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Nursing HomeMedicaid

The Villa at Texarkana

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4920 Elizabeth St, Texarkana, TX 75503120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 17 Google reviews

5
4
3
2
1
The Villa at Texarkana Nursing Home in Texarkana, TX — Street View
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What this means for your family

This facility excels at providing compassionate care during hospice and hospital transitions, which is a significant strength for families in crisis. However, you should verify current staffing levels and the condition of resident rooms during your visit, as past reviews have raised concerns about maintenance and care for non-mobile residents.

Google Reviews

Google Reviews

17 reviews on Google
Families can expect compassionate end-of-life and hospice care, with specific praise for staff members who go above and beyond during difficult transitions. However, there are serious allegations regarding understaffing and poor maintenance of furniture and rooms that should be investigated.

Quality Themes

FoodN/AStaff8.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate hospice and end-of-life care
  • Smooth hospital-to-facility transitions
  • Attentive nursing staff during difficult times
  • Improved management under new ownership

Concerns

  • Understaffing and potential neglect of non-mobile residents
  • Damaged furniture and room maintenance

Rating Trends

Tap a year to see what changed

2345.0'16(1)3.55.0'19(2)3.73.7'21(3)4.53.0'24(2)5.0'25(1)

Distribution · 18 analyzed

5
11
4
1
3
3
2
0
1
3

How They Respond to Reviews

29%response rate
Good

The owner provides personalized, warm responses to positive reviews, often referencing specific family members. For negative reviews, they use professional, template-based language to invite direct communication and resolution.

Questions for Your Tour

  • 1I noticed some positive feedback regarding how smoothly you handle transitions from the hospital; what does that process look like for a new resident arriving here?
  • 2With the recent changes in management, what specific improvements have you seen in the daily care and maintenance of the resident rooms?
  • 3How do you ensure that residents who have limited mobility are getting plenty of personalized attention and engagement throughout the day?
  • 4We are so glad to hear about the compassionate end-of-life care provided here; how does the nursing team support families during those difficult medical transitions?
  • 5What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
  • 6Could you tell us more about the daily activities and social opportunities available to help residents stay active and connected with each other?

Personalized based on this facility's data


Key Review Excerpts

Each and every staff member treated her with the utmost respect and compassion. They were there for us every step of the way through a very difficult time.

Hospice resident's family · 2019★★★★★

Bridgette made the entire process smooth with easy transition from hospital to the facility. She even made several trips to the hospital to answer questions with mom and to ensure she felt comfortable as well.

New resident's family · 2021★★★★★

I can't believe how much better this place got after the new owner took over. I was actually in the process of finding my Gramps a different home about 8 months ago, but now he's really being handled well.

Long-term resident's family · 2019★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
19.4%
TX
14.2%
Bowie
13.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.3%
Worse than Avg
Here
28.3%
US
19.5%
TX
18.4%
Bowie
18.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.3%
Mixed vs Avgs
Here
7.3%
US
12.1%
TX
2.5%
Bowie
0.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
14.4%
TX
16.1%
Bowie
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bowie
97.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bowie
97.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Bowie
85.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Bowie
84.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bowie
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.1)
10 complaint-triggered

This facility has concerning patterns across 41 deficiencies, with families filing 10 complaints that triggered investigations. Recurring issues include safety hazards and accident prevention, medication management, fire safety systems, and infection control protocols. While most deficiencies show correction dates, problems persist across multiple surveys from 2022-2024, and one recent heating system violation remains uncorrected, suggesting ongoing compliance challenges that families should carefully evaluate.

Dec 11, 2024Routine
13
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · WidespreadCorrected

Services Deficiencies

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

Dec 11, 2024Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Nov 15, 2023Routine
9
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0521Minimal · Widespread

Services Deficiencies

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

Oct 24, 2023Complaint
7
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 2, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 7, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

TXK MANAGEMENT LLC

Administrator

LORRAINE HAYNES

Chain Affiliation

Chain Name

Caring Healthcare Group

Chain Size

14 facilities nationwide

Chain avg rating: 3.2/5 · Rank 2 of 13

Ownership & Management

Key personnel

Murray, LorraineW-2 Managing EmployeeMurrell, EdwardOfficer / DirectorTxk Management, LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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