Avir at Tierra Este
Nursing home in El Paso, Texas, CMS certification number 745038
14300 Pebble Hills Blvd., El Paso, TX 79938 · El Paso County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- September 5, 2025
- Deficiencies at that inspection
- 15
- Fines in 3 years
- $53,957 (8)
Does Avir at Tierra Este take Medicare and Medicaid?
Yes to both. Avir at Tierra Este is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Avir at Tierra Este reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.03
- Registered nurse hours
- 0.17
- Licensed practical nurse hours
- 0.93
- Nurse aide hours
- 1.94
- Weekend total hours
- 2.82
- Nursing staff turnover
- 50%
- Registered nurse turnover
- 60%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on September 5, 2025 and cited 15 deficiencies, plus 7 from complaint visits.
The visit before, on August 2, 2024, found 19.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avir at Tierra Este 8 times in the past 3 years, for $53,957 in total.
Beds and residents
On an average day 102.9 residents live here, about 86% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 102.9
- Certified since
- June 6, 2023
- Resident or family council
- Resident
Who owns Avir at Tierra Este
- Legal business name
- West Wharton County Hospital District
- Ownership type
- For profit - Limited Liability company
- Chain
- 118 homes nationally under Avir Health Group, 2.2-star chain average
Other nursing homes near Avir at Tierra Este
- Center at Zaragoza, LLC12660 Pebble Hills Blvd., El Paso 79938
- Ignite Medical Resort El Paso, LLC3421 Joe Battle Boulevard, El Paso 79936
- El Paso Health & Rehabilitation Center11525 Vista Del Sol Drive, El Paso 79936
- Pebble Creek Nursing Center11608 Scott Simpson Drive, El Paso 79936
- Edgemere Estates10880 Edgemere Blvd, El Paso 79935
See also all nursing homes in El Paso.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 21 in El Paso, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avir at Tierra Este, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avir at Tierra Este
What is the CMS star rating of Avir at Tierra Este?
1 out of 5 stars overall.
Does Avir at Tierra Este accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avir at Tierra Este?
15 cited at the last standard visit.
Who owns Avir at Tierra Este?
West Wharton County Hospital District, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.