With a score of 13/100, Avir At Tierra Este ranks in the bottom tier of Texas nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Avir At Tierra Este, with 2.93 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 62 deficiencies at Avir At Tierra Este. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.93 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.21 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.97 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.75 | 2.4 | Below Average |
| Weekend Total Nursing | 2.67 | 3.8 | Below Average |
| Weekend RN Hours | 0.16 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 14, 2026 · Nutrition and Dietary Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 14, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Sep 4, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Sep 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Sep 4, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.3% | 4.5% | Worse |
| Falls with major injury | 1.2% | 3.0% | Better |
| On antipsychotic medication | 29.1% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 16.1% | 14.0% | Worse |
| Excessive weight loss | 1.4% | 7.5% | Better |
| New/worsened incontinence | 21.9% | 45.0% | Better |
⚠️ Penalties & Fines
7 penalties recorded by CMS
Total fines: $31,752
How This Grade Was Calculated
This facility's grade of F is based on a score of 13 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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