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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAvir at Tierra Este

Avir at Tierra Este

14300 Pebble Hills Blvd, El Paso, TX 799389159559998
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
3/5
Beds
120
certified
7 fine(s) totaling $31,752

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 98.5 residents per day (82% occupancy)

• Last health inspection found 10 deficiencies (inspected Sep 5, 2025)

• Has been fined a total of $31,752 across 7 fine(s)

• Total nursing staff: 2.93 hours per resident per day

• Staff turnover rate: 68.8% (high)

• Part of the Avir Health Group chain (79 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
98.5
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)
10
Weighted Score
127.0
Infection Citations
0

Deficiency Citations (60)

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: 1
F0686Potential for Harm

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

Survey: Feb 20, 2025Corrected: 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
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
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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 5, 2025Corrected: NoCycle: 1
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
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0838Minimal Harm

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.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0842Potential for Harm

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

Survey: Jun 28, 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: Jun 28, 2024Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Feb 12, 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: Feb 12, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 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
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

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
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

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

+ 30 more deficiencies

Total Fines
$31,752
Number of Fines
7
Payment Denials
0
Total Penalties
7

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

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

Nurse Aide1.75 hrs
National avg: 2.35 hrs
LPN0.97 hrs
National avg: 0.86 hrs
RN0.21 hrs
National avg: 0.68 hrs
Total Nursing2.93 hrs
National avg: 3.89 hrs
Weekend Total2.67 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
68.8%
RN Turnover
100.0%
Administrators Left
1

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
EAST EL PASO HEALTHCARE OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2022
DOUGLAS, LLOYD5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJun 6, 2023
CONQUEST HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 6, 2023
DOUGLAS, LLOYDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 6, 2023

Nearby Nursing Homes

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El Paso Health & Rehabilitation Center

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Pebble Creek Nursing Center

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Vista Hills Health Care Center

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For profit$40,465 in fines
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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 2/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Avir at Tierra Este had any health inspection violations?▾
Avir at Tierra Este had 10 deficiency citations in its most recent health inspection (Sep 5, 2025). The facility has been fined a total of $31,752 across 7 fine(s).
What are the staffing levels at Avir at Tierra Este?▾
Avir at Tierra Este provides 2.93 total nursing staff hours per resident per day, including 0.21 RN hours, 0.97 LPN hours, and 1.75 nurse aide hours. The total staff turnover rate is 68.8%.
How many beds does Avir at Tierra Este have?▾
Avir at Tierra Este has 120 certified beds with an average of 98.5 residents per day, resulting in approximately 82% 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, there are 20 other nursing homes in El Paso, Texas with an average rating of 2/5. You can compare all facilities on the El Paso nursing homes page.

Part of Avir Health Group

This chain operates 79 facilities. View all →