Avir At Tierra Este
14300 PEBBLE HILLS BLVD., El Paso, TX, 79938
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 120 · avg 99 residents/day
- Total nursing staff turnover
- 68.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $31,752 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312518
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- June 6, 2023
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 14300 Pebble Hills Boulevard Opco Llc
- Administrator
- Sara D Huckins
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (3 on record)
- Conquest Healthcare Management Llc
Operational/managerial Control · 100% · since 2023
- Lloyd w Douglas
5% or Greater Indirect Ownership Interest · 100% · since 2023
- East el Paso Healthcare Operations Llc
5% or Greater Indirect Ownership Interest · 100% · since 2022
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 62)
- E0812·Jan 15, 2026Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0656·Jan 15, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0880·Sep 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Sep 5, 2025
Pharmacy Service Deficiencies
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.
- D0755·Sep 5, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0695·Sep 5, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0677·Sep 5, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Sep 5, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20251 payment denial
- 20245 fines · $21K
- 20232 fines · $11K
Most recent events
- Sep 5, 2025Payment denial · 32 days · starting Dec 5, 2025
- Feb 20, 2024Fine · $4,178
- Feb 12, 2024Fine · $3,798
- Jan 22, 2024Fine · $9,116
- Jan 8, 2024Fine · $2,279
- Jan 2, 2024Fine · $1,764
Largest single fine on record: $9,116.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Sep 5, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Tierra Este is a 120-bed Medicare/Medicaid nursing home in El Paso, operated by Avir Health Group. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and 7 fines totaling $31,752 since the facility opened in June 2023. All 120 beds are dual-certified for Medicare and Medicaid. Current average daily occupancy runs at about 98 residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 176 minutes of nursing care per day, about 65 minutes less than at a 4-star-staffing facility in Texas. Beyond the raw count, residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — which means those 176 minutes stretch thinner than the number alone suggests. Registered nurse time is particularly limited: about 13 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in the state.
About 7 in 10 nursing staff left in the past year — well above the Texas median of 5 in 10 and above the 75th-percentile cutoff of 6 in 10. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year. RN turnover is 10 in 10, meaning effectively the entire registered nurse staff turned over in the past 12 months. That level of RN instability is uncommon even among high-turnover facilities.
CMS recorded 7 fines totaling $31,752 since this facility opened in June 2023 — roughly over the Texas median fine total of $20,699 among facilities that received fines at all. About 30% of Texas nursing homes received no fines in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current RN staffing on each shift
With 100% RN turnover in the past year, ask how many registered nurses are scheduled per shift today and whether any positions are currently filled by agency staff.
What the seven fines covered
Seven CMS fines totaling $31,752 were issued since the facility opened in 2023 — ask what deficiencies each citation addressed and what corrective steps followed.
Continuity of care for long-stay residents
Given that roughly 7 in 10 nursing staff left in the past year, ask how the facility assigns and reintroduces caregivers when a resident's primary aide leaves.
Administrator tenure and role today
One administrator has already turned over at this young facility — ask how long the current administrator, Sara Huckins, has been in the role and what her plans are.
Waitlist and bed availability
The facility averages about 98 residents against 120 licensed beds — ask whether there is a current waitlist for the specific room type or care level you need.
Resident Council activity and access
A Resident Council exists here but no Family Council — ask how often the Resident Council meets and how family members can raise concerns outside of that channel.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.