Federal inspection record · CMS data as of October 1, 2026
Pebble Creek Nursing Center
11608 Scott Simpson Drive, El Paso, TX · (915) 857-0071
- Certified beds
- 120
- Residents per day
- 96
- Ownership
- For-Profit
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 13, 1987
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Pebble Creek Nursing Center carries 225.25 inspection points. That is fewer than 8% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that residents are free from significant medication errors.
-
J
Respond appropriately to all alleged violations.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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
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
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights12E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary10E
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning6E
- D
Assess the resident when there is a significant change in condition
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control6E
- D
Provide and implement an infection prevention and control program.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services3D
- D
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.
- C
Post nurse staffing information every day.
- D
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.
Pharmacy Service2E
- E
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
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.
Administration1E
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2026-07-15
24 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (7 deficiencies)
2025-05-20
15 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-05-16
19 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 5 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$145,184 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-20 | Fine | $137,014 |
| 2025-05-20 | Payment Denial · 70 day denial | $0 |
| 2024-09-20 | Fine | $8,170 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 3.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts worse | 3.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 4.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts better | 9.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts worse | 12.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.2 pts better | 12.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts worse | 20.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 0.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 0.9% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts worse | 16.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 6.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts better | 95.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better | 10.1% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 27.3% | 25.5% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Creative Solutions In Healthcare Inc | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Huggins, Linda | W-2 Managing Employee · Individual | 0% | 138 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- E
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems2F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
El Paso Health & Rehabilitation Center
El Paso, TX · Advanced Healthcare Solutions
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0
-
Vista Hills Health Care Center
El Paso, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 16 min
- Fines
- $40,465
-
Oasis Nursing & Rehabilitation Center
El Paso, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0