Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Of Texarkana during CMS and state inspections, most recent first.
The ice machine was not maintained in a clean and sanitary condition. During observation, the DM and Administrator wiped the inside near the storage bin opening and found a yellow-brown substance that appeared to be rust or dirt. The DM said the MS was responsible for cleaning the machine, while the MS said he deep cleaned it every two months and was unsure what dietary staff did daily or weekly. The cleaning log showed infrequent entries, and the facility policy required ice machines and ice storage containers to be drained, cleaned, and sanitized.
Care Plan Did Not Address Smoking Safety: A resident with hemiplegia and a TIA/stroke history, who was cognitively intact, used a wheelchair, and was identified as a current tobacco user, had a smoking safety screen showing supervised smoking and 5-10 cigarettes per day. However, the Care Plan did not include smoking, smoking safety, or that the resident smoked. The resident was later observed smoking with supervision, and staff interviews confirmed the Care Plan should have reflected the resident’s smoking needs and that it was inaccurate.
A resident with severe mental impairment experienced an unwitnessed fall, resulting in a laceration above the right eye. The facility failed to notify the resident's family immediately, as required by policy. The fall was reported to the MD and DON, but the family was informed three days later, leading to a deficiency in communication.
A resident who was fully dependent for transfers and used a wheelchair was injured after falling from a borrowed van's lift during transport. The CNA operating the lift had not received proper hands-on training or demonstration, and the wheelchair was not secured with locked wheels or a safety belt. The lift was used on an incline, contrary to safety instructions, leading to the resident's fall and injury.
The facility failed to maintain lift pads in good condition, posing a risk to a dependent resident. A resident with moderate cognitive impairment had disinfectant spray at their bedside, contrary to safety protocols. Additionally, an LPN left a resident with narcotic medication and Albuterol without supervision, violating medication administration policies.
A facility failed to lock medication carts when unattended and did not follow proper procedures for administering medications through a feeding tube. An LPN left a medication cart unlocked, contrary to policy, and administered medication through a feeding tube without flushing it before and after, as required by physician orders. The DON confirmed the need for these protocols to prevent unauthorized access and ensure proper medication administration.
The facility exhibited deficiencies in hand hygiene and food safety practices. Dietary staff failed to wash hands before handling clean equipment, and the ice machine was not maintained in a sanitary condition. Cold food items were also not kept at the required temperature, with items like pimento cheese sandwiches and three bean salad found above the standard temperature. These actions were contrary to the facility's handwashing policy.
A resident's personal and medical information was left exposed on an unattended computer screen in a hallway, violating privacy policies and HIPAA regulations. The resident had severe cognitive impairment and a history of serious medical conditions. The facility's policy requires screens to be locked when unattended, but this was not followed, leading to unauthorized access to sensitive information.
Ice Machine Not Kept Clean and Sanitary
Penalty
Summary
The ice machine was not maintained in a clean and sanitary condition to prevent potential contamination of residents' food and beverages. During observation and interview, the Dietary Manager wiped the ice machine at the top of the storage bin and the paper towel had a yellowish-brown substance that appeared to be rust. The Dietary Manager stated the Maintenance Supervisor was responsible for cleaning the ice machine once a month, but she had only worked at the facility for one week and did not know when it had last been cleaned. Later, the Administrator also wiped the inside of the ice machine near the top of the storage bin and observed a brown and yellow substance on the paper towel, which was described as dirty and like rust. The Maintenance Supervisor stated he deep cleaned the ice machine every two months and was unsure what dietary staff did for daily or weekly cleaning. The facility's Ice Machine Deep Cleaning Log showed cleaning dates that were spaced months apart, and the facility policy required ice machines and ice storage containers to be drained, cleaned, and sanitized per manufacturer instructions and facility policy.
