Average — CMS composite of the measures below.
The next survey window likely opens around February 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 Villa At Texarkana during CMS and state inspections, most recent first.
Failure to provide meaningful activities on the memory care unit. Surveyors observed residents sitting in the dining and sitting areas with the TV on and no sound, with no CNA or activity staff present during some observations and no exercise, dancing, arts and crafts, or other scheduled activities taking place. The Memory Care Activity Assistant stated she was not following the activity calendar because many residents could not participate in the listed activities and that residents were often left to watch TV, snack, or nap. The DON and Administrator stated staff should provide person-centered, structured dementia care and follow the calendar and care plans to meet residents' needs.
Kitchen sanitation failures were observed when a flour scoop was repeatedly left inside a flour container and the deep fryer and stove had caked-on grease buildup. The Dietary Mgr and an employee stated staff were responsible for monitoring scoop storage, and the Dietary Mgr reported the fryer and stove were cleaned on a routine schedule but the grease would not come off. The Administrator stated she expected dietary staff to maintain sanitary kitchen conditions.
Late Annual MDS Assessment: A resident with dementia did not have the annual comprehensive MDS completed within the required timeframe. The MDS Coordinator acknowledged the assessment was overlooked despite a paper backup system and software due-date tracking, and the MDS validation report confirmed the annual MDS was completed late.
Quarterly MDS Not Completed Timely: A resident with dementia, BPH, and HTN had a quarterly MDS missed after an annual MDS showed severe cognitive impairment and need for supervision with ADLs. The MDS Coordinator said she overlooked transmitting the quarterly assessment even though the system tracked due dates, and the DON and Administrator stated MDSs were expected to be completed and transmitted in a timely manner.
Inaccurate MDS Coding for Psychotropic Medication Use: A resident with Alzheimer’s disease, fibromyalgia, and type II DM had a quarterly MDS that coded daily antipsychotic use despite no antipsychotic orders in the physician orders and no administration on the MAR. The MDS Coordinator acknowledged the miscoding, and the DON stated there was no system check in place to audit MDS accuracy.
Chemical insecticide was found in a resident's room during observation, and the resident said he kept it to spray bugs and had received it from family. The resident had intact cognition on MDS, with diagnoses including MDD, CVA, and PNA. A CMA, DON, and Administrator stated residents should not have bug spray in their rooms, and the facility policy stated the environment should be kept free from accident hazards.
The facility failed to maintain a safe and comfortable environment for two residents. One resident had an electrical outlet hanging out of the wall, posing a potential hazard, while another resident had a malfunctioning bed light pull string, affecting their quality of life. Maintenance issues were not properly logged, leading to delays in repairs and highlighting systemic communication problems within the facility.
A facility failed to accurately document a resident's medical status in the MDS assessment, incorrectly noting insulin injections instead of antibiotic treatment for a UTI. The MDS Coordinator admitted to oversight, and the DON highlighted the importance of accurate coding for care planning.
Two residents were found with cigarette lighters in their possession, violating the facility's smoking policy. One resident had a working metal lighter on his bedside table, while another had two plastic lighters on his walker. Both residents were cognitively intact and required supervision for some ADLs. Staff interviews confirmed that the facility's policy prohibits residents from keeping smoking materials in their rooms or on their person due to fire risk.
A facility failed to use alternatives before installing bed rails for a resident with anxiety disorder and myopathy. The facility did not obtain informed consent or conduct a bed rail assessment to evaluate entrapment risks. The resident used the rails for mobility, but the facility did not consider them restraints, leading to a lack of necessary assessments and consent.
The facility failed to ensure appropriate management of psychotropic medications for two residents. One resident did not have a proper rationale for declining a gradual dose reduction of Zyprexa, while another was prescribed Trileptal for anxiety without a matching diagnosis. Staff interviews revealed a lack of clarity in ensuring medications matched diagnoses, potentially leading to ineffective monitoring and negative health effects.
A resident's personal refrigerator contained expired bologna and milk, posing a risk for foodborne illness. The resident, who had mild cognitive impairment, did not check expiration dates and consumed whatever was available. Staff interviews revealed that housekeeping was primarily responsible for cleaning, but any staff noticing expired items should remove them. The facility's policy required proper labeling and storage of food, which was not followed.
