Avir at Tierra Este

Nursing home in El Paso, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (915) 955-9998 Send a message Map ↗

Public-record details

Address: 14300 Pebble Hills Blvd, El Paso, TX 79938
Phone: (915) 955-9998
Listed under: For-profit
Medicare CCN: 745038
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 120
Average residents per day: 100
Ownership: For-profit, limited Liability company
Legal business name: West Wharton County Hospital District
Chain: Avir Health Group (116 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jun 6, 2023
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 745038. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 5, 2025. CMS lists 65 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 19, 2023 to May 18, 2026): 34 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
May 18, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
May 18, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	E Potential for more than minimal harm, pattern
May 18, 2026	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Jan 15, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Jan 15, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Sep 5, 2025	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Sep 5, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Sep 5, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Sep 5, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Sep 5, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	E Potential for more than minimal harm, pattern
Sep 5, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	E Potential for more than minimal harm, pattern
Sep 5, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 65. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 8 fines totalling $53,957 in the last three years.

May 18, 2026	Fine: $22,205
Feb 20, 2024	Fine: $4,178
Feb 12, 2024	Fine: $3,798
Jan 22, 2024	Fine: $9,116
Jan 8, 2024	Fine: $2,279
Jan 2, 2024	Fine: $1,764
Dec 11, 2023	Fine: $3,174
Nov 9, 2023	Fine: $7,443

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.05 hours
Registered nurse (RN) time per resident per day: 0.13 hours
Nurse aide time per resident per day: 1.88 hours
Total nurse staffing on weekends: 2.83 hours
Nursing staff turnover (yearly): 57%
RN turnover (yearly): 71%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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