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Skilled nursing facility · CMS certification number 745038

Avir at Tierra Este

EL PASO, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download Avir at Tierra Este’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 8 · Fines: 8 · Fines, total amount: $53,957.00 · Payment denials: 0. The most recent penalty on file: May 18, 2026, Fine, $22,205. Every penalty on file ↓

Avir at Tierra Este: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2025, covering January 1, 2025 to May 31, 2025 (150 days, not a full year), and CMS processed it on July 14, 2026.
  • Net patient revenue fell from $10.7M in fiscal year 2024 to $3.3M in fiscal year 2025.
  • Its result from service to patients: −$144K (2023), $699K (2024), −$665K (2025).
  • Its cost reports on file run from fiscal year 2023 to fiscal year 2025.
  • Since its cost report for fiscal year 2025 was filed on July 14, 2026, 6 changes are listed on this record: 2 owner changes, 2 owner changes and 2 deficiencies.
  • Its net patient revenue of $3.3M ranks 411th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
  • 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.

Avir at Tierra Este: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2023 to 2025
Form CMS-2540-102025 · report 14507512024 · report 14470762023 · report 1383492
Period beganJanuary 1, 2025January 1, 2024June 6, 2023
Period endedMay 31, 2025December 31, 2024December 31, 2023
Days, where not a full year150—208
Processed by CMSJuly 14, 2026January 27, 2026June 13, 2024
Total patient revenue$4,426,871$11,080,877$3,240,749
Contractual allowances and discounts$1,112,831$410,785—
Net patient revenue$3,314,040$10,670,092$3,240,749
Total operating expenses$3,978,864$9,970,945$3,384,999
Net income from service to patients−$664,824$699,147−$144,250
Total other income—−$8,734$5,410
Net income after other income−$664,824$690,413−$138,840
Net income−$664,824$690,413−$138,840
Total facility beds, all components120120120
Bed days available, all components18,120——
Medicare (Title XVIII) patient days2,466——
Medicaid (Title XIX) patient days9,682——
Other-payer patient days2,175——
Total patient days, all components14,32332,8109,781
Medicare discharges56——
Medicaid discharges57——
Other-payer discharges61——
Total discharges, all components17423159
Average length of stay, Medicare, in days44.0457.9698.82
Average length of stay, Medicaid, in days169.86364.48351.62
Average length of stay, all patients, in days82.32142.03165.78

Net income, fiscal years 2025, 2024, 2023. Checked against the form’s own arithmetic: what that check shows.

Avir at Tierra Este: nurse staffing hours by quarter →

Who owns Avir at Tierra Este, as filed with CMS

Care Compare

  • 5% OR GREATER SECURITY INTEREST: 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC (organization), since 04/01/2025; WELLTOWER INC (organization), since 04/01/2025; WELLTOWER NNN GROUP, LLC (organization), since 04/01/2025; WELLTOWER OP LLC (organization), since 04/01/2025
  • ADP OF THE SNF: 14300 PEBBLE HILLS BOULEVARD OPCO, LLC (organization), since 05/03/2025; 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC (organization), since 04/01/2025; GIVENS, LAURA (individual), since 04/01/2025; HUCKINS, SARA (individual), since 04/01/2025; WELLTOWER INC (organization), since 04/01/2025; WELLTOWER NNN GROUP, LLC (organization), since 04/01/2025; WELLTOWER OP LLC (organization), since 04/01/2025
  • CORPORATE DIRECTOR: THOMPSON, JOHNNY (individual), since 04/01/2025
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: GOLDBERGER, ABRAHAM (individual), since 05/03/2025
  • OPERATIONAL/MANAGERIAL CONTROL: 14300 PEBBLE HILLS BOULEVARD OPCO, LLC (organization), since 04/01/2025; DAGAN, AMITAI (individual), since 04/01/2025; FREUND, NOCHUM (individual), since 04/01/2025; GIVENS, LAURA (individual), since 04/01/2025; HUCKINS, SARA (individual), since 04/01/2025; TRAVITSKY, AARON (individual), since 04/01/2025

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20251022003156).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: WEST WHARTON COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 04/01/2025
  • 5% OR GREATER SECURITY INTEREST: 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC (organization), 100.00%, since 04/01/2025; WELLTOWER INC (organization), 100.00%, since 04/01/2025; WELLTOWER NNN GROUP, LLC (organization), 100.00%, since 04/01/2025; WELLTOWER OP LLC (organization), 100.00%, since 04/01/2025
  • ADP OF THE SNF: 14300 PEBBLE HILLS BOULEVARD OPCO, LLC (organization), since 05/03/2025; 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC (organization), since 04/01/2025; LAURA GIVENS (individual), since 04/01/2025; SARA HUCKINS (individual), since 04/01/2025; WELLTOWER INC (organization), since 04/01/2025; WELLTOWER NNN GROUP, LLC (organization), since 04/01/2025; WELLTOWER OP LLC (organization), since 04/01/2025
  • CORPORATE DIRECTOR: JOHNNY THOMPSON (individual), since 04/01/2025
  • OPERATIONAL/MANAGERIAL CONTROL: 14300 PEBBLE HILLS BOULEVARD OPCO, LLC (organization), since 04/01/2025; AARON TRAVITSKY (individual), since 04/01/2025; AMITAI DAGAN (individual), since 04/01/2025; LAURA GIVENS (individual), since 04/01/2025; NOCHUM FREUND (individual), since 04/01/2025; SARA HUCKINS (individual), since 04/01/2025

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: WEST WHARTON COUNTY HOSPITAL DISTRICT; 14300 PEBBLE HILLS BOULEVARD OPCO, LLC; 14300 PEBBLE HILLS BOULEVARD OPCO, LLC.

Private equity company: No, Real estate investment trust: Yes, Holding company: No: 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC; WELLTOWER INC; WELLTOWER NNN GROUP, LLC; WELLTOWER OP LLC; 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC; WELLTOWER INC; WELLTOWER NNN GROUP, LLC; WELLTOWER OP LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: LAURA GIVENS; SARA HUCKINS; JOHNNY THOMPSON; AARON TRAVITSKY; AMITAI DAGAN; LAURA GIVENS; NOCHUM FREUND; SARA HUCKINS.

Changes in ownership

  • October 1, 2026, Care Compare ownership file; no longer listed: WELLTOWER OP, LLC (ADP OF THE SNF); WELLTOWER OP, LLC (5% OR GREATER SECURITY INTEREST); listed: WELLTOWER OP LLC (ADP OF THE SNF); WELLTOWER OP LLC (5% OR GREATER SECURITY INTEREST). NH_Ownership_Oct2026.csv
  • July 1, 2026, enrollment ownership file; no longer listed: CONQUEST HEALTHCARE MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL); EAST EL PASO HEALTHCARE OPERATIONS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); LLOYD W DOUGLAS (OPERATIONAL/MANAGERIAL CONTROL); LLOYD W DOUGLAS (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: WELLTOWER INC (ADP OF THE SNF), associated since April 1, 2025; WELLTOWER INC (5% OR GREATER SECURITY INTEREST), associated since April 1, 2025; 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC (ADP OF THE SNF), associated since April 1, 2025; 14300 PEBBLE HILLS BOULEVARD PROPERTY OWNER, LLC (5% OR GREATER SECURITY INTEREST), associated since April 1, 2025; WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2025; WELLTOWER OP, LLC (ADP OF THE SNF), associated since April 1, 2025; WELLTOWER OP, LLC (5% OR GREATER SECURITY INTEREST), associated since April 1, 2025; WELLTOWER NNN GROUP, LLC (ADP OF THE SNF), associated since April 1, 2025; WELLTOWER NNN GROUP, LLC (5% OR GREATER SECURITY INTEREST), associated since April 1, 2025; SARA HUCKINS (ADP OF THE SNF), associated since April 1, 2025; SARA HUCKINS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; AARON TRAVITSKY (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; AMITAI DAGAN (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; JOHNNY THOMPSON (CORPORATE DIRECTOR), associated since April 1, 2025; NOCHUM FREUND (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; LAURA GIVENS (ADP OF THE SNF), associated since April 1, 2025; LAURA GIVENS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; 14300 PEBBLE HILLS BOULEVARD OPCO, LLC (ADP OF THE SNF), associated since May 3, 2025; 14300 PEBBLE HILLS BOULEVARD OPCO, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • December 1, 2023, enrollment ownership file; first listed: CONQUEST HEALTHCARE MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since June 6, 2023; EAST EL PASO HEALTHCARE OPERATIONS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since December 1, 2022; LLOYD W DOUGLAS (OPERATIONAL/MANAGERIAL CONTROL), associated since June 6, 2023; LLOYD W DOUGLAS (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Recent changes on this record

Inspections of Avir at Tierra Este

  • Cycle 1: health September 5, 2025 (15 deficiencies), fire safety September 5, 2025 (8)
  • Cycle 2: health August 2, 2024 (22 deficiencies), fire safety August 2, 2024 (3)
  • Cycle 3: health May 19, 2023 (20 deficiencies), fire safety May 19, 2023 (0)

