El Paso Senior AdvisorAvir at Tierra Este is a 120-bed nursing facility at 14300 Pebble Hills Blvd., El Paso, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #312518; CMS rates Avir at Tierra Este 1 out of 5 stars overall in Care Compare data dated October 1, 2026.
What are Avir at Tierra Este's Care Compare star ratings?
CMS rates Avir at Tierra Este 1 out of 5 stars overall, with 1 star for health inspections, 1 for staffing and 3 for quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 1 of 5 |
| Health inspections (CMS) | 1 of 5 |
| Staffing (CMS) | 1 of 5 |
| Quality measures (CMS) | 3 of 5 |
| Long-stay / short-stay quality (CMS) | 5 / 2 |
| Certification (CMS) | Medicare and Medicaid |
| Certified beds; average daily census | 120; 102.9 |
| Ownership (CMS) | For profit - Limited Liability company |
| Chain (CMS) | Avir Health Group, 118 homes |
| Medicare/Medicaid participation since | June 6, 2023 |
| HHSC nursing facility license | #312518, 120 licensed beds |
| Alzheimer's beds (HHSC directory) | None listed |
About 103 residents live there on an average day, 86% of certified beds, above the 74% median for certified homes in the El Paso area.
What have inspectors cited at Avir at Tierra Este?
CMS dates Avir at Tierra Este's last standard inspection September 5, 2025, and the cycle carries 15 health deficiencies: 8 from the survey and 7 from complaints.
Looking one cycle back to August 2, 2024, CMS shows 38 deficiencies. Certified homes in the metro have a median of 15 in their latest cycle, so this home sits at or below that mark.
Within CMS's three-year penalty window it shows 8 fines totaling $53,957 and 0 payment denials.
How many nursing hours do residents of Avir at Tierra Este receive?
CMS's payroll-based figures credit Avir at Tierra Este with 3.03 total nurse hours per resident per day (below the El Paso median of 3.33), of which 0.17 are RN hours.
Nurse aides account for 1.94 hours per resident day. Weekend total nurse staffing is 2.82 hours per resident day. Nursing staff turnover is 50.0%, above the El Paso median of 43.9%; RN turnover is 60.0%. CMS counts 0 administrator departures in its measurement period.
Who can pay for a stay at Avir at Tierra Este?
CMS lists Avir at Tierra Este as certified for Medicare and Medicaid, so it can bill Medicare for qualifying short-term skilled stays and Texas Medicaid for long-term residents who qualify for nursing facility care.
Ask the business office which payer a bed is filled under. A Medicare rehab bed and a long-term Medicaid bed can be on different halls, and not every home keeps long-term Medicaid beds open. Texas Medicaid residents keep a $75 monthly personal needs allowance; the rest of their income goes toward the cost of care.
What are the alternatives near Avir at Tierra Este in El Paso?
The closest other certified nursing home is Center at Zaragoza, LLC in El Paso (1.8 mi, CMS 3 of 5), and the nearest acute-care hospital is The Hospitals of Providence Horizon City Campus, about 9.8 miles away.
| Facility | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| Center at Zaragoza, LLC 12660 Pebble Hills Blvd., 79938 | 1.8 | 80 | 3 of 5 | July 8, 2025 | 12 |
| Ignite Medical Resort El Paso, LLC 3421 Joe Battle Boulevard, 79936 | 2.5 | 60 | 1 of 5 | July 31, 2025 | 21 |
| Avir at Del Sol 11525 Vista Del Sol Drive, 79936 | 4.6 | 150 | 3 of 5 | August 7, 2025 | 5 |
| Pebble Creek Nursing Center 11608 Scott Simpson Drive, 79936 | 4.8 | 120 | 1 of 5 | July 15, 2026 | 24 |
| Edgemere Estates 10880 Edgemere Blvd, 79935 | 5.3 | 138 | 3 of 5 | June 3, 2026 | 10 |
What should we raise on a visit to Avir at Tierra Este?
Take the CMS data with you. To begin, ask for the full statement of deficiencies from September 5, 2025, even though the count (15) is not high.
- Turnover of 50.0% is above the local median; ask what share of aides on nights and weekends are agency staff.
- Ask what led to the $53,957 in CMS fines and whether the problem has been closed out.
- With occupancy near 86%, ask which halls have openings and why.
- CMS shows a resident council; ask when it meets and how families raise concerns.
- Ask who the attending physicians are, how often they see long-term residents, and which hospital they admit to.
