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HomeTexasAvir at Tierra Este

Avir at Tierra Este

14300 Pebble Hills Blvd, El Paso, TX 799389159559998WebsiteGoogle Maps
4.4on Google(177 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
3/5
Beds
120
certified
8 fine(s) totaling $53,957

How Avir at Tierra Este Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.05 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.13 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
56.9%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.05 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.13 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
48
deficiency citations
Inspected Aug 2, 2024
Most recent cycle
13
deficiency citations
Inspected Sep 5, 2025
The most recent cycle recorded 35 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
El Paso County 65+
108,308
12.5% of county
County Population
863,832
El Paso County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Avir at Tierra Este is a 1-star Medicare and Medicaid certified nursing home in El Paso, Texas with 120 certified beds. It has been operating since 2023. Its overall CMS rating is 1 out of 5.

Beds
120
Avg Residents/Day
99.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 6, 2023
Sprinklers
Yes
Council
Resident
County
El Paso
Last Inspection
Sep 5, 2025
Deficiencies (Cycle 1)
13
Weighted Score
191.3
Infection Citations
0

Deficiency Citations (65)

F0690Immediate Jeopardy

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 18, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 18, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 18, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Apr 1, 2025Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 20, 2025Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 2, 2024Corrected: NoCycle: 2

+ 35 more deficiencies

Total Fines
$53,957
Number of Fines
8
Payment Denials
0
Total Penalties
8

Penalty History

FineJan 2, 2024
$1,764
FineJan 8, 2024
$2,279
FineDec 11, 2023
$3,174
FineFeb 12, 2024
$3,798
FineFeb 20, 2024
$4,178
FineNov 9, 2023
$7,443
FineJan 22, 2024
$9,116
FineMay 18, 2026
$22,205

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.88 hrs
National avg: 2.32 hrs
LPN1.04 hrs
National avg: 0.86 hrs
RN0.13 hrs
National avg: 0.69 hrs
Total Nursing3.05 hrs
National avg: 3.86 hrs
Weekend Total2.83 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
56.9%
RN Turnover
71.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (19)

NameRoleTypeOwnership %Since
14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2025
WELLTOWER INC5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2025
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2025
WELLTOWER OP, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2025
THOMPSON, JOHNNYCORPORATE DIRECTORIndividualN/AApr 1, 2025
14300 PEBBLE HILLS BOULEVARD OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2025
DAGAN, AMITAIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2025
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2025
GIVENS, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2025
HUCKINS, SARAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2025
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMay 3, 2025
14300 PEBBLE HILLS BOULEVARD OPCO, LLCADP OF THE SNFOrganizationN/AMay 3, 2025
14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLCADP OF THE SNFOrganizationN/AApr 1, 2025
WELLTOWER INCADP OF THE SNFOrganizationN/AApr 1, 2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationN/AApr 1, 2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationN/AApr 1, 2025
GIVENS, LAURAADP OF THE SNFIndividualN/AApr 1, 2025
HUCKINS, SARAADP OF THE SNFIndividualN/AApr 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avir at Tierra Este and nearby alternatives.

All Texas facilities
Avir at Tierra Este
El Paso, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $53,957
Center at Zaragoza, LLC
El Paso, TX1.8 mi
CMS
4/5
Health
3/5
Staffing
3/5
Recorded fines: None
Ignite Medical Resort El Paso, LLC
El Paso, TX2.5 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $67,425
El Paso Health & Rehabilitation Center
El Paso, TX4.6 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $20,312
Pebble Creek Nursing Center
El Paso, TX4.8 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $145,184
Edgemere Estates
El Paso, TX5.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $49,292
Vista Hills Health Care Center
El Paso, TX6.1 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $40,465
FacilityDistanceCMSHealthStaffingRecorded fines
Avir at Tierra Este
El Paso, TX · Current facility
—1/51/51/5$53,957
Center at Zaragoza, LLC
El Paso, TX
1.8 mi4/53/53/5None recorded
Ignite Medical Resort El Paso, LLC
El Paso, TX
2.5 mi1/51/51/5$67,425
El Paso Health & Rehabilitation Center
El Paso, TX
4.6 mi1/52/51/5$20,312
Pebble Creek Nursing Center
El Paso, TX
4.8 mi1/51/51/5$145,184
Edgemere Estates
El Paso, TX
5.3 mi1/52/51/5$49,292
Vista Hills Health Care Center
El Paso, TX
6.1 mi1/52/51/5$40,465

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Avir at Tierra Este?▾
Avir at Tierra Este has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Avir at Tierra Este cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Avir at Tierra Este participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avir at Tierra Este had any health inspection violations?▾
Avir at Tierra Este had 13 deficiency citations in its most recent health inspection (Sep 5, 2025). The current CMS dataset records 8 fine(s) totaling $53,957.
What are the staffing levels at Avir at Tierra Este?▾
Avir at Tierra Este provides 3.05 total nursing staff hours per resident per day, including 0.13 RN hours, 1.04 LPN hours, and 1.88 nurse aide hours. The total staff turnover rate is 56.9%.
How many beds does Avir at Tierra Este have?▾
Avir at Tierra Este has 120 certified beds with an average of 99.8 residents per day, resulting in approximately 83% occupancy. The facility is For profit - Limited Liability company owned and is part of the Avir Health Group chain.
Are there other nursing homes near Avir at Tierra Este?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in El Paso. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avir at Tierra Este?▾
On Google Maps, Avir at Tierra Este has a rating of 4.4 out of 5 based on 177 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Avir Health Group

This chain operates 119 facilities. View all →