Avir at Tierra Este

14300 Pebble Hills Blvd., El Paso, TX 79938 · (915) 955-9998
For profit - Limited Liability company · 120 certified beds

Avir at Tierra Este has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 8 citations (the Texas average is 9.4). It was fined 8 times in the last three years, $53,957 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on September 5, 2025 found 8 citations. What an inspection citation means

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 5, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.September 5, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.September 5, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.September 5, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.September 5, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.September 5, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 5, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.September 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 24 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.May 18, 2026 · F0690 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 18, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 18, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 15, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 15, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 1, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 20, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.November 27, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 28, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 28, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 28, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.June 28, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.June 28, 2024 · F0838 · Level of harm: Potential for minimal harm · Residents affected: Many
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 28, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 28, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 12, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 12, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.February 12, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 23, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.January 19, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 19, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 9, 2023 · F0656 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 9, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.November 9, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

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

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home