Home›Browse›Texas›El Paso›Pebble Creek Nursing Center

Nursing homeFAID #12166

Pebble Creek Nursing Center

11608 Scott Simpson Drive, EL PASO, TX, 79936

(915) 857-0071

120 licensed beds

CMS rates Pebble Creek Nursing Center 1 out of 5 overall. Federal inspectors issued 74 citations across 19 inspections in the last three years, with $145,184 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo via Google · Pebble Creek Nursing Center

Address

11608 Scott Simpson Drive

El Paso, TX 79936

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Public record summary

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Bed capacity

120

CMS facility ID

455718

Care type

Nursing home

County

El Paso

Facility name

Pebble Creek Nursing Center

Street address

11608 Scott Simpson Drive

City / state / ZIP

El Paso, TX 79936

Phone

(915) 857-0071

Website

avirhg.com

About this facility — Pebble Creek Nursing Center

Pebble Creek Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in El Paso, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 110 senior care facilities in El Paso and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Pebble Creek Nursing Center 74 times across 19 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $145,184 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Creative Solutions In Healthcare

Ownership type

For profit - Individual

Registered owners & officers

Blake, Gary

Operational control — since 2018

Blake, Malisa

Operational control — since 2018

Creative Solutions In Healthcare Inc

Operational control — since 2018

Huggins, Linda

Managing employee — since 2018

Regulatory standing

Federal court records

1 naming this facility · 4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1987-11-13

CMS overall rating

1 of 5 stars

Health deficiencies

24 at the last standard inspection

Federal fines

$145,184 total

Last standard inspection

2026-07-15

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$229 per day (≈ $6,960/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

83% Medicaid · 3% Medicare · 14% private/other

Occupancy

82% (fiscal year 2023)

Vs. state median

17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 10 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-15Health inspection16 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-08-28

F-0584

D · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-08-28

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2026-08-28

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-08-28

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-08-28

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-08-28

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-08-28

F-0726

D · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2026-08-28

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-08-28

F-0801

E · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2026-08-28

F-0802

E · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2026-08-28

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-08-28

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2026-08-28

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-08-28

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2026-08-28

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-08-28

2026-05-22Health inspectionComplaint-triggered2 citations

F-0850

E · No harm foundFrom a complaint

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2026-06-12

F-0882

E · No harm foundFrom a complaint

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2026-06-12

15 earlier / fire-safety inspections (56 citations)

2026-04-23Health inspectionComplaint-triggered1 citation

F-0604

D · No harm foundFrom a complaint

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2026-05-21

2026-03-31Health inspectionComplaint-triggered2 citations

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-05-15

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-04-24

2026-03-17Health inspectionComplaint-triggered1 citation

F-0585

E · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-04-18

2026-01-22Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-02-24

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-02-24

2025-09-09Health inspectionComplaint-triggered2 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-16

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-09-16

2025-05-20Health inspectionComplaint-triggered11 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-25

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-25

F-0600

K · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-25

F-0610

J · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-05-25

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-25

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-21

F-0760

K · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-05-25

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-05-25

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-25

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-25

2025-01-23Health inspectionComplaint-triggered2 citations

F-0576

D · No harm foundFrom a complaint

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-02-07

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-07

2024-09-20Health inspectionComplaint-triggered2 citations

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-02

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-11

2024-07-02Health inspectionComplaint-triggered1 citation

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2024-07-25

2024-05-16Health inspectionComplaint-triggered10 citations

F-0552

D · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-06-03

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-06-03

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-06-03

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-03

F-0689

E · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-03

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-03

F-0726

D · No harm foundFrom a complaint

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-06-03

F-0761

D · No harm foundFrom a complaint

Corrected 2024-06-03

F-0812

D · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-03

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-06-03

2024-02-15Health inspectionComplaint-triggered3 citations

F-0558

E · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-03-01

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-29

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-03-01

2023-10-30Health inspectionComplaint-triggered3 citations

F-0558

E · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-12-04

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-30

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-30

2026-07-15Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-09-01

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-09-01

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-09-01

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-09-01

2025-05-20Fire-safety inspection9 citations

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2025-08-28

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-08-28

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-28

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-28

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-28

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-08-28

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-08-28

K-0916

F · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-08-28

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-08-28

2024-05-16Fire-safety inspection3 citations

E-0039

E · No harm found

Conduct testing and exercise requirements.

Corrected 2024-07-12

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-06-21

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-30

Federal penalties

2025-05-20Fine$137,014

2024-09-20Fine$8,170

2025-05-20Medicare payment denial — 70 days

Total fines$145,184

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455718.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 95% of nursing homes in the state

State median: 33

Federal fines, 3 years

$145,184

More than 91% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.1

Higher than 26% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

60%

Higher than 76% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 4 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	20.8%	15.8%	13.5%	Worse than state
Lose too much weight	4.1%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.7%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.9%	0.8%	1.5%	Near state average
Have depressive symptoms	3.0%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.9%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	12.7%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	9.8%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	6.9%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	16.6%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	12.4%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	95.4%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	1.9%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	27.3%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	10.1%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 5 inspections. Provide and implement an infection prevention and control program.
F-0550 4 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0677 4 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0558 4 inspections. Reasonably accommodate the needs and preferences of each resident.
F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

The Hospitals of Providence - East Campus, about 3.5 miles. CMS rating 2 of 5.
The Hospitals of Providence Horizon City Campus, about 6.9 miles.
El Paso Children's Hospital, about 8.0 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

El Paso Health & Rehabilitation Center, El Paso, about 0.4 miles. CMS rating 3 of 5.
Vista Hills Health Care Center, El Paso, about 1.9 miles. CMS rating 1 of 5.
Oasis Nursing & Rehabilitation Center, El Paso, about 3.1 miles. CMS rating 4 of 5.
Center At Zaragoza, El Paso, about 3.3 miles. CMS rating 3 of 5.
Edgemere Estates, El Paso, about 3.4 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

4.684 ratings on Google

★★★★★Alexa Rodriguez · 2026-03-24 · via Google
“My family and I were searching facilities in the El Paso area for my grandparents. From my first call inquiring about moving my grandparents (from their previous facility) to the amenities and programs included at this new facility, Pebble Creek has been nothing less than friendly, knowledgeable, and helpful. There were many questions we had and the staff would respond in a timely fashion. Our pea…”

★★★★★Crystal Vargas · 2026-06-06 · via Google
“I would like to recognize Pat, who works in the laundry department at Pebble Creek Nursing Home in El Paso. While many people may not see all the hard work that goes on behind the scenes, Pat plays a huge role in the daily lives of the residents. With so many residents to care for, she does an incredible job making sure clothing and personal items are cleaned, organized, and returned properly. Wh…”

★★★★★Alfred Perez · 2025-10-01 · via Google
“When I first visited Pebble Creek Nursing Center for my mom, Perla was kind enough to guide me through the tour, and I immediately felt a genuine connection. She was warm, knowledgeable, and took the time to answer every question with patience, which made me feel comfortable trusting this facility with my mom’s care. During her stay, my mom was always treated with compassion and dignity. The nurse…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 74 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered