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Pebble Creek Nursing Center
Nursing Home & Skilled Nursing · El Paso, TX
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Pebble Creek Nursing Center accepts Medicaid, Medicare, and private pay.
Overview of Pebble Creek Nursing Center
Pebble Creek Nursing Center is a skilled nursing home and rehabilitation facility located in El PAso, TX. They provide their residents with 24/7 skilled nursing care, assistance with daily living activities such as bathing and toileting, nursing restorative programs, and therapy services. As part of their healthcare services, residents are also provided medication management and administration assistance. To ensure that the residents live their best life, they also offer a rich array of non-medical related services and amenities. This includes meal provisions, beauty and barber services, laundry and housekeeping, and transportation services. Furthermore, the facility also offers respite and hospice care, for residents in their late stages of life.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health InspectionBased on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
StaffingMeasures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality MeasuresBased on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 121st out of 234 nursing homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This facility
TX avg 3h 29m
↓ 5% · TX 3h 29mThis facility: 3h 19m per resident per day, 5% below the Texas average of 3h 29m (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#121 / 234Nurse hours — State benchmarkedThis nursing home is ranked 121st out of 234 nursing homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 121st out of 234 nursing homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 19m
Standout metric: RN, weekends is +8% above Texas average
3 of 6 metrics below Texas average
Daily care time per resident, by role
TX average · US = national average
Registered nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 13 are the facility's own employees; no agency contractors work in this role.13 staff · 9.3-hour shifts
26m↑ 2% · TX 26mThis facility: 26m per resident per day, 2% above the Texas average of 26m (among Texas facilities reporting a recent figure).
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 41m
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 18 are the facility's own employees; no agency contractors work in this role.18 staff · 8.5-hour shifts
52m↓ 9% · TX 57mThis facility: 52m per resident per day, 9% below the Texas average of 57m (among Texas facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 55 are the facility's own employees; no agency contractors work in this role.55 staff · 7.6-hour shifts
2h 1m≈ 0% · TX 2h 1mThis facility: 2h 1m per resident per day, level with the Texas average of 2h 1m (among Texas facilities reporting a recent figure).
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 21m
Physical therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m↓ 67% · TX 4mThis facility: 1m per resident per day, 67% below the Texas average of 4m (among Texas facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.RN + LPN + aide · Sat–Sun
2h 57m↓ 1% · TX 2h 59mThis facility: 2h 57m per resident per day, 1% below the Texas average of 2h 59m (among Texas facilities reporting a recent figure).
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 26m
RN, weekends Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.Sat–Sun
23m↑ 8% · TX 21mThis facility: 23m per resident per day, 8% above the Texas average of 21m (among Texas facilities reporting a recent figure).
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 29m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.131
129 employees · 2 contractors · 43 on an average day Staff per resident131 total staff / 97 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.1.35 : 1↓ 6% · TX 1.44This facility: 1.35 staff per resident, 6% below the Texas average of 1.44 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
131 staff ÷ 97 residents See full Texas ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.7.9 h↓ 2% · TX 8.1 hThis facility: 7.9 h, 2% below the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
31,366 staff hours this quarter See full Texas ranking →
99.8%
of staff hours were worked by the facility's own employees
Texas average: 94.4% · Contractors this quarter: Occupational Therapy Aide (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.120Rank#96 / 258Bed count — State benchmarkedThis nursing home is ranked 96th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 96th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.Rank#71 / 147Years in operation — State benchmarkedThis nursing home is ranked 71st out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Years in operation — State benchmarkedThis nursing home is ranked 71st out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
37years
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.Rank#24 / 278Walk Score — State benchmarkedThis nursing home is ranked 24th out of 278 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 24th out of 278 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
73/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.Rank#73 / 174Occupancy rate — State benchmarkedThis nursing home is ranked 73rd out of 174 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 174. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Occupancy rate — State benchmarkedThis nursing home is ranked 73rd out of 174 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 174. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
76.4%This home usually has availability
Based on 91.7 residents and 120 beds. Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Higher than the Texas average: 71.6%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
132days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Diabetes Management
Podiatry Services
Dentistry
Optometry Services
Memory & Specialized Care
1 service
Stroke and Neurological Conditions
Additional Services
4 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Transportation
Housekeeping
Laundry & Linen
Additional Policies & Features
Pets not allowed
Amenities & Lifestyle
Beauty Salon
CMS Health Inspection History
Since 2023 · 3 years of data · Last health inspection May 2026
ALM Inspection Grade
D
65 / 100
This is a proprietary Assisted Living Magazine grade.
