Senior Home Review
Home›Browse›Texas›El Paso›Avir At Tierra Este
Nursing homeFAID #14858

Avir At Tierra Este

14300 Pebble Hills Blvd., EL PASO, TX, 79938
(915) 955-9998
www.tierraestehc.com
120 licensed beds

CMS rates Avir At Tierra Este 1 out of 5 overall. Federal inspectors issued 68 citations across 17 inspections in the last three years, with $53,957 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79Advanced Report$99
Delivered within 24–48 hours
Photo of Avir at Tierra Este
Photo via Google · Luis Peña Jr

Address

14300 Pebble Hills Blvd.
El Paso, TX 79938
Get directions

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
745038
Care type
Nursing home
County
El Paso
Facility name
Avir At Tierra Este
Street address
14300 Pebble Hills Blvd.
City / state / ZIP
El Paso, TX 79938
Phone
(915) 955-9998
Website
www.tierraestehc.com

About this facility — Avir At Tierra Este

Avir At Tierra Este is a Medicare/Medicaid-certified skilled nursing facility in El Paso, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 110 senior care facilities in El Paso and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Tierra Este 68 times across 17 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $53,957 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

14300 Pebble Hills Boulevard Opco, Llc
Operational control · Additional disclosable party — since 2025
14300 Pebble Hills Boulevard Property Owner, Llc
Security-interest holder · Additional disclosable party — since 2025
Dagan, Amitai
Operational control — since 2025
Freund, Nochum
Operational control — since 2025
Givens, Laura
Operational control · Additional disclosable party — since 2025
Goldberger, Abraham
Owner of a disclosable party — since 2025
Huckins, Sara
Operational control · Additional disclosable party — since 2025
Thompson, Johnny
Director — since 2025
Travitsky, Aaron
Operational control — since 2025
Welltower Inc
Security-interest holder · Additional disclosable party — since 2025
Welltower Nnn Group, Llc
Security-interest holder · Additional disclosable party — since 2025
Welltower Op Llc
Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
2023-06-06
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$53,957 total
Last standard inspection
2025-09-05
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$331 per day (≈ $10,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
47% Medicaid · 39% Medicare · 14% private/other
Occupancy
39% (fiscal year 2023)
Vs. state median
19% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-03Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-08-10
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-08-10
2026-05-18Health inspectionComplaint-triggered3 citations
F-0690
J · Immediate jeopardyFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-20
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-20
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-20
14 earlier / fire-safety inspections (63 citations)
2026-01-15Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-20
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-20
2025-09-05Health inspection8 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-30
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-30
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-30
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-30
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-30
F-0761
E · No harm found
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.
Corrected 2025-09-30
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
2025-04-01Health inspectionComplaint-triggered1 citation
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2025-04-09
2025-02-20Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-21
2024-11-27Health inspectionComplaint-triggered1 citation
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-29
2024-08-02Health inspection19 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-07
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-07
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-07
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-07
F-0584
E · No harm found
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.
Corrected 2024-08-07
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-08-07
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-07
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-07
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-07
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-07
F-0758
E · No harm found
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.
Corrected 2024-08-07
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-07
F-0761
E · No harm found
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.
Corrected 2024-08-07
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-08-07
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-07
F-0814
E · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-08-07
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-08-07
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-07
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-07
2024-06-28Health inspectionComplaint-triggered7 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-29
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-29
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-29
F-0698
E · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-06-29
F-0838
C · No harm foundFrom a complaint
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.
Corrected 2024-06-29
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-29
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-06-29
2024-02-12Health inspectionComplaint-triggered3 citations
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2024-02-14
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-14
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-14
2024-01-23Health inspectionComplaint-triggered1 citation
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-08
2024-01-19Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-08
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-08
2023-11-09Health inspectionComplaint-triggered3 citations
F-0656
G · Actual harmFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-27
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-27
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-11-10
2023-05-19Health inspection4 citations
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-05-20
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-20
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2023-05-20
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-20
2025-09-05Fire-safety inspection8 citations
E-0041
E · No harm found
Implement emergency and standby power systems.
Corrected 2025-09-24
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-30
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-23
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-25
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-25
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-09-24
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-30
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-09-30
2024-08-02Fire-safety inspection3 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-08-07
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-08-02
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-02

Federal penalties

2026-05-18Fine$22,205
2024-02-20Fine$4,178
2024-02-12Fine$3,798
2024-01-22Fine$9,116
2024-01-08Fine$2,279
2024-01-02Fine$1,764
2023-12-11Fine$3,174
2023-11-09Fine$7,443
Total fines$53,957
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 745038.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
68
More than 94% of nursing homes in the state
State median: 33
Federal fines, 3 years
$53,957
More than 77% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.0
Higher than 21% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
50%
Higher than 47% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 9 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased8.7%15.8%13.5%Better than state
Lose too much weight0.0%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.7%0.3%0.7%Worse than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms1.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury3.1%3.2%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine90.7%96.4%93.7%Near state average
Ability to walk independently worsened6.7%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication23.9%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine93.1%97.0%95.3%Near state average
With pressure ulcers5.3%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence18.0%12.5%18.3%Worse than state
Received an antipsychotic medication21.4%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.462.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.051.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine51.3%88.7%82.3%Worse than state
Newly received an antipsychotic medication1.9%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine24.7%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission27.1%25.5%23.4%Near state average
Had an outpatient emergency department visit10.9%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 6 inspections. Provide and implement an infection prevention and control program.
  • F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0690 3 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • The Hospitals of Providence - East Campus, about 2.3 miles. CMS rating 2 of 5.
  • The Hospitals of Providence Horizon City Campus, about 7.0 miles.
  • El Paso Children's Hospital, about 12 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.4201 ratings on Google
★★★★★Michelle Alva · 2026-03-12 · via Google

“Our family cannot say enough wonderful things about the care my mother-in-law received here. From the moment we arrived, the staff made us feel welcome and supported during what can be a very stressful time. Candace and Alyssa at check-in and insurance were absolutely incredible. They made the entire process smooth, answered every question we had, and helped us navigate the paperwork with kindnes…”

★Virginia · 2026-07-15 · via Google

“Scrolling through the reviews of others Im surprised. My sister was there since Monday not even 24hrs and she knew things were not going to go smoothly ,No walker available for her the Facility knew she was on her way and were not prepared someone did go on Saturday to confirm her stay is in Gym attire. Bad sign there. Let me back up a bit ,sorry warning it is going to be a long post ...she had k…”

★★★★★Daniel Alva · 2026-03-12 · via Google

“⭐⭐⭐⭐⭐ Highly Recommend Avir at Tierra Este** Our family is incredibly grateful for the care and compassion shown to my mother during her stay at Avir at Tierra Este over the past several months. This experience was made so much easier thanks to the amazing staff who supported us every step of the way. Candice and Alyssa were absolutely wonderful in helping with the setup, handling insurance matt…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 68 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
$79$99 Advanced

Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered