About Pebble Creek Nursing Center
Pebble Creek Nursing Center, located in El Paso, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Pebble Creek Nursing Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.96 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CREATIVE SOLUTIONS IN HEALTHCARE network. This chain operates 149 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Pebble Creek Nursing Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 88 | May 16, 2024 |
| Weighted Average | 195 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 28.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 19.3% |
| Percentage of long-stay residents who lose too much weight (QM404) | 3.6% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.4% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.1% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 1.8% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 4.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 97.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 12.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 11.0% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 100.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.1% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 18.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 8.6% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 11 complaints
- 2024: 16 complaints
- 2025: 7 complaints
- 2026: 6 complaints
- Total: 40 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 15, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Apr 24, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Apr 18, 2026 | 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. |
| Feb 24, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Feb 24, 2026 | Provide and implement an infection prevention and control program. |
| Sep 16, 2025 | Provide and implement an infection prevention and control program. |
| Sep 16, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| May 25, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| May 25, 2025 | Respond appropriately to all alleged violations. |
| May 25, 2025 | Ensure that residents are free from significant medication errors. |
| Feb 07, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 07, 2025 | Ensure residents have reasonable access to and privacy in their use of communication methods. |
| Oct 11, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Aug 02, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jul 25, 2024 | Post nurse staffing information every day. |
| Jun 03, 2024 | 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. |
| Jun 03, 2024 | Ensure each resident receives an accurate assessment. |
| Jun 03, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Jun 03, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Jun 03, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jun 03, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jun 03, 2024 | 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. |
| Jun 03, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jun 03, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 03, 2024 | Provide and implement an infection prevention and control program. |
| Mar 29, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Mar 01, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Mar 01, 2024 | 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. |
| Dec 04, 2023 | Reasonably accommodate the needs and preferences of each resident. |
| Nov 30, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Nov 30, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Nov 02, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Oct 30, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Oct 30, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 30, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Oct 27, 2023 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. |
| Aug 01, 2023 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. |
| Jul 25, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Jul 08, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jun 26, 2026 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
Nearby Hospitals
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
EL PASO, TX
SIERRA MEDICAL CENTER
EL PASO, TX
THE HOSPITALS OF PROVIDENCE - EAST CAMPUS
EL PASO, TX
THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS
EL PASO, TX
UNIVERSITY MEDICAL CENTER OF EL PASO
EL PASO, TX
BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI
COLLEGE STATION, TX
William Beaumont AMG (FT Bliss)
El Paso, TX
EL PASO CHILDREN'S HOSPITAL
EL PASO, TX
EL PASO PSYCHIATRIC CENTER
EL PASO, TX
EL PASO BEHAVIORAL HEALTH SYSTEM
EL PASO, TX
RIO VISTA BEHAVIORAL HEALTH
EL PASO, TX
THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS
HORIZON CITY, TX
Owner & Operator Information
Business Entity
EL PASO V ENTERPRISES, LLC
Ownership Structure
Management & Direction
- GARY BLAKE OPERATIONAL/MANAGERIAL CONTROL
- MALISA BLAKE OPERATIONAL/MANAGERIAL CONTROL
- CREATIVE SOLUTIONS IN HEALTHCARE INC OPERATIONAL/MANAGERIAL CONTROL
- LINDA HUGGINS W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Oasis Nursing and Rehabilitation Center | N/A | 4 |
| Mountain Villa Nursing Center | N/A | 4 |
| Center at Zaragoza, LLC | N/A | 4 |
| St. Giles Nursing and Rehabilitation Center | N/A | 2 |
| White Acres Wellness and Rehabilitation | N/A | 2 |
| The Bartlett Skilled Nursing and Assisted Living | N/A | 1 |
| Las Ventanas De Socorro | N/A | 2 |
| Ambrosio Guillen Texas State Veterans Home | N/A | 2 |
| El Paso Health and Rehabilitation Center | N/A | 1 |
| Avir at Tierra Este | N/A | 1 |
Related Analysis
Best Nursing Homes in El Paso, TX
Compare Pebble Creek Nursing Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Pebble Creek Nursing Center directly at 9158570071. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.