CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
+ 35 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2025 |
| WELLTOWER INC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2025 |
| WELLTOWER NNN GROUP, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2025 |
| WELLTOWER OP, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2025 |
| THOMPSON, JOHNNY | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2025 |
| 14300 PEBBLE HILLS BOULEVARD OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2025 |
| DAGAN, AMITAI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2025 |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2025 |
| GIVENS, LAURA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2025 |
| HUCKINS, SARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2025 |
| TRAVITSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2025 |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | May 3, 2025 |
| 14300 PEBBLE HILLS BOULEVARD OPCO, LLC | ADP OF THE SNF | Organization | N/A | May 3, 2025 |
| 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2025 |
| WELLTOWER INC | ADP OF THE SNF | Organization | N/A | Apr 1, 2025 |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2025 |
| WELLTOWER OP, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2025 |
| GIVENS, LAURA | ADP OF THE SNF | Individual | N/A | Apr 1, 2025 |
| HUCKINS, SARA | ADP OF THE SNF | Individual | N/A | Apr 1, 2025 |
Compare CMS ratings and recorded fines for Avir at Tierra Este and nearby alternatives.
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.
This chain operates 119 facilities. View all →