Avir at Tierra Este: Staffing, Turnover, and Inspection Record
Avir at Tierra Este is a 120-bed for-profit nursing home in El Paso, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.88 nurse aide hours per resident per day, 6% below the Texas average of 2.00, and 56.9% nursing staff turnover (Texas average 55.3%).
Avir at Tierra Este
14300 Pebble Hills BlvdEl Paso, TX 79938
El Paso County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Tierra Este, nurse aides logged 1.88 hours per resident per day, 6% below the Texas average. With about 100 residents a day, that works out to roughly 188 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.88 | 2.00 | 2.32 |
| Licensed practical nurses | 1.04 | 0.95 | 0.86 |
| Registered nurses | 0.13 | 0.43 | 0.69 |
| All nursing staff | 3.05 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.83 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.9% of nursing staff at Avir at Tierra Este left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 71.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Texas average 9.3). CMS lists 8 fines totaling $53,957 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 18, 2026 | Fine | $22,205 |
| Feb 20, 2024 | Fine | $4,178 |
| Feb 12, 2024 | Fine | $3,798 |
| Jan 22, 2024 | Fine | $9,116 |
| Jan 8, 2024 | Fine | $2,279 |
| Jan 2, 2024 | Fine | $1,764 |
| Dec 11, 2023 | Fine | $3,174 |
| Nov 9, 2023 | Fine | $7,443 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Tierra Este holds 1 of 5 overall; the Texas average is 2.6.
About Avir at Tierra Este
- Ownership: For profit - Limited Liability company
- Chain: Avir Health Group, 116 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Jun 6, 2023
- Councils: resident council
- Area: urban
Nursing homes near Avir at Tierra Este
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Center at Zaragoza, LLC El Paso | 1.8 | 80 | 2.67 | 4.79 | 44.7% | 4 | None |
| Ignite Medical Resort El Paso, LLC El Paso · SFF candidate | 2.5 | 60 | 1.45 | 3.24 | — | 1 | $67,425 |
| El Paso Health & Rehabilitation Center El Paso | 4.6 | 150 | 1.91 | 3.12 | — | 1 | $20,312 |
| Pebble Creek Nursing Center El Paso · SFF candidate · abuse citation | 4.8 | 120 | 2.06 | 3.38 | 97.4% | 1 | $145,184 |
| Edgemere Estates El Paso | 5.3 | 138 | 1.97 | 3.34 | 52.6% | 1 | $49,292 |
| Vista Hills Health Care Center El Paso | 6.1 | 120 | 2.14 | 3.44 | 95.8% | 1 | $40,465 |
| St. Teresa Nursing & Rehab Center El Paso | 6.5 | 124 | 2.05 | 3.63 | 97.1% | 1 | $20,730 |
| St. Giles Nursing and Rehabilitation Center El Paso | 7.5 | 124 | 2.33 | 3.61 | 93.9% | 2 | $13,065 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.