Facility profile · CCN 745038
Avir At Tierra Este
62 federal citations on record , and 8 federal enforcement actions totaling $31,752.
Record summary
Federal record · Q1 202662
Total citations
62
Last 3 years
2
Actual harm+
8
Federal penalties
$31,752
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
62 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 15, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Jan 15, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 5, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 5, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Sep 5, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Sep 5, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Sep 5, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Sep 5, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 5, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Sep 5, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Apr 1, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Feb 20, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Nov 27, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Aug 2, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard |
| Aug 2, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 2, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Aug 2, 2024 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Aug 2, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 2, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 2, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Aug 2, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Aug 2, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard |
| Aug 2, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 2, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 2, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 2, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 2, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Aug 2, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Aug 2, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Aug 2, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Aug 2, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 2, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 28, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Jun 28, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Jun 28, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Complaint |
| Jun 28, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint |
| Jun 28, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jun 28, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 28, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Feb 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Feb 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Feb 12, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint |
| Jan 23, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Jan 19, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 19, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Nov 9, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 9, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 9, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| Sep 29, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Sep 29, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Sep 29, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Sep 29, 2023 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Complaint |
| Sep 29, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Sep 29, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Sep 29, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 1, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Sep 1, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Sep 1, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| May 19, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| May 19, 2023 | F732 | Post nurse staffing information every day. | D | Standard |
| May 19, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 19, 2023 | F679 | Provide activities to meet all resident's needs. | E | Standard |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 7 civil money penalties totaling $31,752 and 1 payment-denial actions spanning 32 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 5, 2025 | Payment Denial | — | Dec 5, 2025 · 32 days |
| 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 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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