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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 184th out of 289 homes in Texas. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 |
|
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.
| 49m per day | ▼ 14% State avg: 57m per day · National avg: 52m per day |
|
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.
| 1h 42m per day | ▼ 16% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 2h 30m per day | ▼ 16% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
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.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 25m per day | ▲ 19% State avg: 21m per day · National avg: 29m per day |
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.
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.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 1 | 6 | This facility has 83% fewer life safety citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Citations per year
Average citations per year since 2022.
| 0.5 | 1.5 | This facility has 67% fewer citations per year than a typical Texas nursing home (0.5 vs. TX avg 1.5).↓ 67% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas 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 averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% worse than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo 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.
8.5 hoursNo 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.
7.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
54 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 12,196 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 18 | 0 | 18 | 5,380 | 92 | 100% | 8.5 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,715 | 92 | 100% | 9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,409 | 92 | 100% | 8.8 |
| Registered Nurse | 13 | 0 | 13 | 2,270 | 92 | 100% | 9.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,171 | 71 | 77% | 6.8 |
| Nurse Aide in Training | 7 | 0 | 7 | 1,069 | 79 | 86% | 7.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 999 | 77 | 84% | 7.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 515 | 68 | 74% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 459 | 58 | 63% | 7.9 |
| Dietitian | 1 | 0 | 1 | 430 | 56 | 61% | 7.7 |
| Administrator | 2 | 0 | 2 | 408 | 51 | 55% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 360 | 39 | 42% | 9.2 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 250 | 48 | 52% | 5.2 |
| Qualified Social Worker | 1 | 0 | 1 | 177 | 55 | 60% | 3.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 145 | 49 | 53% | 3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Includes penalties issued in 2024-2025
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 averageTexas average: $80K
20% fewer fines than Texas averageTexas 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 averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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, 2024Last updated: Jan 2026
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 averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.1
12% better than Texas averageTexas 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 averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
12.9%
21% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.5%
31% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
63% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.0%
81% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.8%
5% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.4%
31% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.3%
90% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
6.3%
20% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas 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 averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.9%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
30% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
7.4%
862% worse than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97Residents 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.
Historical financial and operational data for Pebble Creek Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #175 / 297Payroll — State benchmarkedThis home is ranked 175th out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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
Pebble Creek Nursing Center is located in El Paso, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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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).
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| 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 | +29% | -10% | $151.4k | 62 | 4.8 | 4 | 95 | A+ | 73 | - | $10.3M | $4.6M | 44.3% | 455718 | ||||
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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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | El Paso (Northwest El Paso) | 76 | 64.4% | +1% | - | - | - | - | - | - | - | - | - | - | - | A+ | 2 | Stellar Montevista Management LLC | $12.3M | $4.7M | 38% | 455705 |
Pebble Creek Nursing Center is in the East El Paso neighborhood of El Paso.
The legal owner and operator of Pebble Creek Nursing Center is El Paso V Enterprises, L.L.C..
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.
According to TX state health department records, Pebble Creek Nursing Center's license number is 307155.
According to TX state health department records, Pebble Creek Nursing Center's license expires on January 10, 2028.
Pebble Creek Nursing Center's occupancy is 82%.
Stephen Sporn is the administrator of Pebble Creek Nursing Center.
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