The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Pebble Creek Nursing Center
El Paso, TX · Medicare-certified · 120 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Pebble Creek Nursing Center in El Paso, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 2.96 hours per resident per day versus the 4.1 federal benchmark, and the facility has $218,960 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.9551 hrs/resident/day
Quality measures
Last inspection: March 31, 2026Penalties, last 24 months: $218,960recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9551.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.86
- Nurse aides
- 1.76
- Weekend nursing
- 2.55
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.6%Worsening
Residents with a fall causing major injury
4.4%Improving
Residents with pressure ulcers (bedsores)
7.1%Improving
Residents with a urinary tract infection
1.1%Improving
Residents who lost too much weight
3.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.3%Worsening
Residents whose ability to walk got worse
12.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
11%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
18.9%Improving
Residents with depressive symptoms
1.8%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
97.4%Steady
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $210,790 was recorded.
- PENALTY
A federal fine of $8,170 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $218,960 in total fines · 1 payment denial.
- 70 days
Medicare/Medicaid payment denial
May 20, 2025
- $210,790
Federal fine
May 20, 2025
- $8,170
Federal fine
Sep 20, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 98.4 residents on an average day (82% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.