Starfile / Texas

PEBBLE CREEK NURSING CENTER

11608 SCOTT SIMPSON DR, EL PASO, TX 79936 · CCN 455718

Abuse icon

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$151,360

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

CREATIVE SOLUTIONS IN HEALTHCARE

Facilities in chain

149

Chain avg overall

2.70 / 5

Inspection citations (58)3 immediate jeopardy1 actual harm

1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-09 · Health · corrected 2025-09-16

   Potential for more than minimal harm

2. DF0880Provide and implement an infection prevention and control program.2025-09-09 · Health · corrected 2025-09-16

   Potential for more than minimal harm

3. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-20 · Health · corrected 2025-05-25

   Immediate jeopardy

4. JF0610Respond appropriately to all alleged violations.2025-05-20 · Health · corrected 2025-05-25

   Immediate jeopardy

5. KF0760Ensure that residents are free from significant medication errors.2025-05-20 · Health · corrected 2025-05-25

   Immediate jeopardy

6. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-01-23 · Health · corrected 2025-02-07

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-23 · Health · corrected 2025-02-07

   Potential for more than minimal harm

8. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-20 · Health · corrected 2024-08-02

   Actual harm

9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-20 · Health · corrected 2024-10-11

   Potential for more than minimal harm

10. CF0732Post nurse staffing information every day.2024-07-02 · Health · corrected 2024-07-25

    Potential for minimal harm

11. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

12. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

13. DF0641Ensure each resident receives an accurate assessment.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

15. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

17. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

18. DF0761Ensure 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.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

19. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

20. EF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-06-03

    Potential for more than minimal harm

21. EF0558Reasonably accommodate the needs and preferences of each resident.2024-02-15 · Health · corrected 2024-03-01

    Potential for more than minimal harm

22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-15 · Health · corrected 2024-03-29

    Potential for more than minimal harm

23. DF0693Ensure 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.2024-02-15 · Health · corrected 2024-03-01

    Potential for more than minimal harm

24. EF0558Reasonably accommodate the needs and preferences of each resident.2023-10-30 · Health · corrected 2023-12-04

    Potential for more than minimal harm

25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-30 · Health · corrected 2023-11-30

    Potential for more than minimal harm

26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-30 · Health · corrected 2023-11-30

    Potential for more than minimal harm

27. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-09-29 · Health · corrected 2023-10-27

    Potential for more than minimal harm

28. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-29 · Health · corrected 2023-10-30

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-29 · Health · corrected 2023-11-02

    Potential for more than minimal harm

30. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-29 · Health · corrected 2023-10-30

    Potential for more than minimal harm

31. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-29 · Health · corrected 2023-10-30

    Potential for more than minimal harm

32. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-29 · Health · corrected 2023-07-25

    Potential for more than minimal harm

33. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-07-17 · Health · corrected 2023-08-01

    Potential for more than minimal harm

34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-28 · Health · corrected 2023-07-08

    Potential for more than minimal harm

35. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

36. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

37. DF0641Ensure each resident receives an accurate assessment.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

38. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

39. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

40. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

41. EF0693Ensure 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.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

42. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

43. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

44. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-05 · Health · corrected 2023-04-28

    Potential for more than minimal harm

45. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

46. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-04-05 · Health · corrected 2023-05-02

    Potential for more than minimal harm

47. DF0759Ensure medication error rates are not 5 percent or greater.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

48. DF0760Ensure that residents are free from significant medication errors.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

49. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

50. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

51. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

52. DF0641Ensure each resident receives an accurate assessment.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

53. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

55. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

56. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

57. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

58. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-10 · Health · corrected 2022-02-25

    Potential for more than minimal harm

Ownership

Other facilities in EL PASO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.