Texas › El Paso County › El Paso
Pebble Creek Nursing Center
11608 Scott Simpson Drive, El Paso, TX 79936
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pebble Creek Nursing Center, in El Paso, Texas, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Creative Solutions In Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 64 health deficiencies across the three most recent survey cycles (21, 13, 30 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 53.3 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $145K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 97.4%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | El Paso Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 64 | 56 | 25 | 28.7 |
| Citations per 100 beds | 53.3 | 53.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 97.4% | 52.7% | 52.1% | 45.8% |
| Fines listed | $145,184 | $34,613 | $16,801 | — |
County and state figures are medians across facilities (22 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2025, 16 May 2024.
Severity mix: J ×1 K ×2 G ×1 D ×37 E ×22 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 May 2026 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 12 Jun 2026 |
| 22 May 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Complaint investigation | 12 Jun 2026 |
| 23 Apr 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 21 May 2026 |
| 31 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 24 Apr 2026 |
| 31 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 May 2026 |
| 17 Mar 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint investigation | 18 Apr 2026 |
| 22 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Feb 2026 |
| 22 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Feb 2026 |
| 9 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 16 Sep 2025 |
| 9 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Sep 2025 |
| 20 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 25 May 2025 |
| 20 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 25 May 2025 |
| 20 May 2025 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 25 May 2025 |
| 20 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 25 May 2025 |
| 20 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 25 May 2025 |
| 20 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 May 2025 |
| 20 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 25 May 2025 |
| 20 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 May 2025 |
| 20 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 25 May 2025 |
| 20 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 May 2025 |
| 20 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 May 2025 |
| 23 Jan 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 7 Feb 2025 |
| 23 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Feb 2025 |
| 20 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 2 Aug 2024 |
| 20 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Oct 2024 |
| 2 Jul 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 25 Jul 2024 |
| 16 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0690 | 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 investigation | 3 Jun 2024 |
| 16 May 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0761 | 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. | D | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 3 Jun 2024 |
| 16 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 3 Jun 2024 |
| 15 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 1 Mar 2024 |
| 15 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 Mar 2024 |
| 15 Feb 2024 | F0693 | 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 investigation | 1 Mar 2024 |
| 30 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 4 Dec 2023 |
| 30 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 Nov 2023 |
| 30 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 30 Nov 2023 |
| 29 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 30 Oct 2023 |
| 29 Sep 2023 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 27 Oct 2023 |
| 29 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Oct 2023 |
| 29 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Nov 2023 |
| 29 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 30 Oct 2023 |
| 29 Sep 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 25 Jul 2023 |
| 5 Apr 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0693 | 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. | E | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0690 | 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 survey | 20 Apr 2023 |
| 5 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Apr 2023 |
| 5 Apr 2023 | F0756 | 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 survey | 20 Apr 2023 |
| 5 Apr 2023 | F0758 | 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. | D | Standard survey | 2 May 2023 |
| 5 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 20 Apr 2023 |
| 5 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 May 2025 | Payment denial | — | 70 days |
| 20 May 2025 | Fine | $137,014 | |
| 20 Sep 2024 | Fine | $8,170 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 97.4%, RNs 100.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: El Paso V Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in El Paso County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Zaragoza, LLC | El Paso | 80 | 4 | 3 | 3 | 34 | 42.5 | — | 2 Jun 2026 |
| Mountain Villa Nursing Home | El Paso | 48 | 4 | 4 | 2 | 23 | 47.9 | — | 4 Dec 2025 |
| Oasis Nursing & Rehabilitation Center | El Paso | 130 | 4 | 4 | 1 | 26 | 20.0 | — | 18 Apr 2025 |
| Ambrosio Guillen Texas State Veterans Home | El Paso | 160 | 2 | 2 | 4 | 43 | 26.9 | — | 9 Apr 2026 |
| Avir At El Paso | El Paso | 124 | 2 | 1 | 2 | 93 | 75.0 | $193K | 10 Jun 2026 |
| Las Ventanas De Socorro | Socorro | 126 | 2 | 2 | 2 | 47 | 37.3 | $9K | 15 May 2026 |
| Nazareth Living Care Center | El Paso | 108 | 2 | 2 | 2 | 56 | 51.9 | — | 28 Jan 2026 |
| St. Giles Nursing and Rehabilitation Center | El Paso | 124 | 2 | 3 | 1 | 44 | 35.5 | $13K | 8 May 2026 |
All 22 facilities in El Paso County
Questions and answers
How many deficiencies has Pebble Creek Nursing Center been cited for?
64 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Pebble Creek Nursing Center been fined?
Yes. CMS lists fines totalling $145K in the period covered, plus 1 payment denial.
How does staffing at Pebble Creek Nursing Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Pebble Creek Nursing Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Pebble Creek Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 22 May 2026; the most recent standard health survey was 20 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.