Care Plan Did Not Address Smoking Safety
Penalty
Summary
The facility failed to develop and implement a Comprehensive Person-Centered Care Plan for one resident, identified in the report as Resident #12, by not addressing smoking safety. Resident #12 had diagnoses including hemiplegia affecting the left non-dominant side and TIA/stroke, had a BIMS score of 14 indicating cognitive intactness, used a wheelchair for mobility, and was identified on the MDS as a current tobacco user. The admission Smoking Safety Screen dated 02/05/2026 indicated the resident was safe to use tobacco with supervision and smoked 5-10 cigarettes per day. Review of the resident’s Care Plan dated 02/05/2026 showed it did not address smoking, that the resident smoked, or smoking safety. On 03/31/2026 at 3:30 PM, the surveyor observed Resident #12 smoking with supervision during a smoke break. During interviews, CNA #1 stated the Care Plan would reveal how to take care of a resident, LVN #2 stated the Assessment or Care Plan would reveal how much care a resident needed and how to take care of the resident, and the MDS Coordinator stated the MDS and Smoking Safety Screen should indicate if the resident smoked and how much care was needed to be placed on the Care Plan. The MDS Coordinator also stated the Care Plan did not identify Resident #12 as a smoker and was not accurate, and the DON stated the MDS Coordinator was responsible for reviewing Care Plans for accuracy.
Failure to Notify Family of Resident's Fall
Penalty
Summary
The facility failed to notify a resident's family member of a fall and change in condition for a resident with severe mental impairment and medical diagnoses including diabetes mellitus, Alzheimer's disease, and cerebrovascular accident. The resident experienced an unwitnessed fall, resulting in a laceration above the right eye. Despite the incident being documented in a progress note, there was no indication that the family or responsible party was informed of the fall at the time it occurred. Interviews with facility staff revealed that the fall was reported to the Medical Doctor and Director of Nursing immediately, but the resident's family was not notified until three days later. The facility's policy required family notification in an appropriate time frame after a fall, which was not adhered to in this case. The failure to notify the family promptly was acknowledged by the staff, and the responsible nurse received a verbal warning for this oversight.
Failure to Provide Adequate Supervision and Training for Wheelchair Lift Use Resulting in Resident Fall
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact but totally dependent on staff for transfers and required a wheelchair and limb prosthesis for mobility, was transported to an appointment using a borrowed van with a wheelchair lift. The staff member responsible for transporting the resident had not received proper training or demonstration on the use of the borrowed van's lift, only verbal instructions. The operational manual for the lift specifically warned that operators should be familiar with all safety precautions and that loading and unloading should occur on a level surface, but these instructions were not followed. During the transport, the staff member loaded the resident onto the lift, which was positioned on an incline in the parking lot. The lift had a noticeable lean, and the wheelchair was not secured with locked wheels or a safety belt. As the lift was raised, the wheelchair rolled backwards and became caught, resulting in the resident falling approximately 4-5 feet to the ground while still in the wheelchair. The resident sustained bruises, scratches, and soreness, particularly in the right shoulder area, but did not lose consciousness. The incident was witnessed and later described by both the resident and the staff member involved, who admitted to not double-checking the safety measures. Interviews with other staff revealed that none had received hands-on training or demonstration on the borrowed van's lift, and some were not aware of any recent training on van lifts. The administrator confirmed that the training provided was verbal only and not documented, and that the usual practice of having a mobility company representative conduct training and demonstrations was not followed for the borrowed van. The operational manual's safety warnings were not adhered to, and the staff member continued to use the van for resident transport after the incident, despite reporting concerns about the lift's condition.
Deficiencies in Equipment Maintenance, Hazardous Material Storage, and Medication Administration
Penalty
Summary
The facility failed to ensure that lift pads were in appropriate working order, which posed a potential risk of accidents or injury for a resident with severe cognitive impairment and total dependency on staff for transfers. During an observation, a CNA was seen using a lift pad with fraying and loose strings, which could potentially rip and cause the resident to fall. The CNA acknowledged the risk, and the Director of Nursing confirmed that damaged lift pads should be discarded and replaced. Another deficiency was identified when a can of disinfectant spray was found at the bedside of a resident with moderate cognitive impairment. The resident stated that a relative brought the spray for bathroom use, and a CNA did not see an issue with this. However, the Director of Nursing confirmed that residents should not have disinfectant spray at the bedside due to the risk of misuse, especially by confused individuals. There was no existing policy or in-service training addressing the storage of aerosol disinfectants at the bedside. The facility also failed to ensure proper medication administration and supervision for a resident who was left with a narcotic pain medication and Albuterol without supervision. An LPN handed the resident a medicine cup with Acetaminophen-Codeine and left the room without verifying ingestion. The resident was also left with Albuterol for self-administration, which was against facility policy as the resident had not been assessed for self-administration. The Director of Nursing confirmed that the LPN should not have left medications with the resident and that ongoing training for medication administration was provided.
