Cornerstone Retirement Community
4100 Moores Lane, Texarkana, TX 75503 · Bowie County · 40 certified beds · avg 32 residents/day · certified since Apr 23, 2014 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: METHODIST RETIREMENT COMMUNITIES (6 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 6, 2024 · F-0694
The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Why it matters: Improper IV care can cause infections, dehydration, or dangerous fluid imbalances.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 26, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 13, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 13, 2026 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Feb 4, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 4, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 4, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 4, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 6, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Nov 6, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 20, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2024 | 9 | 1 | J ▲ |
| 2026 | 7 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $39,764.
| Date | Type | Amount / length |
|---|---|---|
| Nov 6, 2024 | Fine | $39,764 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.30 | 3.46 | 3.95 | top 10% in Texas; top 29% in the U.S. |
| Registered Nurse hours | 0.95 | 0.44 | 0.69 | top 3% in Texas; top 18% in the U.S. |
| Weekend total nurse staffing | 3.67 | 3.04 | 3.50 | top 12% in Texas; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.34 | 0.48 | top 31% in Texas; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 38.1 | 55.3 | 45.8 | top 16% in Texas; top 31% in the U.S. |
| RN turnover (%) | 12.5 | 54.6 | 42.9 | top 2% in Texas; top 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.08, RN 0.90, weekend 3.48. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| MRC Cornerstone | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/23/2014 |
| The Aldersgate Trust | Organization | 5% or Greater Indirect Ownership Interest | 100% | 06/11/2010 |
| Baggett, Alyce | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Besser, Alicia | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Brown, Alan | Individual | Corporate Director | NOT APPLICABLE | 04/13/2020 |
| Brown, Alan | Individual | Corporate Officer | NOT APPLICABLE | 04/13/2020 |
| Bunch, James | Individual | Corporate Director | NOT APPLICABLE | 08/13/2020 |
| Conger, Dale | Individual | Corporate Director | NOT APPLICABLE | 02/21/2020 |
| Currie, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 08/21/2025 |
| Elmore, Sydney | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Elmore, Sydney | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Gilts, Kip | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| King, William | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Koerner, William | Individual | Corporate Director | NOT APPLICABLE | 02/21/2020 |
| Lewis, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2024 |
| Malone-Wardley, Romonica | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Morgan, Richard | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Partin, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2013 |
| Simmons, Ed | Individual | Corporate Director | NOT APPLICABLE | 02/10/2023 |
| Stephens, Donald | Individual | Corporate Officer | NOT APPLICABLE | 01/07/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avir at Cowhorn Creek | 0.9 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Reunion Plaza Senior Care and Rehabilitation Cente | 1.8 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Texarkana | 2.5 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Villa at Texarkana | 2.5 mi | Texarkana, TX | ★★★☆☆ | 4/5 | |
| Heritage Plaza Nursing Center | 2.7 mi | Texarkana, TX | ★★★☆☆ | 3/5 | |
| Avir at Citizens Trail | 3.1 mi | Texarkana, TX | ★☆☆☆☆ | 1/5 | |
| The Cottages at Texarkana | 3.7 mi | Texarkana, AR | ★★★☆☆ | 2/5 | |
| Bailey Creek Health and Rehab | 3.9 mi | Texarkana, AR | ★★☆☆☆ | 2/5 | |
| The Springs of Texarkana | 5.5 mi | Texarkana, AR | ★★★★☆ | 3/5 | |
| Pleasant Manor Nursing & Rehab | 13.5 mi | Ashdown, AR | ★★★★★ | 5/5 | |
| Little River Nursing & Rehab | 14.2 mi | Ashdown, AR | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676359.