Waterton Plaza at Cowhorn Creek

    5524 Cowhorn Creek Rd, Texarkana, TX 75503
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Beautiful facility caring attentive staff

    I stayed with my mother in her room and felt reassured - the facility is beautiful, spotless, and well kept. The nursing, rehab, and support staff are caring, professional, and responsive; the DON and administrator truly have hearts of gold and her condition is monitored consistently. Our family is confident she's receiving excellent, attentive care and she's happy and neat.

    Loved one of resident
    Aug 2026

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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

    Reviews

    2.94·(17)

    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

    • Skilled nursing and rehabilitation services
    • Caring and conscientious direct‑care staff
    • Ongoing clinical monitoring and oversight
    • Responsive and attentive caregiving during some stays
    • Clean, well‑maintained public areas
    • Resident appearance and grooming maintained
    • Engaged administrative leadership

    Cons

    • Inconsistent staff responsiveness to call bells and requests
    • Gaps in privacy and dignity practices during personal care
    • Weak transfer and fall‑prevention protocols
    • Inadequate nutrition support for residents with feeding difficulties
    • Medication‑management and access concerns
    • Sanitation and pest‑control concerns in some resident rooms
    • Infection‑control and outbreak‑management gaps
    • Care decisions influenced by financial/throughput pressures
    • Variable housekeeping and environmental maintenance
    • Under‑resourced or inconsistently run activity programming
    • Communication and follow‑through gaps with families

    Summary of reviews

    Reviews of Waterton Plaza at Cowhorn Creek present a mixed picture, with distinct clusters of positive experiences and significant operational concerns. Many families describe strong clinical resources — notably skilled nursing and rehabilitation services — and praise individual caregivers as caring, conscientious, and attentive. Several accounts emphasize active clinical monitoring, consistent personal grooming for residents, and a clean, well‑kept public environment. Leadership staff (Director of Nursing and Administrator) are mentioned positively in some reviews for being engaged and empathetic.

    At the same time, a number of recurring operational weaknesses are evident. The most frequent concern relates to inconsistent responsiveness: delayed or unanswered call bells and slow staff response to needs. Related issues include gaps in privacy and dignity practices during personal care and perceived shortfalls in medication management and access. There are also patterns suggesting weaknesses in transfer safety and fall‑prevention protocols, with families describing situations that point to the need for stronger mobility and transfer safeguards.

    Nutritional support and meal‑time assistance appear uneven. Some reviewers describe adequate, attentive feeding and meal service, while others report insufficient support when residents have difficulty eating or require hand‑feeding and supplemental nutrition. Infection‑control and sanitation issues are another recurring theme: some families raised concerns about outbreak management, housekeeping consistency, and pest‑control in resident rooms. These items suggest variability in environmental services and infection‑prevention practices across the facility.

    Communication and management practices are mixed. Positive comments highlight engaged leadership and compassionate staff; negative comments describe perceived prioritization of financial or throughput considerations over individualized care, inconsistent follow‑through on care plans, and poor family communication in certain cases. Activity programming is described as under‑resourced or inconsistently run by some reviewers, while others found the staff responsive and present in residents’ rooms during stays.

    For prospective residents and families, the facility offers clear strengths in clinical capability and examples of high‑quality, attentive caregiving. However, decision‑makers should clarify operational details in person: ask about call‑bell response time metrics and staffing ratios, fall‑prevention and transfer protocols, nutrition and hand‑feeding procedures, medication administration and documentation, infection‑control policies (including outbreak response), housekeeping schedules, pest‑control plans, emergency transport procedures, and how care decisions are coordinated with families. An on‑site visit that includes conversation with nursing leadership and observation of mealtimes, staff responsiveness, and activity sessions will help determine whether the facility’s strengths align with a specific resident’s needs.

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    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Waterton Plaza at Cowhorn Creek

    Waterton Plaza at Cowhorn Creek is located at 5524 Cowhorn Creek Rd, Texarkana, TX, 75503.

    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.

    People often ask...

    Waterton Plaza at Cowhorn Creek offers assisted living, memory care, and skilled nursing.

    The full address for this community is 5524 Cowhorn Creek Rd, Texarkana, TX 75503.

    No, Waterton Plaza at Cowhorn Creek does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RsylNAAR
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity76 residents
    LicenseeGUADALUPE COUNTY HOSPITAL BOARD
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    31

    Citations

    0

    Complaints

    0

    Years

    14 Aug 2026Inspection
    Found failure to keep and store clinical information as required.
    • Health Visit
    12 Feb 2026Inspection
    Found deficiencies across multiple areas including resident rights, assessments, care planning, medications, nutrition, infection control, and daily living services.
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    10 Feb 2026Life Safety
    Identified life-safety deficiencies, including unsafe bathroom heating, unsafe laundry construction, and missing gas system documentation and testing.
    • Life Safety Code
    • Life Safety Code
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    • Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Waterton Plaza at Cowhorn Creek. The information above has not been verified or approved by the owner or operator. For exact information, please contact Waterton Plaza at Cowhorn Creek directly. There is no cost for this service. We are compensated by the community you select.

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