A facility failed to ensure proper hand hygiene during incontinent care for a resident with dementia and a history of UTIs. The staff member did not wash hands after care, risking cross-contamination. Interviews confirmed the expectation of handwashing, as per facility policy, but this was not followed, leading to a deficiency in infection control.
The facility failed to uphold the rights of two residents, one of whom was not allowed to call the police to report a potential crime, and another whose privacy was violated when a staff member entered her room without knocking. These actions were contrary to the facility's policy on resident rights, which emphasizes respect and dignity.
Failure to Provide Meaningful Activities on Memory Care Unit
Penalty
Summary
The facility failed to provide an ongoing program of activities in accordance with the comprehensive assessment to meet the interests and the physical, mental, and psychosocial well-being of 1 of 1 memory care unit reviewed, consisting of 14 residents. Survey observations on the memory care unit showed residents sitting in the dining and sitting areas while the television was on with no sound, with no CNA or activity personnel present during one observation, and no exercise or other activity taking place despite the posted calendar listing exercise, dancing, sit-to-fit, bean bag toss, memory lane, name that tune, nail care, art shop, and match up activities. Additional observations showed several residents in the sitting and dining areas with no meaningful activities offered, including residents sitting with their heads on the table and others wandering the hallway. During interview, the Memory Care Activity Assistant stated she had not been following the activities calendar because the residents were unable to participate in several of the listed activities, and she had been letting them watch TV, snack, and nap when they wanted. The DON stated staff received annual training on dementia centered care and that all staff should provide person-centered care, while the Administrator stated the secured unit needed structured activities and that the facility should be following the calendar and using care plans to find activities to meet residents' needs. The facility's dementia policy stated direct care staff will support residents in initiating and completing activities and that therapeutic and recreational activities will be supervised and supported throughout the day as needed.
Kitchen sanitation failures with food scoop storage and grease buildup
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in its only kitchen reviewed for sanitation. During observations on 03/09/2026 and 03/10/2026, the flour scoop was left inside the flour container instead of being kept out of the storage container. On 03/11/2026, [NAME] B opened the flour container and removed the scoop, which was a quarter pitcher with the handle laying on top of the flour. [NAME] B stated everyone was responsible for monitoring to ensure scoops were not left in storage containers and was unsure why the scoop had been left there. The Dietary Manager also stated dietary staff and cooks were responsible for monitoring to ensure scoops were not left in storage containers, and that this was important to prevent cross contamination. Kitchen observations also showed the deep fryer and stove had caked-on grease. The deep fryer was beside the stove with a small gap between them, and there was solidified grease on the floor between them and around the legs of the deep fryer. The side of the stove had caked-on yellowish-brown grease, and the back of the deep fryer had thick layers of yellowish-brown grease, with darker buildup around the bolts. [NAME] B stated the deep fryer had caked-on grease that would not come off and that it was cleaned twice weekly and as needed. The Dietary Manager stated the deep fryer and stove were cleaned once per week and that she had tried several cleaning products, but the grease would not come off. She scraped the side of the stove with her fingernail and yellow debris was noted on her fingernail. The Administrator stated she expected dietary staff to maintain sanitary conditions in the kitchen and that equipment should be kept clean and sanitary.
Late Annual MDS Assessment
Penalty
Summary
The facility failed to complete a comprehensive resident-centered annual MDS assessment in a timely manner for Resident #47. Resident #47 was a male resident admitted with a diagnosis of dementia, and his annual comprehensive MDS assessment had an ARD date of 01/28/2025. The next comprehensive MDS assessment should have been scheduled on or before 01/28/2026, but the annual comprehensive MDS assessment was not completed until 02/27/2026, which was 30 days late. The MDS final validation report dated 03/04/2026 reflected that Resident #47's annual MDS assessment was completed late. During interview, the MDS Coordinator stated it was her responsibility to ensure MDS assessments were completed and transmitted timely, and she acknowledged that she failed to transmit Resident #47's annual assessment on time. She stated she had a paper backup system and that the software tracked due dates, but she overlooked the resident's annual assessment. The Administrator stated she expected MDS assessments to be completed within required timeframes and that the regional MDS nurse was responsible for monitoring timeliness.
