Avir at Cotulla
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 13 Google reviews
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What this means for your family
This facility is highly regarded for its cleanliness and the compassionate nature of its nursing staff, particularly for dementia and rehab care. However, you should investigate the recent report of unprofessional behavior and ensure that the current management is actively addressing resident safety and staff conduct.
Google Reviews
Google Reviews
13 reviews analyzed“Families can expect a clean and professional environment with highly praised staff members who are noted for being caring and attentive. While most long-term residents receive excellent dementia and rehabilitative care, one recent reviewer reported a deeply distressing experience involving targeted harassment.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Caring and professional nursing staff
- Effective dementia and memory care
- High standards of cleanliness and odor control
Concerns
- Report of targeted harassment/unprofessional behavior
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on repetitive templates and boilerplate language, particularly when responding to multiple 5-star reviews. While they occasionally personalize responses by mentioning specific names or staff members, the core of the messaging remains highly standardized.
Questions for Your Tour
- 1It is wonderful to see how clean and well-maintained the facility looks; what are your specific protocols for ensuring the rooms and common areas stay fresh and odor-free?
- 2I noticed the management is very active in responding to feedback, so I wanted to ask how the administration handles any concerns or interpersonal conflicts between staff and residents?
- 3With the focus on memory care here, what kind of daily social activities or sensory programs do you have planned to keep residents engaged?
- 4Since we want to ensure constant support, how do you manage nursing care and resident monitoring during the overnight hours?
- 5How do you ensure that the nursing staff is able to provide attentive, one-on-one care for each resident throughout their shift?
- 6In the event of a sudden medical change or an emergency after hours, what is the immediate process for contacting the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“Staff is genuinely caring and personable with my mom who was placed there for dementia care. My mom has been at Las Palmas for two and a half years. She is a dementia patient who has been getting ongoing regular care and interaction that keeps her positive, adequately fed, and well groomed.”
“They are extremely attentive to his needs, medically and physically. They keep me up to date on any issues that arise with him. It is very clean and does not smell like other nursing homes.”
“The center's cleanliness, which is often an issue, I believe, at other centers is quite exceptionally maintained.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
11
measures
3
measures
2
measures
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of persistent safety and operational problems, with recurring issues in fire safety, electrical systems, and infection control across multiple surveys. Several critical deficiencies from the most recent inspection remain uncorrected, including emergency preparedness gaps and fire safety violations. One family filed a complaint about infection control practices, indicating real-world care concerns beyond routine inspections.
Jan 8, 2026Routine14
Nursing and Physician Services Deficiencies
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.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
May 9, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 24, 2024Routine6
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
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.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Sep 8, 2023Routine9
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ownership & Operations
Who Operates This Facility
County of La Salle
government
369 MARS DR OPCO LLC
KRISTIAN MARIE CANALES
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.8/5 · Rank 16 of 27
Ownership & Management
Owners
County of La Salle
Owner · Organization
Boswell, Darren
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Eden, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Whitworth, Gary
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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