Avir at Cotulla
369 Mars Dr · Cotulla, TX · 78014 · 8308794483
60 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · E January 8, 2026
Ensure each resident receives an accurate assessment.
Corrected February 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · F January 8, 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.
Corrected January 15, 2026 · Nursing and Physician Services
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Potential for harm · D January 8, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 20, 2026 · Pharmacy Service
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Potential for harm · E January 8, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 15, 2026 · Nutrition and Dietary
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Potential for harm · D January 8, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · D January 8, 2026
Provide and implement an infection prevention and control program.
Corrected January 20, 2026 · Infection Control
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Potential for harm · D May 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 6, 2025 · Infection Control
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Potential for harm · D October 24, 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.
Corrected November 8, 2024 · Quality of Life and Care
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No harm found · B October 24, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 8, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected September 9, 2023 · Resident Rights
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Potential for harm · D September 8, 2023
Keep residents' personal and medical records private and confidential.
Corrected September 9, 2023 · Resident Rights
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Potential for harm · E September 8, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 9, 2023 · Nursing and Physician Services
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Potential for harm · D September 8, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 9, 2023 · Pharmacy Service
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Potential for harm · E September 8, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 9, 2023 · Pharmacy Service
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Potential for harm · E September 8, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 9, 2023 · Pharmacy Service
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Potential for harm · E September 8, 2023
Provide and implement an infection prevention and control program.
Corrected September 9, 2023 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676288 · certified since June 28, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.