Quarterly MDS Not Completed Timely
Penalty
Summary
The facility failed to complete the quarterly MDS assessment for Resident #62 within 92 calendar days of the previous annual assessment. Resident #62 was a [AGE]-year-old male admitted with diagnoses of dementia, benign prostatic hypertrophy, and hypertension. The record showed a quarterly MDS completed on 08/06/2025 and an annual MDS completed on 11/06/2025. The annual MDS documented a BIMS score of 01, indicating severe cognitive impairment, and that he required supervision with ADL assistance for safety. During interview, the MDS Coordinator stated it was her responsibility to ensure all MDS assessments were completed and transmitted timely, and that Resident #62 was due for a quarterly MDS on 02/06/2026 but she overlooked transmitting it. She stated she had a paper backup system and that the system used to input data tracked due dates, and she said quarterly assessments were due every 92 days except when an annual was completed, which took the place of the quarterly assessment. The MDS Coordinator, DON, and Administrator all stated the MDS assessments were their responsibility to complete and transmit in a timely manner, and the facility policy stated quarterly assessments are conducted to assist in updating person-centered care plans and are due every 92 days.
Inaccurate MDS Coding for Psychotropic Medication Use
Penalty
Summary
Resident #8’s quarterly MDS assessment was found to be inaccurate because it coded the resident as receiving daily antipsychotic medications when no such medication orders were present. Record review showed Resident #8 was an [AGE] year-old female admitted with diagnoses of Alzheimer’s disease, fibromyalgia, and type II diabetes. The MDS also documented a BIMS score of 03, indicating severe cognitive impairment, and showed the resident required partial assistance with bed mobility, transfer, and toileting. Review of the consolidated physician orders for December 2025 showed no antipsychotic medication orders for Resident #8, and the December 2025 MAR showed no antipsychotic medications were administered. During interview, the MDS Coordinator stated the resident should not have been coded as receiving daily antipsychotic medications and acknowledged the entry was a miscoding. The DON stated there was no system check in place to audit MDS accuracy, and the Administrator stated it was the MDS Coordinator’s responsibility to produce accurate MDSs and care plans.
Chemical Insecticide Found in Resident Room
Penalty
Summary
The facility failed to ensure the resident environment remained free from accident hazards for 1 of 20 residents reviewed, Resident #84. During observation and interview on 3/9/26 at 9:27 a.m., Resident #84 had a spray bottle of chemical insect killer in his room. He stated that if he saw a bug he would spray and kill them, that he got the bug spray from his family, that he had had it for a while, and that no staff told him he could not have it. Record review showed Resident #84 was a re-admitted male with diagnoses including Major Depressive Disorder, Cerebral Infarction, and Pneumonia. His Annual MDS assessment dated 12/16/25 showed a BIMS score of 15, indicating intact cognition. His care plan included a problem initiated on 2/21/2019 for depression and anxiety related to decreased cognition requiring staff monitoring. During interviews, a CMA, the DON, and the Administrator all stated residents should not have chemical bug spray in their rooms, and the Administrator stated the chemicals had been brought in by the resident's family. The facility policy titled Safety and Supervision of Residents stated the facility strives to make the environment as free from accident hazards as possible and that safety risks and environmental hazards are identified on an ongoing basis.
Facility Fails to Maintain Safe and Comfortable Environment for Residents
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for two residents, leading to deficiencies in their living conditions. For one resident, an electrical outlet in their room was hanging out of the wall, secured only by metal brackets, with the top part approximately one inch away from the wall. This exposed the electrical conduit and three holes in the wall, with multiple electrical cords plugged into the outlet. Family members reported that the outlet had been in this condition for several months, and despite attempts to repair it, the issue persisted. Staff interviews revealed that maintenance issues were often reported verbally rather than through the maintenance log, leading to delays in addressing the problem. Another resident experienced a deficiency related to a malfunctioning bed light pull string. The pull cord for the light above their bed was frayed and torn, approximately 75% torn off, which forced the resident to tie their call light button cord to the light switch cord to operate the light. The resident expressed dissatisfaction with this makeshift solution, and the Maintenance Director was unaware of the issue due to a lack of reporting in the maintenance log. The facility's policy emphasized the importance of maintaining a homelike environment, but the failure to address these maintenance issues compromised the residents' quality of life. Interviews with staff, including the Maintenance Director and the Administrator, highlighted systemic issues in the reporting and handling of maintenance requests. The Maintenance Director acknowledged problems with staff not using the maintenance log, and the Administrator emphasized the importance of addressing electrical issues immediately. Despite an in-service training conducted by the Administrator to ensure staff reported maintenance needs, the deficiencies persisted, indicating a breakdown in communication and procedure adherence within the facility.