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
17 points below the Texas average for CMS-certified facilities (82/100)
Category breakdown
CitationsConcern›
332 severity-weighted points (64 citations) · 4× higher than the typical CMS-certified TX facility (median: 85)
EnforcementConcern›
$145,184 in fines · 3 enforcement actions
PersistenceTypical›
18 days to fix issues · slower than the typical CMS-certified TX facility (median: 16)
The Inspection Grade is a proprietary Assisted Living Magazine grade — a
0–100 score (shown as a letter) of a facility's regulatory inspection record,
compared with other CMS-certified facilities in Texas. It is built from several categories, each carrying a
weighted share — ranking better than that group raises the grade, worse lowers it. Serious
problems weigh more than clean marks, so one severe issue costs more than a good record earns.
It is not a government rating. CMS and state health agencies publish the underlying
inspection records; the grade is our own calculation from them, and no regulator endorses or reviews it.
It can disagree with the CMS Health Inspection rating, which does not factor
in enforcement and persistence.
How the score is actually built — the categories, what share of the grade each one
carries, the exact measure behind it, and how the pieces combine — is set out in the
Methodology panel. This page covers what the grade is, what it is not, and when we
decline to publish one.
It covers inspections, and nothing else. This grade reads a facility's regulatory
inspection record. It does not measure staffing levels, clinical quality, food, activities, or what
residents and families think of the place. A facility with a strong inspection record can still be
a poor fit, and a weaker record is a reason to ask questions rather than a verdict.
Not every facility is graded on the same categories. Which categories exist at all
depends on what a facility's regulator publishes — fines and problem-resolution data, for instance, are
collected only at the federal level, so they are never part of a state-licensed facility's grade. A
grade can even rest on a single category when that is the only inspection data on
record. It reflects what we can actually verify, and a facility is never marked down for data that
does not exist for it. The Methodology panel lists the categories this facility is
graded on.
The period we look at. Where a state publishes its own inspection record, the grade
follows that record and the period the state reports on. Where we grade from inspection reports we have read
ourselves, the grade covers the last five years. CMS-certified
nursing homes are graded on the current records CMS publishes. Either way, old findings age out: a
facility isn't judged forever on a problem it has long since fixed.
Data quality. We weigh every category by how much verified data we actually have —
federal CMS inspection records count fully, a state's own published record counts nearly as much, and reports read by our AI count for less. When a
record is thin, we grade more cautiously and won't publish a damaging grade we can't stand behind.
The scale. It's set so a typical facility lands around a B+. Most homes are fine;
C, D, or F is a genuine warning flag worth a closer look.
Methodology
How the grade is built for CMS-certified facilities
Every measure below is compared against other CMS-certified facilities in Texas — a facility's
position among its peers, not a fixed target. Each category starts at
78, the neutral point, and a measure
moves it up or down according to where the facility ranks.
The score that comes out of those measures is turned into a letter on one
national scale, built from every CMS-certified facility in the country.
The federal inspection record is the same measurement in every state, so a B+ in
Texas means what it means anywhere.
Citations50% of grade
All citations, weighted by severity and recencyEvery citation is scored by how serious it was and how widespread, using CMS's own scale — from 4 points for a minor finding up to 150 for widespread immediate jeopardy. The points are then added up across the last three inspection cycles, with the most recent counted three times as heavily as the two before it, so a recent bad inspection weighs more than an old one. Lower is better.100% of this category · can add or subtract
Enforcement35% of grade
FinesThe total federal fines on record.50% of this category · can only subtract — a clean record here earns nothing
Enforcement actionsThe count of payment denials and other enforcement actions on record.50% of this category · can only subtract — a clean record here earns nothing
Persistence15% of grade
Time to correct a findingThe average number of days between a citation and its correction.100% of this category · can add or subtract
The categories are averaged, each weighted by the share shown above, giving a score out of 100.
