Avir At Cotulla
369 Mars Dr, Cotulla, TX 78014 · La Salle County
For-profit · 60 certified beds · 86% occupancy · (830) 879-4483
Avir At Cotulla reviews: what the government record shows
The U.S. government (CMS) rates Avir At Cotulla 4 out of 5 stars overall, above average. Its nurse staffing is at or above the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.28 hrs/resident/day (+0% vs TX median)
- Antipsychotic drug use
- 9.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 5.3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 16 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓Nurse staffing of 3.28 hrs/resident/day is at or above the Texas median of 3.27.
- ✓No federal fines on record in roughly the last three years.
Questions to ask on your visit
- ·What does a typical day look like for a resident with my parent's needs?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Cotulla
Is Avir At Cotulla a good nursing home?
Avir At Cotulla in Cotulla, Texas holds a 4 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is Avir At Cotulla staffed?
Avir At Cotulla reports 3.28 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Avir At Cotulla been fined or flagged for abuse?
Avir At Cotulla has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.28 nurse hours per resident per day. About the Texas median.
Nursing staff turnover: 35.9% · RN turnover: 83.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0727 · Jan 8, 2026Corrected Jan 15, 2026
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0641 · Jan 8, 2026Corrected Feb 15, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Jan 8, 2026Corrected Jan 15, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0755 · Jan 8, 2026Corrected Jan 20, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0813 · Jan 8, 2026Corrected Jan 20, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jan 8, 2026Corrected Jan 20, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0880 · May 9, 2025ComplaintCorrected Jun 6, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0688 · Oct 24, 2024Corrected Nov 8, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
- Minimal harmTag F0640 · Oct 24, 2024Corrected Nov 8, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0558 · Sep 8, 2023Corrected Sep 9, 2023
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 16 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - corporation). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.