Medication Cart Security and Tube Feeding Protocols Not Followed
Penalty
Summary
The facility failed to ensure medication carts were locked when left unattended, as observed on the 600 Hall. A Licensed Practical Nurse (LPN) left the medication cart unlocked while entering a resident's room and closing the door. This action was contrary to the facility's policy, which requires medication carts to be locked when not in use to prevent unauthorized access. The Director of Nursing confirmed that the medication cart should be locked when unattended to prevent residents from accessing medications. Additionally, the facility did not follow proper procedures for administering medications through a feeding tube for a resident with severe cognitive impairment and multiple diagnoses, including a brain bleed and type II diabetes. The LPN was observed administering an anti-nausea medication through the feeding tube without flushing it before and after, as required by the physician's orders and facility policy. The LPN incorrectly stated that flushing was unnecessary, despite orders to flush the feeding tube twice a day. The Director of Nursing confirmed that the feeding tube should be flushed before and after medication administration to ensure the medication is cleared from the tube.
Deficiencies in Hand Hygiene and Food Safety Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and sanitation practices in the dietary department, as observed during a survey. On one occasion, a dietary aide handled clean plates without washing hands after placing tray cards on food carts. Similarly, another dietary aide turned off a sink faucet and then handled glasses by their rims without washing hands. These actions were contrary to the facility's handwashing policy, which mandates washing hands before working with food utensils or equipment and as often as needed during food preparation. Additionally, the facility did not maintain the ice machine in a clean and sanitary condition. A reddish pink slimy residue was found on the top panel of the ice machine, which was used by CNAs to fill water pitchers for residents. The residue was easily wiped off, indicating inadequate cleaning. Furthermore, cold food items were not kept at the required temperature of 41 degrees Fahrenheit or below. Items such as pimento cheese sandwiches and three bean salad were found at temperatures above the standard, indicating improper storage and temperature control practices.
Resident Information Privacy Breach
Penalty
Summary
The facility failed to protect the personal and medical information of a resident, identified as Resident #306, from potential unauthorized access. Resident #306 had a medical history that included a brain bleed, respiratory failure, and type II diabetes, and was noted to have severe cognitive impairment. The deficiency was observed when a Licensed Practical Nurse (LPN) left a computer screen open in the hallway, displaying Resident #306's sensitive information such as name, room number, weight, vitals, allergies, and medications. This action was contrary to the facility's policy on confidentiality and privacy, which mandates that medical records be limited to authorized staff and protected according to resident rights and privacy policies. The incident was confirmed during an interview with the Director of Nursing (DON), who stated that nurses are expected to lock the computer screen when leaving it unattended to prevent unauthorized access. The DON acknowledged that displaying a resident's personal and medical information in such a manner constitutes an invasion of privacy and a violation of the Health Insurance Portability and Accountability Act (HIPAA). The surveyor requested any in-services, policies, or procedures addressing privacy, but the report does not mention any corrective actions or follow-up measures taken by the facility to address this deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Texarkana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bailey Creek Health And Rehab | 3 mi | ★★★★★ | 4 | 0 |
| Avir At Citizens Trail | 3.3 mi | ★★★★★ | 28 | 0 |
| The Cottages At Texarkana | 3.3 mi | ★★★★★ | 0 | 0 |
| The Villa At Texarkana | 3.6 mi | ★★★★★ | 9 | 0 |
| Avir At Texarkana | 3.7 mi | ★★★★★ | 7 | 3 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.