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Avir at Citizens Trail

1008 Citizens Trail

4.2(77 ratings)· Texarkana average: 4.3

Part of Avir Health Group · 126 communities · 4★ average

Avir at Citizens Trail, photo 11 / 5

Quick Facts

Total units
114
Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
114

What Families Think

Reviews for Avir at Citizens Trail are sharply divided: some families praise a clean, welcoming facility with friendly, attentive staff, while others report serious lapses in medication management and communication from nursing leadership. Several reviewers singled out specific staff members for compassionate care even amid otherwise negative experiences.

The Good

  • Clean, welcoming lobby and facility
  • Staff described as friendly and professional
  • Strong on-site security noted by visitors
  • Specific nurses and social worker praised for compassion
  • Attentive help guiding first-time visitors

The Bad

  • Multiple reports of medication errors or missed doses
  • One report of a 9-day delay in IV antibiotics
  • Complaints about unresponsive or dismissive nursing leadership
  • Poor communication with families about care issues

AI-generated from reviews and community data.

Avir at Citizens Trail is a senior living community in Texarkana, Texas offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Housekeeping and Laundry Service. Families rate it 4.2 out of 5 across 77 reviews.

About Avir at Citizens Trail

Avir at Citizens Trail is a skilled nursing / long term care community in Texarkana, Texas. The community is licensed for up to 114 residents.

Families rate Avir at Citizens Trail 4.2 out of 5 based on 77 Google reviews.

Contact the community directly to ask about availability, pricing, and tours, or browse the photos and reviews here to see if it could be the right fit for your family.

Types of Care at Avir at Citizens Trail

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Security

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Reviews of Avir at Citizens Trail

4.2overall · 77 ratings combined

4.2★ on Google (77)

Barbara Stearns

Dec 2025

via Google

Despicable and unbelievable care for my husband who has Alzheimer’s. My husband’s condition is greatly deteriorating so I took the opportunity for respite care for him so that I might tour our local memory care facilities. He appeared to do well the first day and night, at about 32 hours in I was contacted by my hospice nurse stating the facility called her threatening to call the police on my husband for making threats. What? New shift of nurses… said they could not get him to take his meds either. I raced down to see him, he was sitting, appeared calm but hallucinating. I took him to the break room, got his meds in him and brought him home. So much for respite care. Don’t take your loved one here for any reason. I am not the first this has happened to. I have left messages for the executive director, Zack, no return call. Despite the horror and traumatic experience, kudos go to Morgan the social worker, Derrick, head of maintenance and the two nurses who did provide excellent care for my husband, Deja and Judy, thank you for your kindness and compassion!

E Hernandez

Jun 2025

via Google

This is a wonderful facility with excellent care! I’ve been really impressed with the team at Christian Care Center recently.

Linda Hotzel

Apr 2025

via Google

First off, watch over your loved one because they won't! Gave my sister wrong med doseage and wrong meds completely! Did not give her antibiotics IV for 9 days! Said was waiting on test results that DR said would have been back in 2days at latest. The Administrator and Social Worker tried their best to help solve problems. I was told by DON that the Administrator and Social Worker has nothing to do with nursing side and could do nothing, she was in charge of that! Nite crew nurses leave alot to be desired. Day nurses was pretty good with the exception of 3 or 4. The DON Monique and her sidekick think they own the place. Very unpleasant and if she smiles her face would break. Wow, this place is anything but Christian. The whole place needs an attitude adjustment and training on how to talk to people. Simply keeping patients and family informed would go a long way. Would NOT recommend this facility to anyone!

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Government Inspection History

5 inspection visits in the last three years, 61 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Nov 20, 2025Fire Safety StandardHealth Standard28 citations
  • Implement a program that monitors antibiotic use.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 21, 2025

  • Provide and implement an infection prevention and control program.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 21, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 21, 2025

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 21, 2025

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 21, 2025

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 21, 2025

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 21, 2025

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 21, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 21, 2025

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Provide safe, appropriate pain management for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Have policies on smoking.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Provide enough food/fluids to maintain a resident's health.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Have properly installed electrical wiring and gas equipment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadNo revisit needed

Aug 21, 2024Fire Safety StandardHealth Standard9 citations
  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 27, 2024

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 6, 2024

  • Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 4, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2024

  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2024

  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2024

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2024

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadWaiver has been granted

Jul 17, 2024Health Complaint2 citations
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 8, 2023

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

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 8, 2023

Feb 24, 2024Health Complaint5 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 13, 2024

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 13, 2024

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 13, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

Jul 12, 2023Fire Safety StandardHealth ComplaintHealth Standard17 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedCorrected Aug 9, 2023

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 16, 2023

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 9, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 9, 2023

  • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 14, 2023

  • Reasonably accommodate the needs and preferences of each resident.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 9, 2023

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 9, 2023

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 9, 2023

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 9, 2023

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 9, 2023

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 9, 2023

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 9, 2023

  • Provide activities to meet all resident's needs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 9, 2023

  • Provide enough food/fluids to maintain a resident's health.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 9, 2023

  • Provide safe, appropriate pain management for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 9, 2023

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 9, 2023

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadWaiver has been granted

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Avir at Citizens Trail offer?

Avir at Citizens Trail offers Skilled Nursing / Long Term Care.

Where is Avir at Citizens Trail located?

Avir at Citizens Trail is located at 1008 Citizens Trail in Texarkana, Texas.

What do families say about Avir at Citizens Trail?

Reviews for Avir at Citizens Trail are sharply divided: some families praise a clean, welcoming facility with friendly, attentive staff, while others report serious lapses in medication management and communication from nursing leadership. Several reviewers singled out specific staff members for compassionate care even amid otherwise negative experiences.

How did Avir at Citizens Trail do on recent health and safety inspections?

Avir at Citizens Trail had 5 government inspection visits in the last three years, with 61 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Avir at Citizens Trail?

Submit the Request Information form on this page to connect with Avir at Citizens Trail and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Avir at Citizens Trail? Claim this listing to update photos, pricing, and details. It's free.

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