Deficiency timeline

Pebble Creek Nursing Center

Dated inspection findings, penalties, and correction notes for this nursing home in El Paso, TX. Newest events first.

68 eventsTimeline fines $145,184Class insights →
  1. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0882: Infection Control

    Infection control

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

    Corrected Jun 12, 2026

  2. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0850: Administration

    Administration

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

    Corrected Jun 12, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0604: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected May 21, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected May 15, 2026

  5. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Apr 24, 2026

  6. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0585: Resident Rights

    Resident rights

    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 Apr 18, 2026

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

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

    Corrected Feb 24, 2026

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 24, 2026

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Sep 16, 2025

  10. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

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

    Corrected Sep 16, 2025

  11. Class IImmediate jeopardy (K)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected May 25, 2025

  12. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected May 25, 2025

  13. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  14. Fine $137,014cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  15. Class IImmediate jeopardy (K)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected May 25, 2025

  16. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Feb 7, 2025

  17. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0576: Resident Rights

    Resident rights

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

    Corrected Feb 7, 2025

  18. Class IIActual harm (G)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Aug 2, 2024

  19. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 11, 2024

  20. Fine $8,170cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  21. Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Jul 25, 2024

  22. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Jun 3, 2024

  23. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 3, 2024

  24. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jun 3, 2024

  25. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0552: Resident Rights

    Resident rights

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

    Corrected Jun 3, 2024

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Jun 3, 2024

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 3, 2024

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    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 Jun 3, 2024

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0726: Nursing and Physician Services

    Nursing & physician services

    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 Jun 3, 2024

  30. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0761: Pharmacy Service

    Pharmacy services

    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 Jun 3, 2024

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Jun 3, 2024

  32. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0693: Quality of Life and Care

    Quality of life & care

    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 Mar 1, 2024

  33. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Mar 29, 2024

  34. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Mar 1, 2024

  35. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Nov 30, 2023

  36. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Nov 30, 2023

  37. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Dec 4, 2023

  38. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0559: Resident Rights

    Resident rights

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected Oct 27, 2023

  39. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Oct 30, 2023

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Oct 30, 2023

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Nov 2, 2023

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 30, 2023

  43. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0925: Environmental

    Environment

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected Jul 25, 2023

  44. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0849: Administration

    Administration

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected Aug 1, 2023

  45. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    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 Apr 20, 2023

  46. Class IIIPotential for more than minimal harm (D)cms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected Apr 20, 2023

  47. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Apr 20, 2023

  48. Class IIIPotential for more than minimal harm (D)cms

    F0604: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Apr 20, 2023

  49. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Apr 20, 2023

  50. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 20, 2023

  51. Class IIIPotential for more than minimal harm (E)cms

    F0694: Quality of Life and Care

    Quality of life & care

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected Apr 20, 2023

  52. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Apr 20, 2023

  53. Class IIIPotential for more than minimal harm (E)cms

    F0693: Quality of Life and Care

    Quality of life & care

    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 Apr 20, 2023

  54. Class IIIPotential for more than minimal harm (E)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Apr 20, 2023

  55. Class IIIPotential for more than minimal harm (E)cms

    F0577: Resident Rights

    Resident rights

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected Apr 20, 2023

  56. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Apr 20, 2023

  57. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected May 2, 2023

  58. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Apr 20, 2023

  59. Class IIIPotential for more than minimal harm (D)cms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Apr 20, 2023

  60. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Apr 28, 2023

  61. Class IIIPotential for more than minimal harm (D)cms

    F0744: Quality of Life and Care

    Quality of life & care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected Feb 25, 2022

  62. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Feb 25, 2022

  63. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Feb 25, 2022

  64. Class IIIPotential for more than minimal harm (D)cms

    F0646: Resident Assessment and Care Planning

    Assessment & care planning

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected Feb 25, 2022

  65. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Feb 25, 2022

  66. Class IIIPotential for more than minimal harm (E)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Feb 25, 2022

  67. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Feb 25, 2022

  68. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Feb 25, 2022

Sign in free to unlock the deficiency timeline

Takes under a minute. Request Pricing and Schedule a Tour stay free without an account.

AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

Call +1 305-390-4707
ContactCost tool