Avir at Cotulla

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.28, RN 0.29, weekend 3.03.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avir Health Group — 116 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Avir at Courtyard — Houston, TX · overall 4/5
• Avir at Cowhorn Creek — Texarkana, TX · overall 1/5abuseSFF
• Avir at Dallas — Dallas, TX · overall 1/5
• Avir at Dripping Springs — Dripping Springs, TX · overall 4/5
• Avir at el Paso — El Paso, TX · overall 2/5
• Avir at Elkhart — Elkhart, TX · overall 3/5
• Avir at Emerald Hills — North Richland Hills, TX · overall 2/5
• Avir at Enchanted Rock — Fredericksburg, TX · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 115 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "How many hours a day is a registered nurse physically in the building, including weekends?"
• "Who completes resident assessments here, and how do you check them for accuracy?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
• "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
• "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
• "How do you make sure resident assessments are completed and submitted to the state on time?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 2 closest →

All facilities in Cotulla →