Inaccurate MDS Assessment for Resident
Penalty
Summary
The facility failed to ensure that a resident's Minimum Data Set (MDS) quarterly assessment accurately reflected the resident's medical status. Specifically, the MDS inaccurately documented that the resident received insulin injections for five days, despite there being no orders or records of insulin administration. Instead, the resident received antibiotic injections for a urinary tract infection (UTI) during that period. Additionally, the MDS did not document the presence of a UTI, even though the resident had a positive urinalysis for multiple bacteria and exhibited symptoms such as burning and itching with urination. Interviews with the MDS Coordinator and the Director of Nursing (DON) revealed that the inaccuracies were due to oversight and misjudgment. The MDS Coordinator admitted to mistakenly coding insulin injections, assuming it was common for residents receiving injections. She also did not code the UTI, believing it did not meet the criteria due to the resident having only one day of symptoms. The DON emphasized the importance of accurate MDS coding for care planning and acknowledged that the resident's frequent UTIs should have been documented. The facility's policy, aligned with CMS's RAI manual, requires accurate resident assessments to ensure appropriate care and services.
Inadequate Supervision of Smoking Materials
Penalty
Summary
The facility failed to ensure adequate supervision to prevent accidents for two residents who were found with cigarette lighters in their possession, contrary to the facility's smoking policy. Resident #66, who is cognitively intact and requires supervision for some activities of daily living (ADLs), was observed with a working metal lighter on his bedside table. His care plan indicated that smoking materials should be kept at the nurse's station, yet he stated that he kept the lighter to smoke whenever he wanted. No cigarettes were observed in his room. Resident #72, also cognitively intact and requiring supervision for some ADLs, was found with two plastic lighters on his walker. Despite being non-compliant with the facility's smoking policies, he kept the lighters with him and became agitated when questioned. Interviews with staff, including an RN, the Director of Nurses, and the Administrator, confirmed that the facility's policy prohibits residents from keeping smoking materials in their rooms or on their person, as it poses a fire risk. The facility's undated Smoking and Vaping Policy explicitly states that smoking materials must be stored in designated areas and not carried by residents.
Failure to Obtain Informed Consent and Conduct Bed Rail Assessment
Penalty
Summary
The facility failed to follow proper procedures before installing bed rails for a resident, identified as Resident #30. The facility did not attempt to use alternatives before installing the bed rails, nor did they obtain informed consent from the resident or conduct a bed rail assessment to evaluate the risk of entrapment. The resident, who was an elderly male with anxiety disorder and myopathy, required substantial assistance with mobility and was completely dependent on staff for certain movements. Despite these needs, there was no physician's order for bed rails, and the care plan only mentioned the use of assist rails and half rails for positioning. Observations and interviews revealed that the bed rails installed were longer than one-quarter the length of the mattress, and the resident used them for mobility without any reported issues. However, the facility staff, including the Administrator and the Director of Nursing (DON), acknowledged that they did not consider the rails as restraints and therefore did not complete the necessary informed consent or assessments. The facility's policy required an assessment to determine the resident's symptoms, risk of entrapment, and the reason for using side rails, which was not adhered to in this case.
Deficiencies in Psychotropic Medication Management
Penalty
Summary
The facility failed to ensure that two residents received appropriate management of their psychotropic medications, leading to deficiencies in medication administration. Resident #8, who had severe cognitive impairment and was on Zyprexa for bipolar disorder, did not have an appropriate rationale documented for declining a gradual dose reduction (GDR) of her medication. The consultant pharmacist recommended a GDR, but the physician's response was simply 'hospice care,' which was not considered an adequate justification by the Director of Nursing (DON) and the Administrator. This lack of proper documentation and rationale could result in the resident receiving unnecessary psychotropic medication. Resident #18, diagnosed with Alzheimer's disease, major depression disorder, and anxiety disorder, was prescribed Trileptal, a medication typically used for epileptic seizures, for anxiety disorder. The facility failed to ensure that the medication matched the appropriate diagnosis. Interviews with various staff members, including the RN, ADON, and LVN, revealed that there was a lack of clarity and responsibility in ensuring that medications were correctly matched with diagnoses. This misalignment could lead to ineffective monitoring and potential negative effects on the resident's health. The facility's policies on medication therapy and behavior and psychoactive management were not adequately followed, as evidenced by the lack of proper documentation and rationale for medication use and GDR attempts. The facility's failure to adhere to these policies could result in residents being exposed to unnecessary medication side effects and adverse consequences, impacting their quality of life.
