NectaLinkAvir at Cowhorn Creek
Public license record5524 Cowhorn Creek, Texarkana, TX, 75503
Nursing Facility · 76 licensed beds
Key facts
- Trust status
- Public license record
- License type
- Nursing Facility
- Licensed capacity
- 76 beds
Care offered
- Skilled Nursing
Costs
This facility has not published pricing. As a market baseline, Texas assisted living typically runs $3,500–$5,500/mo and skilled nursing is usually higher — ask for current rates when you contact them. Baseline is a state-level estimate, not this facility’s price.
CMS star ratings
CMS five-star rating from the Medicare.gov Provider Information dataset · data as of June 1, 2026. Not a NectaLink rating.
Inspection history
65 citations across 8 inspections on record · 65 with a documented correction date.
April 13, 2026 — Health inspection · complaint-related
- Potential for harmProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Corrected April 14, 2026.
February 12, 2026 — Health inspection
- Potential for harmReasonably accommodate the needs and preferences of each resident. Corrected February 13, 2026.
- Potential for harmHonor the resident's right to organize and participate in resident/family groups in the facility. Corrected February 13, 2026.
- Potential for harmGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Corrected February 13, 2026.
- Potential for harmAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Corrected February 13, 2026.
- Potential for harmAssess the resident when there is a significant change in condition Corrected February 13, 2026.
- Potential for harmEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Corrected February 13, 2026.
- Potential for harmEnsure each resident receives an accurate assessment. Corrected February 13, 2026.
- Potential for harmCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Corrected February 13, 2026.
- Potential for harmDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Corrected February 13, 2026.
- Potential for harmProvide care and assistance to perform activities of daily living for any resident who is unable. Corrected February 13, 2026.
- Potential for harmAssist a resident in gaining access to vision and hearing services. Corrected February 13, 2026.
- Potential for harmEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Corrected February 13, 2026.
- Potential for harmHave 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. Corrected February 13, 2026.
- Potential for harmProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Corrected February 13, 2026.
- Potential for harmEnsure medication error rates are not 5 percent or greater. Corrected February 13, 2026.
- Potential for harmEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. Corrected February 13, 2026.
- Potential for harmEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Corrected February 13, 2026.
- Potential for harmProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Corrected February 13, 2026.
- Potential for harmHave a policy regarding use and storage of foods brought to residents by family and other visitors. Corrected February 13, 2026.
- Potential for harmProvide and implement an infection prevention and control program. Corrected February 13, 2026.
August 15, 2025 — Health inspection · complaint-related
- Potential for harmHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Corrected August 18, 2025.
- Potential for harmHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Corrected August 18, 2025.
- Immediate jeopardyProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Corrected August 16, 2025.
- Immediate jeopardyHonor each resident's preferences, choices, values and beliefs. Corrected August 16, 2025.
- Potential for harmProvide care and assistance to perform activities of daily living for any resident who is unable. Corrected August 18, 2025.
- Potential for harmEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Corrected August 18, 2025.
- Potential for harmConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Corrected August 18, 2025.
+ 37 earlier citations on record.
Source: CMS Health Deficiencies dataset / Medicare Care Compare · data as of June 1, 2026. Descriptions are reproduced verbatim from federal survey records; correction dates are as reported to CMS.
Location
5524 Cowhorn Creek, Texarkana, TX 75503
What to verify before a tour
- Current room availability and waitlist timing
- Whether the quoted rate includes care fees and medication support
- Night and weekend staffing coverage
- How family updates, incidents, and care-plan changes are communicated
Contact this facility
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