Those shares assume every category has data behind it: where one is missing — because the
regulator publishes nothing for it — that category is left out and the remaining ones take its
share, rather than the facility being marked down for the gap.
A result above 78 is then pulled back toward it in
proportion to how complete the facility's record is, so a high grade cannot rest on thin evidence.
A recent serious finding can cap the result regardless of the categories. The number is finally
published on a 0–100 scale where a typical facility sits in the 70s and 80s.
The measures above compare this facility with CMS-certified facilities in Texas;
the letter itself comes from the national scale described above.
Total health inspections
15↑ 90% · TX 7.9This facility: 15, 90% above the Texas average of 7.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
64Rank#232 / 235Health citations — State benchmarkedThis nursing home is ranked 232nd out of 235 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 235 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 232nd out of 235 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 235 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 131% · TX 27.7This facility: 64, 131% above the Texas average of 27.7 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.27Rank#196 / 235Citations per inspection — State benchmarkedThis nursing home is ranked 196th out of 235 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 235 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 196th out of 235 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 235 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 17% · TX 3.65This facility: 4.27, 17% above the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
64 of 64 citations corrected
Bar = mix of this home's 64 citations, not a state comparison
Critical (J–L, immediate jeopardy): 3 citations, correctedSerious (G–I, actual harm): 1 citation, correctedModerate (D–F, no harm, more than minimal risk): 59 citations, correctedMinor (A–C, no harm, minimal risk): 1 citation, corrected
Lighter shade = corrected
CriticalJ–L
3↑ 58% · TX 1.9This facility: 3, 58% above the Texas average of 1.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
SeriousG–I
1↑ 150% · TX 0.4This facility: 1, 150% above the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
ModerateD–F
59↑ 137% · TX 24.9This facility: 59, 137% above the Texas average of 24.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
MinorA–C
1↑ 150% · TX 0.4This facility: 1, 150% above the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk
Latest inspection: May 22, 2026 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 15 of 64 citations · 10 categories in total
Citations history
Most recent first
May 22, 20262 citations
Administration moderate citation
Corrected
Infection Control moderate citation
Corrected
Apr 23, 20261 citation
Abuse/Neglect moderate citation
Corrected
Mar 31, 20262 citations
Nutrition moderate citation
Corrected
Quality of Care moderate citation
Corrected
Mar 17, 20261 citation
Resident Rights moderate citation
Corrected
Jan 22, 20262 citations
Infection Control moderate citation
Corrected
Resident Rights moderate citation
Corrected
Sep 09, 20252 citations
Infection Control moderate citation
Corrected
Resident Rights moderate citation
Corrected
May 20, 202511 citations
Abuse/Neglect critical citation
Corrected
Abuse/Neglect critical citation
Corrected
Infection Control moderate citation
Corrected
Nutrition moderate citation
Corrected
Nutrition moderate citation
Corrected
Pharmacy critical citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Jan 23, 20252 citations
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Sep 20, 20242 citations
Abuse/Neglect serious citation
Corrected
Quality of Care moderate citation
Corrected
Jul 02, 20241 citation
Nursing Services minor citation
Corrected
May 16, 202410 citations
Infection Control moderate citation
Corrected
Nursing Services moderate citation
Corrected
Nutrition moderate citation
Corrected
Pharmacy moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Feb 15, 20243 citations
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Oct 30, 20233 citations
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Sep 29, 20236 citations
Environmental moderate citation
Corrected
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Apr 05, 20232 citations
Abuse/Neglect moderate citation
Corrected
Nutrition moderate citation
Corrected
Showing the 50 most recent of 64 citations.
