Avir at Tierra Este
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-05-18 — IMMEDIATE JEOPARDY (tag F0690, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2023-11-09 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-09 — ACTUAL HARM (tag F0656, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing, from payroll records
Nursing hours / resident / day
2.52
state median 2.67
Weekend staffing gap
+5%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.07
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
35
with residents present
Nursing staff turnover
57%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
8 enforcement action(s), totaling $53,957 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-05-18 | Fine | $22,205 |
| 2024-02-20 | Fine | $4,178 |
| 2024-02-12 | Fine | $3,798 |
| 2024-01-22 | Fine | $9,116 |
| 2024-01-08 | Fine | $2,279 |
| 2024-01-02 | Fine | $1,764 |
| 2023-12-11 | Fine | $3,174 |
| 2023-11-09 | Fine | $7,443 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the AVIR HEALTH GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Avir at Beaumont (BEAUMONT, TX) —
- Avir at New Braunfels (New Braunfels, TX) —
- Avir at Rose Trail (TYLER, TX) —
- Avir at Petal Hill (Tyler, TX) —
- Avir at Jeffrey Place (Waco, TX) —
- Avir at Temple West (TEMPLE, TX) —
- Avir at Center (CENTER, TX) —
- Avir at Graham (GRAHAM, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-18 | F0690 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-05-18 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-05-18 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2026-01-15 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-15 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-09-05 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-05 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-05 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-05 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-09-05 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-09-05 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-05 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-09-05 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-04-01 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-02-20 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-27 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-02 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-02 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-02 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-02 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-02 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-08-02 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-02 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-02 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-02 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-08-02 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-02 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-08-02 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-08-02 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-08-02 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-08-02 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-08-02 | F0814 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-08-02 | F0868 | Administration Deficiencies | E | not recorded |
| 2024-08-02 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-08-02 | F0921 | Environmental Deficiencies | F | not recorded |
| 2024-06-28 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-28 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-28 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-28 | F0838 | Administration Deficiencies | C | not recorded |
| 2024-06-28 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-06-28 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-02-12 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-01-23 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-01-19 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-19 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-11-09 | F0656 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2023-11-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-11-09 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-09-29 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-29 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-09-29 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-29 | F0838 | Administration Deficiencies | D | not recorded |
| 2023-09-29 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-09-29 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-09-29 | F0921 | Environmental Deficiencies | D | not recorded |
| 2023-09-01 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-01 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-05-19 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-05-19 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-19 | F0732 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-05-19 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |