Avir at Tierra Este
14300 PEBBLE HILLS BLVD, EL PASO, TX 79938 · CCN 745038
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 98.5
- Phone
- 9159559998
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-05 | 11 | 9.1 | 9.5 | +1.9 worse |
| 2 | 2024-08-02 | 28 | 9.4 | 9.8 | +18.6 worse |
| 3 | 2023-05-19 | 23 | 8.1 | 9.3 | +14.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.93 | 68.8% |
| RN staffing (reported) | 0.21 | 100.0% |
| Total nurse staffing (adjusted) | 3.16 | — |
Fines & penalties
- Total fines
- $31,752
- Number of fines
- 7
- Number of penalties
- 8
- Payment denials
- 1
Chain
- Chain
- AVIR HEALTH GROUP
- Facilities in chain
- 90
- Chain avg overall
- 2.30 / 5
Inspection citations (62)2 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-15 · Health
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-15 · Health
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- EF0761Ensure 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.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-05 · Health · corrected 2025-09-30
Potential for more than minimal harm
- FF0727Have 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.2025-04-01 · Health · corrected 2025-04-09
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-20 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-27 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0584Honor 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.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0758Implement 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.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0761Ensure 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.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-02 · Health · corrected 2024-08-07
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-28 · Health · corrected 2024-06-29
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-28 · Health · corrected 2024-06-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-28 · Health · corrected 2024-06-29
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-28 · Health · corrected 2024-06-29
Potential for more than minimal harm
- CF0838Conduct 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.2024-06-28 · Health · corrected 2024-06-29
Potential for minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-28 · Health · corrected 2024-06-29
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-06-28 · Health · corrected 2024-06-29
Potential for more than minimal harm
- DF0693Ensure 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.2024-02-12 · Health · corrected 2024-02-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-12 · Health · corrected 2024-02-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-12 · Health · corrected 2024-02-14
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-23 · Health · corrected 2024-02-08
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-19 · Health · corrected 2024-02-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-19 · Health · corrected 2024-02-08
Potential for more than minimal harm
- GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-09 · Health · corrected 2023-10-27
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-09 · Health · corrected 2023-10-27
Actual harm
- DF0880Provide and implement an infection prevention and control program.2023-11-09 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- DF0838Conduct 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.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-29 · Health · corrected 2023-10-03
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-09-01 · Health · corrected 2023-09-26
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-01 · Health · corrected 2023-09-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-01 · Health · corrected 2023-09-26
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-05-19 · Health · corrected 2023-05-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-19 · Health · corrected 2023-05-20
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2023-05-19 · Health · corrected 2023-05-20
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-19 · Health · corrected 2023-05-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EAST EL PASO HEALTHCARE OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-12-01 |
| DOUGLAS, LLOYD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-06 |
| CONQUEST HEALTHCARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-06 |
| DOUGLAS, LLOYD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-06 |
Other facilities in EL PASO
| Name | Overall | Beds |
|---|---|---|
| OASIS NURSING & REHABILITATION CENTER | ★★★★☆ | 130 |
| MOUNTAIN VILLA NURSING CENTER | ★★★★☆ | 48 |
| WHITE ACRES WELLNESS & REHABILITATION | ★★☆☆☆ | 74 |
| GRACE POINTE WELLNESS CENTER | ★★☆☆☆ | 154 |
| EL PASO HEALTH & REHABILITATION CENTER | ★★☆☆☆ | 150 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.