Avir at Tierra Este
Nursing Home · El Paso, TX
CMS certification number745038
Contact & location
14300 Pebble Hills BlvdEl Paso, TX 79938
El Paso County
- Phone
- (915) 955-9998
- ZIP code
- 79938 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 99.8 (83% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- West Wharton County Hospital District
- Chain
- Avir Health Group (116 facilities, avg 2.3★)
- Medicare certified since
- June 6, 2023
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.05 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.13 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.04 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.88 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.83 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 56.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 71.4 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- September 5, 2025
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 65 health · 11 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-18 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-05-20 |
| 2026-05-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-05-18 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-20 |
| 2026-01-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2026-01-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-09-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-09-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-04-01 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-09 |
| 2025-02-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-21 |
| 2024-11-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-29 |
| 2024-08-02 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | 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. F0758 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-08-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-07 |
| 2024-06-28 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-29 |
| 2024-06-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-29 |
| 2024-06-28 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-29 |
| 2024-06-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-29 |
| 2024-06-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-29 |
| 2024-06-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-29 |
| 2024-06-28 | 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. F0838 · Administration Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2024-06-29 |
| 2024-02-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
| 2024-02-12 | 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
| 2024-02-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
| 2024-01-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-08 |
| 2024-01-19 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-08 |
| 2024-01-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-08 |
| 2023-11-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-27 |
| 2023-11-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
8 penalties in the last three years, including $53,957 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-05-18 | Fine | $22,205 |
| 2024-02-20 | Fine | $4,178 |
| 2024-02-12 | Fine | $3,798 |
| 2024-01-22 | Fine | $9,116 |
| 2024-01-08 | Fine | $2,279 |
| 2024-01-02 | Fine | $1,764 |
| 2023-12-11 | Fine | $3,174 |
| 2023-11-09 | Fine | $7,443 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| 14300 Pebble Hills Boulevard Property Owner, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Welltower INC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Welltower NNN Group, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Welltower Op, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| 14300 Pebble Hills Boulevard Opco, LLC (organization) | Administrator · NOT APPLICABLE | |
| 14300 Pebble Hills Boulevard Property Owner, LLC (organization) | Administrator · NOT APPLICABLE | |
| Givens, Laura (individual) | Administrator · NOT APPLICABLE | |
| Huckins, Sara (individual) | Administrator · NOT APPLICABLE | |
| Welltower INC (organization) | Administrator · NOT APPLICABLE | |
| Welltower NNN Group, LLC (organization) | Administrator · NOT APPLICABLE | |
| Welltower Op, LLC (organization) | Administrator · NOT APPLICABLE | |
| Thompson, Johnny (individual) | Corporate Director · NOT APPLICABLE | |
| Goldberger, Abraham (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| 14300 Pebble Hills Boulevard Opco, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Dagan, Amitai (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Freund, Nochum (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Givens, Laura (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Huckins, Sara (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Travitsky, Aaron (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avir at Tierra Este?
Avir at Tierra Este has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Avir at Tierra Este have?
It has 120 certified beds and cares for about 100 residents per day.
Has Avir at Tierra Este been fined?
Yes. CMS lists 8 penalties totaling $53,957 in the last three years.
Who owns Avir at Tierra Este?
It is part of Avir Health Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avir at Tierra Este?
(915) 955-9998. The facility is located at 14300 Pebble Hills Blvd, El Paso, TX 79938.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.