Waterton Plaza at Cowhorn Creek

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

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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

      2.7
    • Staff

      2.7
    • Meals

      1.0
    • Amenities

      5.0
    • Value

      1.0

    Pros

    • Skilled nursing and rehabilitative services
    • Caring, conscientious direct-care staff
    • Consistent clinical monitoring during many stays
    • Clean, well-maintained interior and grounds
    • Friendly, professional staff–resident interactions
    • Responsive handling of family concerns in multiple cases
    • Attention to resident grooming and appearance
    • Supportive administrative leadership and visible pride

    Cons

    • Inconsistent staff responsiveness to call bells and requests
    • Gaps in transfer and fall-prevention practices
    • Privacy and dignity lapses during personal care
    • Medication-management and documentation inconsistencies
    • Inconsistent nutrition and feeding protocols
    • Variable infection-control and outbreak management
    • Housekeeping and sanitation weaknesses, including pest-control concerns
    • Under-resourced activities programming
    • Communication and follow-through gaps with families
    • Payer-driven discharge and placement pressures

    Summary of reviews

    Overall impressions of Waterton Plaza at Cowhorn Creek are mixed: several families describe high-quality nursing, rehabilitation, and compassionate caregiving, while other accounts identify operational shortfalls that affected their confidence. Positive accounts emphasize effective clinical rehabilitation, conscientious direct-care staff, and a generally clean, well-maintained facility with professional administrative leadership. These consistent strengths appear to support good outcomes for residents admitted for rehab or ongoing skilled nursing care.

    Care quality and clinical oversight present a varied picture. Numerous families praised skilled nursing and rehabilitation services, noting attentive monitoring and good progress during rehab stays. Conversely, other narratives describe inconsistent recovery support and concerns about transfer safety and fall prevention. There are recurring reports of delayed responses to calls for assistance and variability in how quickly staff attend to urgent needs; these responsiveness issues are associated with broader concerns about transfer practices and emergency response consistency.

    Staff behavior and conduct are similarly mixed. Many reviews highlight friendly, caring, and professional interactions, with staff who assist with grooming and remain engaged with residents. However, a number of accounts point to lapses in dignity and privacy during personal care, inconsistent tone or follow-through from some caregivers, and periods when staff appeared disengaged. Staffing variability appears to drive much of this contrast: shifts with attentive, communicative teams coexist with shifts where families experienced delayed care and limited communication.

    Dining, nutrition, and infection-control issues are notable patterns. Several families described adequate meal service and routine attention to appearance and hygiene, while others reported inconsistent feeding assistance and gaps in nutrition protocols for residents with reduced intake. Infection-control consistency was also a concern in some accounts, including an outbreak situation that prompted heightened family worry. Housekeeping and sanitation were generally reported as good in many areas, but there are isolated reports indicating pest-control and cleanliness lapses that warrant attention.

    Activities, facilities, and management show divergent impressions. The facility’s physical environment and grounds are frequently described as attractive and well kept, and leadership — including nursing administration — receives specific praise for visible commitment. At the same time, activity programming is described by some as under-resourced or poorly organized. Several reviews raise concerns about financial and placement pressures influencing discharge timing and care decisions, as well as inconsistent communication and follow-through with families about clinical changes or discharge planning.

    In summary, prospective residents and families should weigh the facility’s evident strengths in skilled nursing, rehabilitation, and areas of compassionate care against recurring operational weaknesses: variability in staff responsiveness, transfer and fall-prevention practices, privacy during personal care, nutrition management, and periodic sanitation/infection-control lapses. Asking targeted questions during a visit — about staffing patterns, call-response times, fall-prevention protocols, nutrition plans for residents with feeding difficulties, infection-control procedures, activity resources, and discharge policies tied to payers — will help clarify whether the facility’s day-to-day practices align with your expectations and care needs.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

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

    Location

    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.

    There are 5 photos of Waterton Plaza at Cowhorn Creek on Mirador.

    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.
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    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.
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    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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