Waterton Plaza at Cowhorn Creek

    5524 Cowhorn Creek Rd, Texarkana, TX, 75503
    2.8 · 16 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful building, inconsistent, unsafe care

    I have mixed feelings. The building is beautiful and often clean, and some nurses and therapists were caring and professional - my mother sometimes got excellent, attentive care. But care was inconsistent: many staff were unresponsive or disinterested, recovery/rehab and infection control were poor (roaches, a COVID outbreak, missed nutrition/meds), privacy and safety lapses occurred, and management felt money-focused. Overall I regret placing my loved one there despite a few very good staff.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.81 · 16 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.6
    • Meals

      1.0
    • Amenities

      5.0
    • Value

      1.0

    Pros

    • Some reviewers report excellent nursing and rehabilitation care
    • Several accounts praise caring, conscientious, and friendly staff
    • Facility described as clean, beautiful, and well-kept by multiple reviewers
    • Consistent monitoring and good communication for some residents
    • Families express confidence that loved ones receive good care in some cases
    • Director of Nursing (DON) and Administrator praised for compassion
    • Residents reported to be kept neat and clean
    • Some reviewers experienced prompt responsiveness and prideful staff
    • Some visitors reported staff stayed with residents and did not leave them alone
    • Positive reports of overall quality and responsiveness from satisfied families

    Cons

    • Frequent reports of poor staff responsiveness and unanswered call buttons
    • Allegations of neglect, including staff inactivity after falls
    • Serious safety incidents: residents falling out of bed and delayed response
    • Privacy and dignity violations (removing garments, curtains not drawn)
    • Inconsistent or poor feeding/nutrition practices (hand-feeding, withheld Ensure)
    • Concerns about medication handling and removal of meds
    • Families suspect discharge timing tied to Medicare/Medicaid rather than patient need
    • Perception of money-focused management and staff
    • Reports of staff joking about residents and disrespectful CNA behavior
    • Mixed reports about rehab quality — some call recovery services horrible
    • Poor infection control and a COVID outbreak with associated death
    • Housekeeping problems including reports of roaches and poor cleanliness
    • Activities described as poorly run or under-resourced
    • Transport concerns (use of van instead of ambulance when needed)
    • Allegation of a state-level report and unclear recovery prognosis
    • Inconsistent follow-through by staff; some staff appear disinterested/uncaring
    • Contradictory experiences across reviewers making consistency questionable
    • Regret and severe dissatisfaction from some families, including hospice involvement

    Summary review

    The reviews for Waterton Plaza at Cowhorn Creek are highly mixed, with both strongly positive and strongly negative accounts that create a polarized overall picture. Several families and residents describe the facility as clean, well-kept, and staffed by caring, conscientious professionals. These reviewers specifically praise the nursing and rehabilitation care they or their loved ones received, note consistent monitoring of conditions, and express confidence in the Director of Nursing and Administrator, sometimes describing them as compassionate and hands-on. Multiple comments highlight staff friendliness, residents being kept neat, and an overall sense of pride in the facility from some employees and visitors.

    Counterbalancing those positive experiences are numerous, serious complaints that indicate significant variability in care and operations. A recurring theme is poor staff responsiveness: unanswered call buttons, long waits for assistance, and apparent disinterest from some caregivers. Several reviews describe instances of neglect or inadequate response to emergencies — notably falls (including a report of a resident falling out of bed), delayed or absent assistance afterward, and in at least one case, a resident’s condition worsened and later involved hospice. These safety-related anecdotes are among the most alarming and indicate potential gaps in supervision, staffing levels, or response protocols.

    Dignity and basic care concerns appear repeatedly. Multiple reviewers reported privacy violations (garments removed without proper coverage, curtains not drawn), feeding and nutrition problems (residents hand-fed or not provided nutrition supplements like Ensure when unable to eat), and medication handling issues (allegations that meds were removed). There are also reports suggesting pressure to discharge residents in ways that align with Medicare/Medicaid timelines rather than clinical readiness. Together these patterns point to systemic problems in resident-centered care practices for some shifts or units.