Failure to Ensure Safe Storage of Food in Resident's Personal Refrigerator
Penalty
Summary
The facility failed to maintain safe and sanitary storage of food items in a resident's personal refrigerator, specifically for a resident who was mildly cognitively impaired and required supervision for some activities of daily living. During an observation, it was found that the resident's refrigerator contained expired bologna and milk. The resident admitted to consuming whatever was in the refrigerator without checking expiration dates and stated that staff only cleaned the refrigerator every few months. Interviews with staff, including a CNA, the Director of Nursing, and the Administrator, revealed that there was a lack of consistent responsibility for ensuring the cleanliness and safety of food in residents' personal refrigerators. Housekeeping was identified as primarily responsible for cleaning out expired food, but it was noted that any staff member who noticed expired items should remove them. The facility's policy on food storage required that all food items be labeled with a use-by date and stored properly, but this was not adhered to in the case of the resident's personal refrigerator.
Failure in Hand Hygiene Protocols During Incontinent Care
Penalty
Summary
The facility failed to ensure proper hand hygiene procedures were followed by staff involved in direct resident contact, specifically in the case of a resident who was reviewed for infection control. During an observation, it was noted that the Staffing Coordinator did not wash her hands after performing incontinent care on the resident before applying a clean brief and covering the resident. This lapse in protocol was identified as a deficiency in the facility's infection prevention and control program. The resident involved was an elderly male with a history of unspecified dementia, anoxic brain damage, and a personal history of urinary tract infections. He was dependent on assistance for toileting hygiene and required moderate assistance with personal hygiene. The resident's care plan indicated incontinence of bowel and bladder due to neuromuscular dysfunction of the bladder and anoxic brain damage, necessitating careful adherence to hygiene protocols to prevent infections. Interviews with various staff members, including CNAs, RNs, and the DON, confirmed the expectation that staff should wash their hands and change gloves after performing peri care. The facility's infection control policy and hand hygiene procedures also mandated handwashing after direct resident contact. Despite these guidelines, the failure to perform proper hand hygiene was observed, which could potentially lead to cross-contamination and infections.
Failure to Uphold Resident Rights and Privacy
Penalty
Summary
The facility failed to protect and promote the rights of two residents, leading to deficiencies in their care. For one resident, the facility did not allow him to call the police to report a potential crime, despite his request. This resident, who was cognitively intact with a BIMS score of 13, had a history of being verbally aggressive and was on psychotropic medications. An incident occurred where he accidentally ran over another resident's foot, leading to an altercation. Despite the resident's request to call the police, the staff did not facilitate this, citing that only the Administrator could make such calls. Interviews with the Ombudsman and staff confirmed that the resident's right to communicate with outside agencies was not upheld. Another deficiency involved a resident with severe cognitive impairment and a BIMS score of 5, who was dependent on staff for activities of daily living. A staff member entered her room without knocking, exposing her during incontinent care. This action violated the resident's right to privacy and dignity. The staff member acknowledged forgetting to knock and quickly corrected the situation, but the incident was witnessed by a surveyor and the resident's family member, who expressed concern over the lack of privacy. The facility's policy on resident rights, which includes treating residents with respect and dignity, was not followed in these instances. The Director of Nursing and the Administrator both emphasized the importance of respecting residents' rights to privacy and communication, but the actions of the staff did not align with these expectations. The failure to knock before entering and to allow a resident to call the police were clear violations of the residents' rights as outlined in the facility's policy.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 107 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Texarkana
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Texarkana | 0.1 mi | ★★★★★ | 7 | 3 |
| Heritage Plaza Nursing Center | 0.3 mi | ★★★★★ | 2 | 0 |
| Reunion Plaza Senior Care And Rehabilitation Cente | 0.8 mi | ★★★★★ | 25 | 2 |
| The Cottages At Texarkana | 1.2 mi | ★★★★★ | 0 | 0 |
| Bailey Creek Health And Rehab | 1.4 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Villa At Texarkana.
100% money-back within 48 hours.
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.