Las Palmas in Cotulla, TX has an overall rating of 4 out of 5 stars, with 4 stars for health inspections, 3 stars for staffing, and 3 stars for quality measures. Reported nurse staffing is 3.28 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2781.
Staffing detail
Registered nurses
0.29
Licensed practical nurses
1.03
Nurse aides
1.96
Weekend nursing
3.03
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.8%5.3%Improving
Residents with a fall causing major injury
4.3%8.2%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.2%23.1%Worsening
Residents whose ability to walk got worse
—14.1%—
Long-stay residents on antianxiety or sleep medication
11.9%22.7%Worsening
Short-stay residents newly given an antipsychotic
—14.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.7%13.9%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
Occupancy
51.5 residents on an average day (86% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.