Avir at Cotulla — nursing home in Cotulla, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 52.4 CMS, MDS-derived
CMS Certification Number: 676288
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 28, 2011
Ownership type: For profit - Corporation
Operator (legal business name): County of La Salle
CMS chain: Avir Health Group 118 facilities
Phone: (830) 879-4483
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jan 8, 2026

Citations

30

16 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E11	F9
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676288
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Jun 28, 2011
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 8, 2026	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Jan 8, 2026	Health	Health Standard	6	Potential harm	—	Open →
May 9, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Oct 24, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Oct 24, 2024	Health	Health Standard	2	Potential harm	—	Open →
Sep 8, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Sep 8, 2023	Health	Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E11	F9
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 8, 2026	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 9, 2026
Jan 8, 2026	E-0025	Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 9, 2026
Jan 8, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 28, 2026
Jan 8, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 12, 2026
Jan 8, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 12, 2026
Jan 8, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 30, 2026
Jan 8, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 9, 2026
Jan 8, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 13, 2026
Jan 8, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 15, 2026
Jan 8, 2026	F-0727	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 · Staffing & supervision	F · Potential harm Widespread	Corrected Jan 15, 2026
Jan 8, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 20, 2026
Jan 8, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 15, 2026
Jan 8, 2026	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 20, 2026
Jan 8, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 20, 2026
May 9, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 6, 2025	Complaint
Oct 24, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 24, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 11, 2024
Oct 24, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 30, 2024
Oct 24, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 30, 2024
Oct 24, 2024	F-0688	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 · Clinical care	D · Potential harm Isolated	Corrected Nov 8, 2024
Oct 24, 2024	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Nov 8, 2024
Sep 8, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 8, 2023
Sep 8, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 8, 2023
Sep 8, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 9, 2023
Sep 8, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 9, 2023
Sep 8, 2023	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Sep 9, 2023
Sep 8, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 9, 2023
Sep 8, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 9, 2023
Sep 8, 2023	F-0761	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 · Medication management	E · Potential harm Pattern	Corrected Sep 9, 2023
Sep 8, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 9, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.28

State avg 3.42US avg 3.90

Registered nurse (RN)0.26

State avg 0.44US avg 0.69

Licensed practical nurse1.03

State avg 0.94US avg 0.86

Nurse aide1.98

State avg 2.03US avg 2.35

Weekend total nurse3.09

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.25).

Staff turnover

Total nursing staff turnover31.7%

State avg 50.8%US avg 45.3%

Registered nurse turnover66.7%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 8, 2026
Cycle 1 health score: 44
Total weighted score: 35

Operating entity

County of La Salle

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avir Health Group

118 facilities in 1 states. CMS chain ID 719.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

19

Organizations

6

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
County of La Salle	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2022

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
County of La Salle	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2022
Amitai Dagan	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Feb 3, 2026
Abraham Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 31, 2026
Faigy Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 31, 2026
Leodoro Martinez	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2023
369 Mars Dr Opco, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Kristian Canales	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 2, 2024
Nochum Freund	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Aaron Travitsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Leodoro Martinez	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2023
County of La Salle	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Dec 1, 2022
369 Mars Dr Opco, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 3, 2026
369 Mars Dr Porperty Owner, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
County of La Salle	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2022
Welltower Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Welltower Nnn Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Welltower Op LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Kristian Canales	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 2, 2024
John Preddy	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2022

Same chain in Texas

All 117 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon	214	Aug 24, 2026	582 IJ2 open	$40k
Avir at New Braunfels 821 US Hwy 81 W, New Braunfels, TX 78130 CCN 455020Abuse icon	154	Jul 10, 2026	755 IJ	$158k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489	95	Apr 9, 2026	452 IJ	$22k
Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522	104	Dec 18, 2025	312 IJ1 open	$7,257
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555	116	Aug 14, 2025	33	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 369 Mars Dr, Cotulla, TX 78014
ZIP: 78014
County: La Salle County FIPS 48283
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676288	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676288	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676288

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction