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Nursing home / skilled nursing

Avir At Tierra Este

Nursing home / skilled nursing in El Paso, Texas

Checked November 1, 2026

Provider details
Address14300 Pebble Hills Blvd.
CityEl Paso
StateTexas
ZIP code79938
CountyEl Paso
Phone915-955-9998
Websitehttps://avirhg.com/avir-at-tierra-este/
CMS certification number (CCN)745038
OwnershipFor profit - Limited Liability company
Certified beds120
CertificationMedicare and Medicaid
First approved for Medicare/MedicaidJune 6, 2023
Located in a hospitalN
Continuing care retirement communityN
Care typesskilled nursing, rehab services
Services offeredskilled nursing care, rehabilitation services

Avir At Tierra Este is in 14300 Pebble Hills Blvd., El Paso, TX 79938. Phone: 915-955-9998. Ownership: For profit - Limited Liability company. CMS rates it 1 out of 5 stars overall (health inspection 1, staffing 1, quality measures 3). CMS inspection and staffing detail: total weighted health survey score 184.250; 8 federal fines totaling $53957.00; total nursing staff turnover 50.0%.

More about this provider

Websitehttps://avirhg.com/avir-at-tierra-este/

Quality measures

Source: CMS · CMS processing date: 2026-10-01

Star ratings and staffing hours
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating3 of 5
Long-stay quality rating5 of 5
Short-stay quality rating2 of 5
RN staffing hours per resident per day0.17
Total nurse staffing hours per resident per day3.03

Inspection results

Source: CMS · processing date 2026-10-01
Rating Cycle 1 Total Health Score155
Total Weighted Health Survey Score184.250
Rating Cycle 2/3 Total Health Score272
Rating Cycle 1 Health Deficiency Score155
Rating Cycle 2/3 Health Deficiency Score272
Rating Cycle 1 Standard Survey Health Date2025-09-05
Rating Cycle 1 Total Number of Health Deficiencies15
Rating Cycle 2/3 Total Number of Health Deficiencies38
Rating Cycle 1 Number of Standard Health Deficiencies8
Rating Cycle 1 Number of Complaint Health Deficiencies7
Rating Cycle 2/3 Number of Complaint Health Deficiencies19

Staffing

Source: CMS · processing date 2026-10-01
Nursing Case-Mix Index1.34949
Registered Nurse turnover60.0
Nursing Case-Mix Index Ratio0.95691
Total nursing staff turnover50.0
Reported LPN Staffing Hours per Resident per Day0.92574
Reported Licensed Staffing Hours per Resident per Day1.09347
Number of administrators who have left the nursing home0
Reported Nurse Aide Staffing Hours per Resident per Day1.93875
Registered Nurse hours per resident per day on the weekend0.26076
Total number of nurse staff hours per resident per day on the weekend2.82301

Penalties

Source: CMS · processing date 2026-10-01
Number of Fines8
Number of Payment Denials0
Total Number of Penalties8
Total Amount of Fines in Dollars53957.00

Ownership

Source: CMS · processing date 2026-10-01
Chain ID719
Chain NameAVIR HEALTH GROUP
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Chain Average QM Rating3.8
Chain Average Staffing Rating1.5
Number of Facilities in Chain118
Chain Average Overall 5-star Rating2.2
Chain Average Health Inspection Rating2.4
Provider Changed Ownership in Last 12 MonthsN

Occupancy and payer mix

Source: CMS · processing date 2026-10-01
Abuse IconN
High Performing IconN
With a Resident and Family CouncilResident
Average Number of Residents per Day102.9
Automatic Sprinkler Systems in All Required AreasYes
Most Recent Health Inspection More Than 2 Years AgoN

Who pays for nursing home / skilled nursing?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Nursing home / skilled nursing guide · Paying for care

Other nursing home / skilled nursing in El Paso County

Common questions about Avir At Tierra Este

Where is Avir At Tierra Este located?

Avir At Tierra Este is at 14300 Pebble Hills Blvd., El Paso, Texas 79938.

What care and services does Avir At Tierra Este offer?

Avir At Tierra Este offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.

Is Avir At Tierra Este Medicare-certified?

Yes. Avir At Tierra Este is certified for both Medicare and Medicaid.

What is Avir At Tierra Este's quality rating?

CMS gives Avir At Tierra Este an overall star rating of 1 out of 5.

How do I contact Avir At Tierra Este?

Call Avir At Tierra Este at 915-955-9998.

How much does a nursing home cost?

The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.

Does Medicare pay for a nursing home?

Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.

What is the difference between a nursing home and assisted living?

A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.

Who else pays for a nursing home besides Medicare?

Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.

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