Avir At Tierra Este
14300 Pebble Hills Blvd, El Paso, TX, 79938
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 120 · avg 100 residents/day
- Total nursing staff turnover
- 60.4% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $31,752 total
Medicare certification
- CMS Certification Number
- 745038
- Certified beds
- 120 beds · avg 100 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- West Wharton County Hospital District
- Chain affiliation
- Avir Health Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 117 facilities. Chain-wide average overall rating 2.2 / 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 May 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
- 20245 fines · $21K
- 20232 fines · $11K
Most recent events
- 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
- Dec 11, 2023Fine · $3,174
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avir At Tierra Esteinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.