Texas › El Paso County › El Paso
Avir At Tierra Este
14300 Pebble Hills Blvd, El Paso, TX 79938
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Avir At Tierra Este serves El Paso in El Paso County, Texas and has taken Medicare and Medicaid residents since 2023.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (13, 22, 30 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 54.2 per 100 beds, more than the state median of 22.5.
CMS lists 8 penalties in the period covered: fines totalling $54K.
Reported nurse staffing is 3.0 hours per resident per day (0.1 RN), close to the Texas median of 3.3; nursing staff turnover is 56.9%.
Compared with county, state and nation
| Measure | This facility | El Paso Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 65 | 56 | 25 | 28.7 |
| Citations per 100 beds | 54.2 | 53.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.1 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.9% | 52.7% | 52.1% | 45.8% |
| Fines listed | $53,957 | $34,613 | $16,801 | — |
County and state figures are medians across facilities (22 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Sep 2025, 2 Aug 2024.
Severity mix: J ×1 G ×2 D ×34 E ×24 F ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | Complaint investigation | 20 May 2026 |
| 18 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 May 2026 |
| 18 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 May 2026 |
| 15 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 20 Jan 2026 |
| 15 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Jan 2026 |
| 5 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0761 | 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. | E | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Sep 2025 |
| 5 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Sep 2025 |
| 1 Apr 2025 | F0727 | 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. | F | Complaint investigation | 9 Apr 2025 |
| 20 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Feb 2025 |
| 27 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 Nov 2024 |
| 2 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0761 | 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. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Aug 2024 |
| 2 Aug 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 7 Aug 2024 |
| 28 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Complaint investigation | 29 Jun 2024 |
| 12 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 14 Feb 2024 |
| 12 Feb 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 14 Feb 2024 |
| 12 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Feb 2024 |
| 23 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 8 Feb 2024 |
| 19 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 8 Feb 2024 |
| 19 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Feb 2024 |
| 9 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 27 Oct 2023 |
| 9 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Oct 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Nov 2023 |
| 29 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 3 Oct 2023 |
| 29 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 3 Oct 2023 |
| 29 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 3 Oct 2023 |
| 29 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Oct 2023 |
| 29 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 3 Oct 2023 |
| 29 Sep 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Complaint investigation | 3 Oct 2023 |
| 29 Sep 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 3 Oct 2023 |
| 1 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 26 Sep 2023 |
| 1 Sep 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 26 Sep 2023 |
| 1 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Sep 2023 |
| 19 May 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 20 May 2023 |
| 19 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 May 2023 |
| 19 May 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 20 May 2023 |
| 19 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 20 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 May 2026 | Fine | $22,205 | |
| 20 Feb 2024 | Fine | $4,178 | |
| 12 Feb 2024 | Fine | $3,798 | |
| 22 Jan 2024 | Fine | $9,116 | |
| 8 Jan 2024 | Fine | $2,279 | |
| 2 Jan 2024 | Fine | $1,764 | |
| 11 Dec 2023 | Fine | $3,174 | |
| 9 Nov 2023 | Fine | $7,443 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.9%, RNs 71.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: West Wharton County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 14300 Pebble Hills Boulevard Property Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| 14300 Pebble Hills Boulevard Opco, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| 14300 Pebble Hills Boulevard Opco, LLC | Adp of the snf | NOT APPLICABLE | 05/03/2025 |
| 14300 Pebble Hills Boulevard Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in El Paso County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Zaragoza, LLC | El Paso | 80 | 4 | 3 | 3 | 34 | 42.5 | — | 2 Jun 2026 |
| Mountain Villa Nursing Home | El Paso | 48 | 4 | 4 | 2 | 23 | 47.9 | — | 4 Dec 2025 |
| Oasis Nursing & Rehabilitation Center | El Paso | 130 | 4 | 4 | 1 | 26 | 20.0 | — | 18 Apr 2025 |
| Ambrosio Guillen Texas State Veterans Home | El Paso | 160 | 2 | 2 | 4 | 43 | 26.9 | — | 9 Apr 2026 |
| Avir At El Paso | El Paso | 124 | 2 | 1 | 2 | 93 | 75.0 | $193K | 10 Jun 2026 |
| Las Ventanas De Socorro | Socorro | 126 | 2 | 2 | 2 | 47 | 37.3 | $9K | 15 May 2026 |
| Nazareth Living Care Center | El Paso | 108 | 2 | 2 | 2 | 56 | 51.9 | — | 28 Jan 2026 |
| St. Giles Nursing and Rehabilitation Center | El Paso | 124 | 2 | 3 | 1 | 44 | 35.5 | $13K | 8 May 2026 |
All 22 facilities in El Paso County
Questions and answers
How many deficiencies has Avir At Tierra Este been cited for?
65 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Tierra Este been fined?
Yes. CMS lists fines totalling $54K in the period covered.
How does staffing at Avir At Tierra Este compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Tierra Este?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 14300 Pebble Hills Boulevard Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Tierra Este last inspected?
The most recent survey or investigation in the CMS record is dated 18 May 2026; the most recent standard health survey was 5 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.