Pebble Creek Nursing Center
El Paso, Texas · CCN 455718
46 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 199
- Surveys
- 46
- Harm or worse
- 19
- Immediate jeopardy
- 16
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- County
- El Paso
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
May 22, 2026
171 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.38 | 3.25 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 97.4% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $145,184 across 2 penalties
- Payment denials
- 1
- Special focus
- SFF Candidate
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J11.4% | K22.7% | L— |
| Actual harm | G11.4% | H— | I— |
| No harm, potential for more than minimal | D4257.5% | E2635.6% | F— |
| No harm, potential for minimal | A— | B— | C11.4% |
Most frequently cited here
In CMS’s current monthly file.
- F6566×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6955×
Provide safe and appropriate respiratory care for a resident when needed.
- F8125×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5584×
Reasonably accommodate the needs and preferences of each resident.
- F8804×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Pebble Creek Nursing Center, in the surveyor’s own words.
- Immediate jeopardy, patternF600May 20, 2025
Based on interview and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 11 residents (Residents #16) reviewed for Neglect. The facility failed to immediately implement protective measures on 03/03/25 when the charge nurse reported to the DON concerns related to Resident #6 not receiving anticonvulsant medication according to the physician's order. The facility proceeded to allow the doses to be missed during the weekend of 3/08/25-03/09/25 without interventions/protections during that time. An Immediate Jeopardy (IJ) situation was identified on 05/18/25. […]
- Immediate jeopardy, patternF760May 20, 2025
Based on interview and record review, the facility failed to ensure each resident's drug regimen was free of significant medication errors for 1 (Resident # 16) of 6 residents reviewed for pharmacy services. The facility failed to administer Resident #16's Levetiracetam 100 mg/ml 7.5 ml by mouth two times on 03/08/25 at 8:00 a.m. and 8:00 p.m. and two times on 03/09/25 at 8:00 a.m. and at 8:00 p.m. according to physician orders. An Immediate Jeopardy (IJ) was identified on 05/18/25. […]
- Immediate jeopardy, isolatedF610May 20, 2025
Based on observation, interview, and record review the facility failed to ensure in response to allegations of abuse, neglect, exploitation, or mistreatment the facility had evidence that all alleged violations were thoroughly investigated and prevent further abuse, neglect, exploitation, or mistreatment while the investigation was in progress for 1 of 11 residents (Residents #16) reviewed for abuse/neglect. - The facility failed to investigate, prevent, correct, and report alleged violations of neglect for Resident #16 when reported by LVN C on 03/03/25. An Immediate Jeopardy (IJ) was identified on 05/18/25. […]
- Actual harm, isolatedF600Sep 20, 2024
Based on interviews, and record reviews, the facility failed to ensure all residents were free from abuse for 1 (Resident #2) of 5 residents reviewed for abuse. On 08/01/24, CNA A was providing Perineal Care (cleaning the private areas of residents) to Resident #2. During the peri-care CNA A was observed being verbally and physically abusive, grunting, rough, and aggressive while turning Resident #2. CNA A was observed aggressively positioning Resident #2's legs and arms and aggressively putting on the brief, and Resident #2's bottoms. […]
- No harm, potential for more than minimal, patternF761Jul 15, 2026
Based on observation, interview and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for 3 of 24 residents (Resident #59, #67 and #90 ) reviewed for medication storage.-RN P failed to take Resident #59's two liquid medications with him when he left the resident's room on 07/13/26.-The facility failed to ensure on 07/13/2026 at 10:26 a.m. to ensure Resident #90 did not have his prescription prednisone and unprescribed Aleve in a medication cup.-The facility failed on 07/14/2026 at 9:02 a.m. […]
Read 39 findings in full →The most serious and the most recent: 39 of 199 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 15, 2026Standard16 findings
- May 22, 2026Complaint2 findings
- Apr 23, 2026Complaint1 finding
- Mar 31, 2026Complaint2 findings
- Mar 17, 2026Complaint1 finding
- Jan 22, 2026Complaint2 findings
- Sep 9, 2025Complaint2 findings
- May 20, 2025Standard and complaint14 findings · 3 harm
Show the 38 earlier surveys
- Jan 23, 2025Complaint2 findings
- Sep 20, 2024Complaint2 findings · 1 harm
- Jul 2, 2024Complaint1 finding
- May 16, 2024Complaint10 findings
- Feb 15, 2024Complaint3 findings
- Oct 30, 2023Complaint5 findings
- Sep 29, 2023Complaint6 findings
- Jul 17, 2023Complaint1 finding
- Jun 28, 2023Complaint1 finding
- Apr 5, 2023Standard16 findings
- Feb 10, 2022Standard8 findings
- Feb 2, 2022Infection control1 finding
- Nov 2, 2021Infection control1 finding
- Jul 14, 2021Complaint1 finding
- Feb 25, 2021Standard2 findings
- Aug 19, 2020Complaint1 finding
- Jul 29, 2020Complaint1 finding
- Jun 4, 2020Complaint1 finding
- Oct 29, 2019Complaint1 finding
- Oct 11, 2019Complaint1 finding
- Jul 31, 2019Complaint3 findings · 2 harm
- Jun 5, 2019Standard4 findings
- Mar 14, 2019Complaint2 findings
- Feb 6, 2019Complaint3 findings
- Nov 5, 2018Complaint4 findings
- Sep 27, 2018Complaint1 finding
- Jun 28, 2018Standard3 findings
- Apr 20, 2018Complaint2 findings
- May 15, 2017Complaint1 finding
- May 5, 2017Standard and complaint20 findings · 12 harm
- Feb 28, 2017Complaint1 finding
- May 5, 2016Standard7 findings · 1 harm
- May 28, 2015Standard14 findings
- May 15, 2014Standard6 findings
- May 17, 2013—6 findings
- Mar 30, 2012—9 findings
- Apr 19, 2011—1 finding
- Mar 25, 2011—7 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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