Pebble Creek Nursing Center
11608 Scott Simpson Dr · El Paso, TX · 79936 · 9158570071
120 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $218,960 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$218,960 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $218,960 |
Inspection citations (64 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 31, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 15, 2026 · Quality of Life and Care
-
Potential for harm · E March 31, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 24, 2026 · Nutrition and Dietary
-
Potential for harm · E March 17, 2026 · found via complaint
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.
Corrected April 18, 2026 · Resident Rights
-
Potential for harm · D January 22, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 24, 2026 · Resident Rights
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Potential for harm · D January 22, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 24, 2026 · Infection Control
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Potential for harm · E September 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D September 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 16, 2025 · Infection Control
-
Immediate jeopardy · K May 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J May 20, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K May 20, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 25, 2025 · Pharmacy Service
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Potential for harm · D January 23, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 7, 2025 · Resident Assessment and Care Planning
-
Actual harm · G September 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 20, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 11, 2024 · Quality of Life and Care
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No harm found · C July 2, 2024 · found via complaint
Post nurse staffing information every day.
Corrected July 25, 2024 · Nursing and Physician Services
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Potential for harm · D May 16, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 3, 2024 · Resident Rights
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Potential for harm · D May 16, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected June 3, 2024 · Resident Rights
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Potential for harm · D May 16, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · E May 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D May 16, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D May 16, 2024 · found via complaint
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.
Corrected June 3, 2024 · Nursing and Physician Services
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Potential for harm · D May 16, 2024 · found via complaint
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.
Corrected June 3, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 3, 2024 · Nutrition and Dietary
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Potential for harm · E May 16, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 3, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2025 | Fine | $210,790 |
| May 20, 2025 | Payment Denial | 70 days |
| September 20, 2024 | Fine | $8,170 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455718 · certified since November 13, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.