Top deficiency categories
Share of 64 citations
Quality of Life & Care15 deficiencies (23%)
Resident Rights13 deficiencies (20%)
Resident Assessment & Care Planning10 deficiencies (16%)
Pharmacy Services7 deficiencies (11%)
Infection Control5 deficiencies (8%)
Nutrition & Dietary5 deficiencies (8%)
Abuse, Neglect & Exploitation5 deficiencies (8%)
Nursing & Physician Services2 deficiencies (3%)
Administration1 deficiency (2%)
Environmental1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 64 citations resulted from standard inspections; 28 of 64 resulted from complaint investigations; and 12 of 64 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious).
Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines)
and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
(Data as of Aug 2026)
Total fines on record
$145K Rank#217 / 237Federal fines — State benchmarkedThis nursing home is ranked 217th out of 237 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Federal fines — State benchmarkedThis nursing home is ranked 217th out of 237 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
121% higher than Texas average
Texas average: $66K
Number of fines on record
2
7% fewer fines than Texas average
Texas average: 2.2
Payment denials on recordSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
451% more payment denials than Texas average
Texas average: 0.2
Fines amount comparison
Fines amount comparison
This facility$145K
Texas average$66K
Penalty History
Penalties imposed by CMS in the past 3 years.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.May 20, 2025
$137K
Payment DenialSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.May 20, 2025
70 days
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Sep 20, 2024
$8K
Last updated: Aug 2026
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
Data as of Aug 2026 · CMS Care Compare
Long-stay quality ratingCMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.2/ 5★★★★★Below average↓ 51% · TX 4.1This facility: 2.0, 51% below the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay quality ratingCMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.1/ 5★★★★★Significantly below average↓ 68% · TX 3.1This facility: 1.0, 68% below the TX average of 3.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.High-risk clinical eventsAverage of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.10.3Score · lower is better↑ 29% · TX 7.9This facility: 10.3, 29% above the TX average of 7.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Functional declineAverage of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.17.6Score · lower is better↑ 22% · TX 14.5This facility: 17.6, 22% above the TX average of 14.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11 long-stay measures:9 worse, 2 near TX average
6 short-stay measures:4 better, 1 near TX average, 1 without a benchmark
Long-stay residents
People who live at the home · 11 measures
TX average
Daily care & independence
Needed more help with daily activitiesPercent of long-stay residents whose need for help with daily activities has increased21.1%↑ 33% · TX 15.8This facility: 21.1, 33% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsenedPercent of long-stay residents whose ability to move independently worsened14.7%↑ 5% · TX 14.0This facility: 14.7, 5% above the TX average of 14.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)Percent of low risk long-stay residents who lose control of their bowels or bladder17.1%↑ 27% · TX 13.4This facility: 17.1, 27% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Safety & clinical stability
Urinary tract infectionPercent of long-stay residents with a urinary tract infection1.1%↑ 35% · TX 0.8This facility: 1.1, 35% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injuryPercent of long-stay residents experiencing one or more falls with major injury4.4%↑ 34% · TX 3.3This facility: 4.4, 34% above the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)Percent of long-stay high risk residents with pressure ulcers6.5%↑ 70% · TX 3.8This facility: 6.5, 70% above the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Physical & mental health
Lost too much weightPercent of long-stay residents who lose too much weight4.6%↑ 53% · TX 3.0This facility: 4.6, 53% above the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptomsPercent of long-stay residents who have depressive symptoms2.6%↑ 11% · TX 2.4This facility: 2.6, 11% above the TX average of 2.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic usePercent of long-stay residents who received an antipsychotic medication10.3%↑ 7% · TX 9.6This facility: 10.3, 7% above the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of long-stay residents assessed and appropriately given the pneumococcal vaccine100.0%↑ 4% · TX 96.5This facility: 100.0, 4% above the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%↑ 2% · TX 98.0This facility: 100.0, 2% above the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay residents
Rehab and recovery after a hospital stay · 6 measures
TX or US average
Safety & clinical stability
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.7.4%
Physical & mental health
New antipsychotic medicationPercent of short-stay residents who newly received an antipsychotic medication0.0%↓ 100% · TX 1.5This facility: 0.0, 100% below the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine97.3%↑ 9% · TX 88.9This facility: 97.3, 9% above the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%↑ 14% · TX 88.0This facility: 100.0, 14% above the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Hospital & emergency visits
Re-hospitalized after admissionPercentage of short-stay residents who were re-hospitalized after their nursing home admission.24.9%↓ 4% · TX 25.9This facility: 24.9, 4% below the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visitsPercentage of short-stay residents who had an outpatient emergency department visit.8.4%↓ 30% · TX 12.0This facility: 8.4, 30% below the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
49% of new residents, often for short stays.
Typical stay1 - 2 months
Medicaid
35% of new residents, often for long-term daily care.
Typical stay11 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents97
Medicare
4
4.1% of residents
Medicaid
82
84.5% of residents
Private pay or other
11
11.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Pebble Creek Nursing Center from 2011–2024, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Net Patient Income$1.1M↑ ~$896.0K vs 2023
Payroll Costs$4.6M↑ ~$33.3K vs 2023
Operating Margin12.2%↑ 10.1pp vs 2023
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2019
2020
2021
2022
2023
2024
Occupancy %
95.5%
90.0%
84.1%
87.3%
88.0%
94.0%
83.1%
84.4%
74.5%
77.4%
81.3%
81.7%
N/A
Beds
120
120
120
120
120
104
120
120
120
120
120
120
120
Net Income
$459,494
$356,763
-$477,276
-$219,893
-$142,470
-$266,936
-$299,647
$930,918
$1,729,840
$1,681,144
$1,724,386
$1,522,408
$1,845,119
Gross Revenue
$8,307,690
$7,642,161
$7,802,816
$7,909,029
$9,043,941
$7,372,901
$8,080,922
$9,735,782
$8,805,786
$9,051,356
$8,679,587
$8,946,236
$9,551,104
Operating Expenses
$6,557,504
$6,242,023
$5,940,322
$6,170,518
$7,125,678
$6,405,815
$6,867,304
$7,508,312
$6,996,884
$7,304,801
$7,442,268
$7,811,599
$7,638,695
Net Patient Income
$438,978
$351,661
-$477,276
-$220,458
-$142,470
-$272,255
-$306,590
$930,324
$358,845
$425,396
$278,671
$165,793
$1,061,779
Net Patient Revenue
$6,996,482
$6,593,684
$5,463,046
$5,950,060
$6,983,208
$6,133,560
$6,560,714
$8,438,636
$7,355,729
$7,730,197
$7,720,939
$7,977,392
$8,700,474
Payroll Costs
$3,405,336
$3,249,233
$2,885,522
$2,983,542
$3,438,890
$3,414,690
$3,413,402
$3,455,847
$3,383,058
$3,496,282
$4,244,183
$4,563,182
$4,596,501
Operating Margin %
6.3%
5.3%
-8.7%
-3.7%
-2.0%
-4.4%
-4.7%
11.0%
4.9%
5.5%
3.6%
2.1%
12.2%
Medicare %
14.3%
13.9%
12.3%
12.1%
11.7%
9.0%
9.1%
10.8%
8.6%
6.4%
5.4%
3.1%
3.8%
Medicaid %
76.8%
77.3%
79.9%
81.8%
34.8%
78.4%
77.7%
75.7%
79.9%
81.1%
82.8%
83.3%
78.0%
Private %
8.9%
8.8%
7.8%
6.0%
53.5%
12.5%
13.2%
13.5%
11.5%
12.5%
11.8%
13.6%
18.3%
Net Patient Revenue/Day
$167
$167
$148
$156
$181
$171
$180
$228
$225
$228
$217
$223
$182
Cost/Day
$157
$158
$161
$161
$185
$179
$189
$203
$214
$215
$209
$218
$160
Avg Length of Stay
75.7 days
78.2 days
194.9 days
191.1 days
190.7 days
211.8 days
234.9 days
165.0 days
157.3 days
199.4 days
202.4 days
164.2 days
131.7 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
For-profit
Operated by a limited liability company.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.7MFiscal year ending 12/2024
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.1MFiscal year ending 12/2024
For-profit Operated by a limited liability company.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.7MFiscal year ending 12/2024Rank#130 / 218Net patient revenue — State benchmarkedThis nursing home is ranked 130th out of 218 nursing homes we track in Texas. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 130th out of 218 nursing homes we track in Texas. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.1MFiscal year ending 12/2024
Other incomeMoney the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$783.3KFiscal year ending 12/2024
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#121 / 218Payroll costs — State benchmarkedThis nursing home is ranked 121st out of 218 nursing homes we track in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 121st out of 218 nursing homes we track in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$4.6MFiscal year ending 12/2024
52.8% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#111 / 199Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 111th out of 199 nursing homes we track in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 111th out of 199 nursing homes we track in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0MFiscal year ending 12/2024
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.6MFiscal year ending 12/2024
Certification details
CMS Certification Number:455718
Owner Name:El Paso V Enterprises, L.L.C.
