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Last checked October 25, 2026 · 2,492 nursing homes and 2,174 assisted living licenses in 4 states · CMS data processed September 1, 2026

Home › Texas › El Paso County › Avir at Tierra Este

Avir at Tierra Este

14300 Pebble Hills Blvd., El Paso, TX 79938 · CMS Certification Number (CCN) 745038

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
65 in the last 3 inspection cycles (1 immediate jeopardy, 2 actual harm, 34 from complaints)
Fire safety citations
11
Fines (last 3 years)
8 fines, total $53,957
Payment denials
0
Most recent standard inspection
September 5, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★★☆☆ 3 of 53.73.6
Long-stay quality★★★★☆ 4 of 5Not publishedNot published
Short-stay quality★★★☆☆ 3 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)September 5, 20251385
Cycle 2August 2, 2024481929

CMS weighted health inspection score: 191.25 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

65 health citations across 15 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

May 18, 2026: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/20/2026
D F-0842 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/20/2026
J F-0690 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/20/2026
January 15, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/20/2026
D F-0656 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/20/2026
September 5, 2025: 8 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
E F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
D F-0656 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
E F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/30/2025
April 1, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
F F-0727 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.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/09/2025
February 20, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/21/2025
November 27, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0690 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/29/2024
August 2, 2024: 19 citations (Standard)
SeverityTagWhat was citedTypeStatus
F F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0814 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0758 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
E F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
June 28, 2024: 7 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
E F-0842 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
C F-0838 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.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
E F-0698 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
D F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/29/2024
February 12, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/14/2024
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/14/2024
D F-0693 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.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/14/2024
January 23, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/08/2024
January 19, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/08/2024
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/08/2024
November 9, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/10/2023
G F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Past Non-Compliance
Corrected 10/27/2023
G F-0656 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 Deficiencies
Complaint Past Non-Compliance
Corrected 10/27/2023
September 29, 2023: 7 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
E F-0842 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 Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
D F-0838 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.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/03/2023
September 1, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/26/2023
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/26/2023
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/26/2023
May 19, 2023: 4 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/20/2023
D F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/20/2023
D F-0690 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 Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/20/2023
E F-0679 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/20/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Fire safety inspections

11 fire safety citations across 2 inspection dates
DateSeverityTagWhat was citedStatus
09/05/2025EK-0923Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 09/30/2025
09/05/2025FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 09/30/2025
09/05/2025EK-0911Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 09/24/2025
09/05/2025EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 09/25/2025
09/05/2025FK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 09/25/2025
09/05/2025EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/23/2025
09/05/2025FK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/30/2025
09/05/2025EE-0041Implement emergency and standby power systems.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/24/2025
08/02/2024FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 08/02/2024
08/02/2024FE-0041Implement emergency and standby power systems.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 08/02/2024
08/02/2024FE-0039Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 08/07/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Penalties

DateTypeFine amountPayment denial
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—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.053.393.86
Registered nurse (RN) hours per resident per day0.130.430.69
LPN/LVN hours per resident per day1.04Not publishedNot published
Nurse aide hours per resident per day1.88Not publishedNot published
Total nurse staff hours per resident per day, weekends2.83Not publishedNot published
RN hours per resident per day, weekends0.16Not publishedNot published
Total nursing staff turnover (%)56.955.345.8
Registered nurse turnover (%)71.4Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Facility details

Legal business name
West Wharton County Hospital District
Ownership type
For profit - Limited Liability company
Chain
Avir Health Group (118 facilities)
Ownership changed in last 12 months
No
Certified beds
120
Average residents per day
99.8
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
June 6, 2023
County/parish
El Paso

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Owners and managers reported to CMS

19 ownership and management records
NameRoleTypeOwnership %Since
14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
THOMPSON, JOHNNYCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
14300 PEBBLE HILLS BOULEVARD OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
DAGAN, AMITAIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
GIVENS, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
HUCKINS, SARAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
14300 PEBBLE HILLS BOULEVARD OPCO, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
GIVENS, LAURAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
HUCKINS, SARAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 25, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 25, 2026. Not a ranking or endorsement.