Deficiencies cited at Avir at Tierra Este

67 deficiencies on file, by tag, newest citation first

every one from a health inspection; 36 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0550, resident rights: August 3, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 10, 2026); September 5, 2025 (E, Deficient, Provider has date of correction, corrected September 30, 2025); August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0695, quality of life and care: August 3, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 10, 2026); September 5, 2025 (E, Deficient, Provider has date of correction, corrected September 30, 2025); August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024); September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023).
  • F 0690, quality of life and care: May 18, 2026 (J, from a complaint, Deficient, Provider has date of correction, corrected May 20, 2026); November 27, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 29, 2024); May 19, 2023 (D, Deficient, Provider has date of correction, corrected May 20, 2023).
  • F 0842, resident assessment and care planning: May 18, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 20, 2026); June 28, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024); September 29, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023).
  • F 0880, infection control: May 18, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected May 20, 2026); September 5, 2025 (D, Deficient, Provider has date of correction, corrected September 30, 2025); August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024); February 12, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 14, 2024); January 19, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 8, 2024); November 9, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 10, 2023); September 29, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023); September 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 26, 2023).
  • F 0656, resident assessment and care planning: January 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected January 20, 2026); September 5, 2025 (D, Deficient, Provider has date of correction, corrected September 30, 2025); November 9, 2023 (G, from a complaint, Past Non-Compliance, corrected October 27, 2023).
  • F 0812, nutrition and dietary: January 15, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected January 20, 2026); August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024); February 12, 2024 (F, from a complaint, Deficient, Provider has date of correction, corrected February 14, 2024); May 19, 2023 (D, Deficient, Provider has date of correction, corrected May 20, 2023).
  • F 0558, resident rights: September 5, 2025 (D, Deficient, Provider has date of correction, corrected September 30, 2025); August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024); January 19, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 8, 2024); September 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 26, 2023).
  • F 0677, quality of life and care: September 5, 2025 (E, Deficient, Provider has date of correction, corrected September 30, 2025).
  • F 0755, pharmacy service: September 5, 2025 (D, Deficient, Provider has date of correction, corrected September 30, 2025); August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0761, pharmacy service: September 5, 2025 (E, Deficient, Provider has date of correction, corrected September 30, 2025); August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0727, nursing and physician services: April 1, 2025 (F, from a complaint, Deficient, Provider has date of correction, corrected April 9, 2025).
  • F 0686, quality of life and care: February 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected February 21, 2025).
  • F 0580, resident rights: August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0583, resident rights: August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0584, resident rights: August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0644, resident assessment and care planning: August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0684, quality of life and care: August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024); June 28, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024); January 23, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected February 8, 2024); September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023).
  • F 0756, pharmacy service: August 2, 2024 (D, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0758, pharmacy service: August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0759, pharmacy service: August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0804, nutrition and dietary: August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0814, nutrition and dietary: August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0868, administration: August 2, 2024 (E, Deficient, Provider has date of correction, corrected August 7, 2024).
  • F 0921, environmental: August 2, 2024 (F, Deficient, Provider has date of correction, corrected August 7, 2024); June 28, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024); September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023).
  • F 0607, freedom from abuse, neglect, and exploitation: June 28, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024).
  • F 0609, freedom from abuse, neglect, and exploitation: June 28, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024).
  • F 0698, quality of life and care: June 28, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024).
  • F 0838, administration: June 28, 2024 (C, from a complaint, Deficient, Provider has date of correction, corrected June 29, 2024); September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023).
  • F 0693, quality of life and care: February 12, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 14, 2024).
  • F 0689, quality of life and care: November 9, 2023 (G, from a complaint, Past Non-Compliance, corrected October 27, 2023); September 29, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected October 3, 2023).
  • F 0655, resident assessment and care planning: September 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 26, 2023).
  • F 0679, quality of life and care: May 19, 2023 (E, Deficient, Provider has date of correction, corrected May 20, 2023).
  • F 0732, nursing and physician services: May 19, 2023 (D, Deficient, Provider has date of correction, corrected May 20, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
May 18, 2026Fine$22,205139136
February 20, 2024Fine$4,178112296
February 12, 2024Fine$3,798112246
January 22, 2024Fine$9,116112090
January 8, 2024Fine$2,279112024
January 2, 2024Fine$1,764111967
December 11, 2023Fine$3,174111822
November 9, 2023Fine$7,443111755

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Avir at Tierra Este in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: WEST WHARTON COUNTY HOSPITAL DISTRICT
  • Date First Approved to Provide Medicare and Medicaid Services: 2023-06-06
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: El Paso
  • Telephone Number: 9159559998
  • Chain Name: AVIR HEALTH GROUP
  • Chain ID: 719
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 102.9
  • Overall Rating: 1
  • Health Inspection Rating: 1
  • QM Rating: 3
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 2

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in EL PASO and Texas

Report a figure on Avir at Tierra Este’s record that differs from its CMS file, quoting 745038.