.0

Health inspections★★★★★

Staffing★★★★★

Staffing: state avg 1.9 · U.S. 3.0

Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Safety at a glance

2Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles

69Total health citations, last 3 inspection cycles

$30,545Federal fines, last 3 years (1 fine)

Most recent standard inspection: August 14, 2026.

Most recent serious findings

Honor each resident's preferences, choices, values and beliefs.

August 15, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected more than a very small number of residents, or happened repeatedly. Found during a complaint investigation.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (903) 223-1188 to ask about openings and waiting lists.

E-mail Avir At Cowhorn Creek about openings We help you write the message; you send it from your own e-mail.

Nurse staffing

Total nurse hours per resident per day: 3.15 hours · state avg 3.42, U.S. 3.90
Registered nurse (RN) hours per resident per day: 0.38 hours
Total nurse hours on weekends: 2.87 hours · state avg 2.99
Nursing staff turnover (yearly): 63.9% · state avg 50.8%
RN turnover (yearly): Not Available
Administrators who left (yearly): 0

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Texas, Medicaid long-term care is provided through STAR+PLUS (incl. STAR+PLUS HCBS).

Ways to pay for care in Texas →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Share What You Pay Estimate 3- and 5-year costs

Family Cameras & Video Access

Family-installed room cameras: Not Verified
Facility-provided room cameras: Not Verified
Authorized remote family viewing: Not Verified
Live video visitation: Not Verified

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application: Not yet checked
Online waiting-list form: Not yet checked
Online inquiry form: Not yet checked
Online tour scheduling: Not yet checked

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type: Government - Hospital district
Chain / affiliation: Avir Health Group
Legal business name: Guadalupe County Hospital Board

Owner or manager	Role	Share
GUADALUPE COUNTY HOSPITAL BOARD	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%
5524 COWHORN CREEK OPCO LLC	OPERATIONAL/MANAGERIAL CONTROL	—
5524 COWHORN CREEK PROPERTY OWNER, LLC	ADP OF THE SNF	—
BETTS, BRITNEY	ADP OF THE SNF	—
DAGAN, AMITAI	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	—
FERGUSON, CLAY	ADP OF THE SNF	—
FREUND, NOCHUM	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	—
GANN, KODY	CORPORATE OFFICER	—
GOLDBERGER, ABRAHAM	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	—
GOLDBERGER, FAIGY	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	—
TRAVITSKY, AARON	OPERATIONAL/MANAGERIAL CONTROL	—
WELLTOWER INC	ADP OF THE SNF	—