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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
The 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.
Based 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.
Measures 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.
Based 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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 160th out of 246 homes in Texas.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
|
21m per day | ▼ 19% State avg: 26m per day · National avg: 41m per day |
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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.
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49m per day | ▼ 14% State avg: 57m per day · National avg: 52m per day |
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Nurse Aide
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.
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1h 42m per day | ▼ 16% State avg: 2h 1m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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2h 30m per day | ▼ 16% State avg: 2h 59m per day · National avg: 3h 26m per day |
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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.
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2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
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RN (Weekend)
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.
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25m per day | ▲ 19% State avg: 21m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
18% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #129 / 259Payroll — state benchmarkedThis home is ranked 129th out of 259 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%
Pebble Creek Nursing Center is administrated by Stephen Sporn.
Key information about the people who lead and staff this community.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
[{"date_of_action": "2025-10-08", "action": "administrative penalty", "final_assessed_amount": 500.0, "violations": [{"tac": "554.601(c)", "state_violation_cited": "the facility failed to have to written rules against mistreating, abusing, neglecting, and exploiting residents, and mishandling residents' property."}]}]
Texas average: 1 enforcement action
The most recent inspection on September 9, 2025, identified deficiencies related to resident dignity during meal assistance and infection control practices in wound care. Earlier inspections showed a pattern of issues involving resident care planning, medication administration, infection control, and communication, with several complaint investigations substantiating neglect, abuse, and delayed reporting. Main themes included failures in medication management, timely notification of critical events, and maintaining infection prevention protocols. Complaint investigations revealed substantiated cases of medication neglect leading to a seizure, physical and verbal abuse by staff, and delayed reporting of abuse and critical lab values. The facility’s deficiencies have persisted over time with some recurring issues, indicating ongoing challenges rather than clear improvement or worsening trends.
Texas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 62 citations resulted from standard inspections; 29 of 62 resulted from complaint investigations; and 9 of 62 came from combined inspections (standard and complaint).
50% worse than Texas average
Texas average: 2
1
150% worse than Texas average
Texas average: 0.4
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 09, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 09, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 20, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 20, 2025
Corrected
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.
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| Luxe Life Senior Living |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
El Paso | 32 | 74.3% | +17% | 3.26 | -28% | -10% | 0 | 30 | 5.0 | 0 | 47 | - | - | Vibralife Holdings Of El Paso, Lp | $9.6M | $3.9M | 41% | 676428 | ||||
| Mountain Villa Nursing Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
El Paso (Military Heights) | - | 1,000.0% | -98% | 3.23 | - | -11% | 0 | 0 | 0.0 | 0 | 42 | - | 70 | Maharlika Resources, Inc | $2.6M | $1.9M | 73.9% | 675768 | ||||
| Franklin Heights Nursing and Rehab Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
El Paso (Northwest El Paso) | 132 | 68.2% | +7% | 3.49 | -16% | -4% | 3 | 72 | 6.0 | 5 | 95 | A+ | 51 | El Paso I Enterprises, Llc | $9.8M | $4.1M | 41.9% | 675479 | ||||
| The Bartlett Skilled Nursing and Rehabilitation Facility |
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
El Paso (Northwest El Paso) | 70 | 90.4% | +42% | 3.73 | -85% | +3% | 0 | 33 | 5.5 | 1 | 56 | A+ | 52 | Douglas G Pendergras Sr Estate | $12.0M | $3.5M | 28.7% | 676457 | ||||
| Pebble Creek Nursing Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
El Paso (East El Paso) | 120 | 81.7% | +29% | 3.26 | -11% | -10% | 2 | 62 | 4.8 | 4 | 95 | A+ | 73 | - | $10.3M | $4.1M | 40.2% | 455718 |
10.9 miles from city center
Estimated distance in miles from El Paso's city center to Pebble Creek Nursing Center's address, calculated via Google Maps.
— 2.97 miles to nearest hospital (Del Sol Medical Center)
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
29% worse than Texas average
Texas average ratio: 1.51:1
0% compared with Texas average
Texas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
No contractors work on this role.
Total hours from contractors
54 contractor hours this quarter
| Certified Nursing Assistant | 39 | 0 | 39 | 11,903 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 18 | 0 | 18 | 5,794 | 91 | 100% | 9.1 |
| RN Director of Nursing | 8 | 0 | 8 | 2,211 | 89 | 98% | 9.6 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,174 | 84 | 92% | 9.7 |
| Registered Nurse | 7 | 0 | 7 | 1,639 | 90 | 99% | 9.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,328 | 67 | 74% | 7.1 |
| Nurse Aide in Training | 3 | 0 | 3 | 1,012 | 83 | 91% | 7.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 995 | 74 | 81% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 669 | 55 | 60% | 10.1 |
| Nurse Practitioner | 1 | 0 | 1 | 515 | 65 | 71% | 7.9 |
| Dietitian | 1 | 0 | 1 | 513 | 65 | 71% | 7.9 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 469 | 64 | 70% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 354 | 46 | 51% | 7.7 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 327 | 54 | 59% | 6.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 177 | 22 | 24% | 8.1 |
| Qualified Social Worker | 2 | 0 | 2 | 140 | 32 | 35% | 4.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 130 | 37 | 41% | 3.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
13% better than Texas average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.1
12% better than Texas average
Texas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.9%
45% better than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
12.9%
21% better than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.5%
31% worse than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
63% worse than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.0%
81% worse than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.8%
5% worse than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
2.4%
31% better than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.3%
90% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
6.3%
20% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
10% better than Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas average
Texas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.9%
In line with Texas average
Texas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
30% better than Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
7.4%
862% worse than Texas average
Texas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
88% higher than Texas average
Texas average: $80K
20% fewer fines than Texas average
Texas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas average
Texas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 20, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 20, 2024
Last updated: Jan 2026
Historical financial and operational data for Pebble Creek Nursing Center based on CMS SNF Cost Reports.
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