Nursing Homes · Medicare certified
Avir at Tierra Este
14300 Pebble Hills BLVD. · El Paso, TX 79938 · 120 certified beds
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About Avir at Tierra Este
Avir at Tierra Este is a nursing home in El Paso, Texas. Its capacity is 120 beds, below the El Paso County median of 124 for nursing homes. It is run by a for-profit operator and is part of Avir Health Group. It is Medicare certified. Its public inspection record shows 65 citations, the most recent on May 18, 2026. CMS also lists 8 fines or payment denials against it. Nurse staffing averages 3.03 hours per resident per day. It is one of 21 nursing homes listed in El Paso. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (65)
Records from May 2023 to May 2026.
June 28, 2024
Tag F0838Conduct 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.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
February 12, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 14, 2024.
February 12, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2024.
February 12, 2024
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2024.
January 23, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
January 19, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
January 19, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 9, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity G: isolated, actual harm. Corrected October 27, 2023.
November 9, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected October 27, 2023.
November 9, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 10, 2023.
September 29, 2023
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 29, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 29, 2023
Tag F0838Conduct 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 29, 2023
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 29, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 29, 2023
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 29, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2023.
September 1, 2023
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2023.
September 1, 2023
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2023.
Penalties (8)
Total fines: $53,957
May 18, 2026 · Fine
CMS recorded a civil money penalty of $22,205 against this nursing home on May 18, 2026.
February 20, 2024 · Fine
CMS recorded a civil money penalty of $4,178 against this nursing home on February 20, 2024.
February 12, 2024 · Fine
CMS recorded a civil money penalty of $3,798 against this nursing home on February 12, 2024.
January 22, 2024 · Fine
CMS recorded a civil money penalty of $9,116 against this nursing home on January 22, 2024.
January 8, 2024 · Fine
CMS recorded a civil money penalty of $2,279 against this nursing home on January 8, 2024.
January 2, 2024 · Fine
CMS recorded a civil money penalty of $1,764 against this nursing home on January 2, 2024.
December 11, 2023 · Fine
CMS recorded a civil money penalty of $3,174 against this nursing home on December 11, 2023.
November 9, 2023 · Fine
CMS recorded a civil money penalty of $7,443 against this nursing home on November 9, 2023.
Staffing
3.03 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Limited Liability company
Part of Avir Health Group, a chain of 118 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.4 for health inspections, 1.5 for staffing, 3.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in El Paso.
Avir at Patriot
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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