Nursing home
Avir at Cotulla
369 Mars Dr, Cotulla, TX 78014 · Map
For profit - Corporation · Part of Touchstone Communities (28 facilities) · 60 certified beds
Avir at Cotulla is a Medicare-certified nursing home in Cotulla, Texas. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.14 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jan 8, 2026 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Cotulla compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.14 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.27 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.82 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 35.9% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 8, 2026 inspection was corrected by February 15, 2026
What inspectors found at Avir at Cotulla
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Jan 8, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Jan 8, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
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 · Oct 24, 2024 · Full report (PDF) - Minimal
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 8, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 8, 2023 - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Sep 8, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 369 Mars Dr
Cotulla, TX 78014 - CMS certification #
- 676288
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 48.7
- Provider type
- Medicare and Medicaid
- First certified
- 2011-06-28
- Chain
- Touchstone Communities (28 facilities)
- Setting
- Rural
Part of Touchstone Communities
Touchstone Communities operates 28 nursing facilities across the United States. View all Touchstone Communities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Cotulla using Google Maps.
Other public records
- Website says A memory care unit, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Cotulla says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Our respiratory therapy program and secure memory care unit reflect our commitment to meeting every patient’s needs, whatever brings them through our doors.
(page, checked Oct 12, 2026) - Provides transportation.
Beyond life enrichment and salon services, residents at Avir at Cotulla also enjoy on-demand dining, regular religious services for spiritual support, and scheduled transportation for appointments and outings.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Frio Regional Hospital, Pearsall. 32.3 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Pearsall Nursing and Rehabilitation Center, Pearsall. 32.1 miles away, straight line.
- Nearest home health agency office
- Frio Hospital Association, Pearsall. 32.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Gaddis Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78014 as rural (rural area).
- Dialysis within 15 miles
- Shc Lasalle Dialysis, Cotulla, 0.4 miles away, straight line
- Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 78014.
- Nearest geriatric medicine practice
- Curana Health Medical Group LLC, San Antonio. 73.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective April 1, 1987), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Avir at Cotulla a good nursing home?
CMS gives Avir at Cotulla an overall rating of 3 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Cotulla staffed?
Avir at Cotulla reports 3.14 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Cotulla had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Avir at Cotulla have?
Avir at Cotulla is certified for 60 beds.