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Data / Nursing homes / Texas / Avir at Tierra Este

Avir at Tierra Este, El Paso, TX: 1 star rating, fined $53,957 across 8 fines

Avir at Tierra Este in El Paso, TX is run by West Wharton County Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $53,957 across 8 fines in the three years to October 1, 2026. CMS lists 53 health citations from inspections in that time, the latest survey on August 3, 2026, and 3 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
14300 Pebble Hills Blvd., El Paso, TX 79938
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
120
Residents per day
103 on average
Ownership type
For profit, limited liability company
Legal business name
West Wharton County Hospital District
Chain
Avir Health Group, 118 facilities
Fines
$53,957 across 8 fines, three years to October 1, 2026
Payment denials
0
Health citations
53, of which 3 with actual harm or immediate jeopardy
Latest survey
August 3, 2026
CMS Certification Number
745038
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 18, 2026Fine$22,205Not listeddata.cms.gov
February 20, 2024Fine$4,178Not listeddata.cms.gov
February 12, 2024Fine$3,798Not listeddata.cms.gov
January 22, 2024Fine$9,116Not listeddata.cms.gov
January 8, 2024Fine$2,279Not listeddata.cms.gov
January 2, 2024Fine$1,764Not listeddata.cms.gov
December 11, 2023Fine$3,174Not listeddata.cms.gov
November 9, 2023Fine$7,443Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 3, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2026data.cms.gov
August 3, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2026data.cms.gov
May 18, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.J: isolated, immediate jeopardyCorrectedMay 20, 2026data.cms.gov
May 18, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
May 18, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
January 15, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2026data.cms.gov
January 15, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2026data.cms.gov
September 5, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
September 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
April 1, 2025F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 9, 2025data.cms.gov
February 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
November 27, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
August 2, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F814Dispose of garbage and refuse properly.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F758Implement 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
August 2, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
June 28, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 29, 2024data.cms.gov
June 28, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 29, 2024data.cms.gov
June 28, 2024F838Conduct 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.C: widespread, minimal harm potentialCorrectedJune 29, 2024data.cms.gov
June 28, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 29, 2024data.cms.gov
June 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 29, 2024data.cms.gov
June 28, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 29, 2024data.cms.gov
June 28, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 29, 2024data.cms.gov
February 12, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
February 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
February 12, 2024F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
January 19, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
January 19, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov
November 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceOctober 27, 2023data.cms.gov
November 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G: isolated, actual harmPast noncomplianceOctober 27, 2023data.cms.gov
November 9, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (5 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
14300 Pebble Hills Boulevard OPCO, LLCOperational or managerial controlNot listedApril 1, 2025data.cms.gov
14300 Pebble Hills Boulevard Property Owner, LLCSecurity interestNot listedApril 1, 2025data.cms.gov
Welltower IncSecurity interestNot listedApril 1, 2025data.cms.gov
Welltower NNN Group, LLCSecurity interestNot listedApril 1, 2025data.cms.gov
Welltower OP LLCSecurity interestNot listedApril 1, 2025data.cms.gov
14300 Pebble Hills Boulevard OPCO, LLCAdditional disclosable partyNot listedMay 3, 2025data.cms.gov
14300 Pebble Hills Boulevard Property Owner, LLCAdditional disclosable partyNot listedApril 1, 2025data.cms.gov
Welltower IncAdditional disclosable partyNot listedApril 1, 2025data.cms.gov
Welltower NNN Group, LLCAdditional disclosable partyNot listedApril 1, 2025data.cms.gov
Welltower OP LLCAdditional disclosable partyNot listedApril 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.