Cornerstone Retirement Community
Texarkana · 0.8 mi · 40 beds
Citations0Substantiated0
Avir at Cowhorn Creek
5524 COWHORN CREEK, Texarkana, TX, 75503
Nursing home76 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 28 deficiencies against Avir at Cowhorn Creek in Texarkana, Texas at its most recent standard inspection on 2026-02-12, 8 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $30,105. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
76certified beds
28deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $30,105
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.61
Potential for minimal harmThe least serious band.2
Most recentDFFEEEEEEDDDDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-04-13 · from a complaint · No actual harm, potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · F0727 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · F0636 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · F0640 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · F0565 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · F0685 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · F0806 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.26494
Nursing staff turnoverShare of nursing staff who left in a year68.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$30,105
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Avir at Cowhorn Creek
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 100% | since 09/01/2025 |
| GANN, KODY | Individual | NOT APPLICABLE | since 09/01/2025 |
| 5524 COWHORN CREEK OPCO LLC | Organization | NOT APPLICABLE | since 09/01/2025 |
| TRAVITSKY, AARON | Individual | NOT APPLICABLE | since 09/01/2025 |
| DAGAN, AMITAI | Individual | NOT APPLICABLE | since 09/14/2025 |
| FREUND, NOCHUM | Individual | NOT APPLICABLE | since 09/14/2025 |
| GOLDBERGER, ABRAHAM | Individual | NOT APPLICABLE | since 09/14/2025 |
| GOLDBERGER, FAIGY | Individual | NOT APPLICABLE | since 09/14/2025 |
| 5524 COWHORN CREEK PROPERTY OWNER, LLC | Organization | NOT APPLICABLE | since 09/01/2025 |
| WELLTOWER INC | Organization | NOT APPLICABLE | since 09/01/2025 |
| WELLTOWER NNN GROUP, LLC | Organization | NOT APPLICABLE | since 09/01/2025 |
| WELLTOWER OP, LLC | Organization | NOT APPLICABLE | since 09/01/2025 |
Part of the AVIR HEALTH GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana · 1.0 mi · 129 beds
Citations0Substantiated0
Avir at Texarkana
Texarkana · 1.6 mi · 110 beds
Citations0Substantiated0
The Villa at Texarkana
Texarkana · 1.7 mi · 106 beds
Citations0Substantiated0
Heritage Plaza Nursing Center
Texarkana · 1.8 mi · 95 beds
Citations0Substantiated0
The Cottages at Texarkana
Texarkana · 2.8 mi · 140 beds
Citations0Substantiated0
Contact
Ask Avir at Cowhorn Creek a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675949.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction