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Medicare-certifiedSkilled Nursing

Avir at Tierra Este

(915) 955-9998

About Avir at Tierra Este

Avir at Tierra Este provides skilled nursing and rehabilitation care designed for El Paso families seeking compassionate, medically-focused recovery. Our Texas team combines clinical expertise with personalized attention, helping residents regain strength and independence during life's pivotal transitions.

Community at a glance

Capacity

120 residents

Location

El Paso, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

14300 PEBBLE HILLS BLVD, El Paso, Texas 79938

(915) 955-9998

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on September 5, 2025, state inspectors cited 13 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 3 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Avir at Tierra Este 8 times in the last three years, $53,957 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 3 minutesBelow the Texas average
Registered nurse time per resident, per day8 minutesBelow the Texas average
Nursing staff who left in the past year57%

Inspections

51 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 18, 2026 · Complaint investigation · 3 citations

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

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 20, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected May 20, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 20, 2026

January 15, 2026 · Complaint investigation · 2 citations

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

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 20, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 20, 2026
September 5, 2025 · Standard inspection · 8 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Sep 30, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 30, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Sep 30, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Sep 30, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 30, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 30, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 30, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 30, 2025
April 1, 2025 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Apr 9, 2025
February 20, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 21, 2025
November 27, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 29, 2024
August 2, 2024 · Standard inspection · 19 citations+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Aug 7, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Aug 7, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 7, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 7, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 7, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 7, 2024
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 7, 2024
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Aug 7, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 7, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Aug 7, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 7, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 7, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 7, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 7, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 7, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 7, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 7, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 7, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 7, 2024
June 28, 2024 · Complaint investigation · 7 citations+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jun 29, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 29, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 29, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 29, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 29, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 29, 2024
  • 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.

    Minimal harm or risk, widespread (level C)AdministrationFrom a complaintCorrected Jun 29, 2024
February 12, 2024 · Complaint investigation · 3 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Feb 14, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 14, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 14, 2024
January 23, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 8, 2024
January 19, 2024 · Complaint investigation · 2 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 8, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 8, 2024
November 9, 2023 · Complaint investigation · 3 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Oct 27, 2023
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningFrom a complaintAlready fixed by Oct 27, 2023
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 10, 2023

Fines and payment denials

8 fines totaling $53,957 in the last three years.

  • May 18, 2026Fine: $22,205
  • February 20, 2024Fine: $4,178
  • February 12, 2024Fine: $3,798
  • January 22, 2024Fine: $9,116
  • January 8, 2024Fine: $2,279
  • January 2, 2024Fine: $1,764
  • December 11, 2023Fine: $3,174
  • November 9, 2023Fine: $7,443

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
West Wharton County Hospital District
Medicare-certified beds
120
Average residents per day
100
Accepts
Medicare and Medicaid
First certified
June 6, 2023
Part of a chain
Avir Health Group, 118 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
745038

Location

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14300 PEBBLE HILLS BLVDEl Paso, TX 79938

12 other communities within 10 miles

Senior living near El Paso

Questions about Avir at Tierra Este

How did Avir at Tierra Este do on its last inspection?+

State inspectors visited on September 5, 2025 and cited 13 health deficiencies, 5 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Avir at Tierra Este?+

Nurses and aides spend 3 hours 3 minutes with each resident per day, including 8 minutes from registered nurses. 57% of nursing staff left over the past year.

Has Avir at Tierra Este been fined by Medicare?+

Yes. Medicare fined Avir at Tierra Este 8 times in the last three years, totaling $53,957.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in El Paso Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026