F

PEBBLE CREEK NURSING CENTER

11608 SCOTT SIMPSON DR, EL PASO, TX 79936
Score: 10 / 100

Pebble Creek Nursing Center has received an F grade based on CMS data, with a score of 10/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this El Paso facility should carefully review its inspection history and quality metrics.

With 2.88 total nurse hours per resident per day, Pebble Creek Nursing Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 58 deficiencies at Pebble Creek Nursing Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.88 3.8 Below Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 0.82 0.7 Above Average
Certified Nursing Assistants (CNA) 1.70 2.4 Below Average
Weekend Total Nursing 2.37 3.8 Below Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

58
Total Deficiencies
Sep 8, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 54 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 8, 2025 · Resident Rights Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Sep 8, 2025 · Infection Control Deficiencies
  • Tag 0600 Severity K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    May 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0760 Severity K
    Ensure that residents are free from significant medication errors.
    May 19, 2025 · Pharmacy Service Deficiencies
  • Tag 0610 Severity J
    Respond appropriately to all alleged violations.
    May 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.2% 4.5% Worse
Falls with major injury 5.0% 3.0% Worse
On antipsychotic medication 8.1% 14.5% Better
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 15.1% 14.0% Average
Excessive weight loss 3.3% 7.5% Better
New/worsened incontinence 19.7% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $151,360

How This Grade Was Calculated

This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 15, 2024
Deficiencies (Cycle 1)
14