    Infection control and housekeeping present another divided picture. While some reviewers call the facility clean and pleasant, others allege poor housekeeping — including roaches in a resident’s room — and cite a COVID outbreak affecting many residents with at least one resulting death. Such contradictions suggest inconsistent standards or variability across units, rooms, or times, and raise concerns about oversight of environmental services and infection prevention protocols.

    Rehabilitation and recovery services also receive mixed feedback. Some families report excellent rehab care and attentive staff who provide meaningful improvement and monitoring, while others describe horrible recovery services and poor follow-through that hampered recovery. Activities and social programming are similarly inconsistent: a few reviewers note poor, under-resourced activity offerings, whereas others do not report problems in this area. Transportation and emergency response logistics were criticized in at least one incident where a resident was transported by van rather than ambulance, and there is mention of a state-level report and unclear recovery prognoses, which underline potential regulatory or quality-of-care investigations.

    Management and culture emerge as a dividing line in the reviews. Positive comments single out the DON and Administrator as compassionate and effective, but negative reviews frequently accuse management and some staff of being money-focused, uninterested in resident wellbeing, or tolerating disrespectful behavior (including CNA disrespect and staff joking about residents). This dichotomy suggests inconsistent leadership impact across shifts or departments, or that local management successes have not fully translated into uniformly high-quality, accountable care practices throughout the facility.

    Overall, the pattern in these reviews is one of significant variability: pockets of excellent, attentive care and leadership are offset by troubling reports of neglect, dignity violations, infection-control lapses, and poor responsiveness. For prospective residents or families this means the facility may provide very good care in some circumstances but also carries documented, serious risks that merit follow-up. Specific due diligence steps would include asking about current staffing levels and turnover, reviewing recent state inspection reports, inquiring about infection-control measures and outcomes of any outbreaks, asking for specifics about response times and call-button testing, confirming feeding and medication policies, and requesting references from recent families whose experiences match the circumstances similar to the prospective resident’s needs.

    Location

    Map showing location of Waterton Plaza at Cowhorn Creek

    About Waterton Plaza at Cowhorn Creek

    Waterton Plaza at Cowhorn Creek sits at 5524 Cowhorn Creek Road in Texarkana, Texas, and you'll find it's a family-owned, for-profit nursing home that's part of a Continuing Care Retirement Community, and it's open all week, day and night, so there's always someone around if a resident needs help. The place offers both skilled nursing care and rehabilitation services, so folks who need more medical help or have health issues that need watching over can get what they need, and the team there includes licensed nurses, medical practitioners, nursing assistants, and physical therapists, so there's a good range of medical help for those who need it. Residents can get help with daily living activities like bathing, dressing, eating, and taking their medicine, and there's a 24-hour call system plus full supervision all the time. The staff helps with moving around, trips to doctors' offices, and there's always someone available for medication management, and if someone needs help with transferring or is a little wobbly, someone is there for that, too.

    The facility has studio rooms and private suites, along with some shared room options, and the rooms come furnished, have private bathrooms, kitchenettes, Wi-Fi, cable TV, and are air conditioned, which helps keep things comfortable. There's also housekeeping and linen service, so that takes some worry out of everyday chores, and meals are prepared with organic foods and special dietary needs like diabetic or allergy-friendly options can be handled, plus dining is served restaurant-style or in a dining room, and sometimes all day. If residents want to get involved in activities, there's an arts room, fitness room, movie theater, library, outdoor spaces with gardens and walking paths, a game room, music programs, movie nights, and special events run by the residents themselves, so no one really has to feel bored.

    Waterton Plaza accepts both Medicare and Medicaid, and care is personalized based on what each resident needs, with plans covering both everyday living and recovery support. Security and safety are taken seriously with protocols in place to keep residents safe, prevent wandering, and make sure everyone is checked on, especially those with conditions that need monitoring. The nursing care is available 12 to 16 hours a day with a nurse on staff full-time, and though one review gave it a positive rating, there hasn't been much else mentioned about unique features or names for the programs or rooms. The community has a strong reputation for good care and pleasant residents who look out for each other, and family members are allowed to be part of care. While there aren't all the details on every single feature, folks can expect a safe environment where daily care, medical attention, transportation, activities, and meals are all handled, letting residents and families worry a little less.

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