Rural vs. Urban:Urban
County:El Paso
Type of Control:For-profit — Operated by a limited liability company.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 1 - 2 months.
Admissions
322 total
Coverage residents most often arrive under.
Medicare16%
Private pay49%
Medicaid35%
Discharges
363 total
Coverage residents most often leave under.
Medicare12%
Private pay44%
Medicaid45%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Places of interest near Pebble Creek Nursing Center
11608 Scott Simpson Dr, El Paso, TX 79936 — 2.97 miles to nearest hospital (Del Sol Medical Center)
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Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$7.5M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$7.5M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$9.4M
Rank#137 / 218
$6.2M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$6.2M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$5.4M
Rank#58 / 218
82.4%*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility82.4%*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Covers Part B premiums ($174.70/month)Deductibles ($240/year)Copays (~20%)
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
Age—
GeneralCaregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025)No strict cap; prioritizes low-income~$24,980/year
Asset LimitsNot assessed.
TX
High rural demand; includes grandparent caregivers.
Benefits
Respite (4-6 hours/week or 5 days/year)Adult day care ($60/day)TrainingSupplies (~$500/year)
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
Age65+ or disabled veteran/spouse
GeneralTX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025)Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits~$155,356net worth
TX
High veteran population; supports rural/urban needs.
Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
Age65+
GeneralTX resident, homeowner (homestead).
Income Limits (2025)None; tax-based eligibility.
Asset LimitsNot assessed.
TX
$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
Benefits
Tax exemption or freeze (~$500-$1,000/year savings)
Senior Farmers’ Market Nutrition Program (SFMNP)
Texas SFMNP
Age60+
GeneralTX resident, low-income.
Income Limits (2025)~$2,322/month185% FPL
Asset LimitsNot assessed.
TX
Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
Benefits
Vouchers (~$50/season) for produce at farmers’ markets
Frequently Asked Questions about Pebble Creek Nursing Center
What neighborhood is Pebble Creek Nursing Center in?
Pebble Creek Nursing Center is in the East El Paso neighborhood of El Paso.
Who is the owner of Pebble Creek Nursing Center?
Pebble Creek Nursing Center is legally operated by El Paso V Enterprises, L.L.C., and administered by Stephen Sporn.
Is Pebble Creek Nursing Center in a walkable area?
Pebble Creek Nursing Center has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the license number of Pebble Creek Nursing Center?
According to TX state health department records, Pebble Creek Nursing Center's license number is 307155.
When does Pebble Creek Nursing Center's license expire?
According to TX state health department records, Pebble Creek Nursing Center's license expires on January 10, 2028.
What is the occupancy rate at Pebble Creek Nursing Center?
Pebble Creek Nursing Center's occupancy is 76.4%.
How long has Pebble Creek Nursing Center been in business?
Pebble Creek Nursing Center has been operating for approximately 37 years, based on available licensing and registration records.
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
131
129 employees · 2 contractors · 43 on an average day 
