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Skilled nursing facility · CMS certification number 455718

Pebble Creek Nursing Center

El Paso, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download Pebble Creek Nursing Center’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $145,184.00 · Payment denials: 1. The most recent penalty on file: May 20, 2025, Fine, $137,014. Every penalty on file ↓

Pebble Creek Nursing Center: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
  • Net patient revenue rose from $8.0M in fiscal year 2023 to $8.7M in fiscal year 2024.
  • Its result from service to patients: $279K (2022), $166K (2023), $1.1M (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $8.7M ranks 220th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

Pebble Creek Nursing Center: Medicare cost reports

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14356232023 · report 13912612022 · report 13979202021 · report 13291142020 · report 13006092019 · report 12630342018 · report 12423592017 · report 12091802016 · report 11747602015 · report 11884712014 · report 11298772013 · report 11159302012 · report 10796702011 · report 1014626
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019October 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year——————91———————
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledreopenedsettledsettledsettledsettled
Processed by CMSAugust 28, 2025August 6, 2024October 24, 2024August 5, 2022September 20, 2021August 10, 2020August 26, 2019August 21, 2018August 24, 2017May 2, 2018June 20, 2016December 21, 2015November 3, 2014October 26, 2012
Total patient revenue$9,551,104$8,946,236$8,679,587$9,051,356$8,805,786$9,735,782$1,981,042$8,080,922$7,372,901$9,043,941$7,909,029$7,802,816$7,642,161$8,307,690
Contractual allowances and discounts$850,630$968,844$958,648$1,321,159$1,450,057$1,297,146$333,918$1,520,208$1,239,341$2,060,733$1,958,969$2,339,770$1,048,477$1,311,208
Net patient revenue$8,700,474$7,977,392$7,720,939$7,730,197$7,355,729$8,438,636$1,647,124$6,560,714$6,133,560$6,983,208$5,950,060$5,463,046$6,593,684$6,996,482
Total operating expenses$7,638,695$7,811,599$7,442,268$7,304,801$6,996,884$7,508,312$1,678,762$6,867,304$6,405,815$7,125,678$6,170,518$5,940,322$6,242,023$6,557,504
Net income from service to patients$1,061,779$165,793$278,671$425,396$358,845$930,324−$31,638−$306,590−$272,255−$142,470−$220,458−$477,276$351,661$438,978
Total other income$783,340$1,356,615$1,445,715$1,255,748$1,370,995$594—$6,943$5,319—$565—$5,102$20,516
Net income after other income$1,845,119$1,522,408$1,724,386$1,681,144$1,729,840$930,918−$31,638−$299,647−$266,936−$142,470−$219,893−$477,276$356,763$459,494
Net income$1,845,119$1,522,408$1,724,386$1,681,144$1,729,840$930,918−$31,638−$299,647−$266,936−$142,470−$219,893−$477,276$356,763$459,494
Total facility beds, all components120120120120120120120120104120120120120120
Bed days available, all components43,920—————————————
Medicare (Title XVIII) patient days1,800—————————————
Medicaid (Title XIX) patient days37,273—————————————
Other-payer patient days8,731—————————————
Total patient days, all components47,80435,79735,62533,90032,72336,9508,15836,41135,79338,52038,22336,84239,53641,837
Medicare discharges42—————————————
Medicaid discharges162—————————————
Other-payer discharges159—————————————
Total discharges, all components36321817617020822452155169202200189221238
Average length of stay, Medicare, in days42.8645.9680.385385.4864.1664.3153.4480.8551.5956.5657.4652.352.34
Average length of stay, Medicaid, in days230.08286.8403.96416.45251.4383.18376.06883.94401.07134.09488.81432.97——
Average length of stay, all patients, in days131.69164.21202.41199.41157.32164.96156.88234.91211.79190.69191.12194.93178.9175.79

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Form CMS-2540-96: each report covers January 1 to December 31 of its year.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4308322009 · report 3807052008 · report 3401082007 · report 3173962006 · report 2956642005 · report 2663062004 · report 2396432003 · report 1998362002 · report 1992402001 · report 1370282000 · report 953631999 · report 953611998 · report 953591997 · report 953571996 · report 95356
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettledsettledsettledsettled
Processed by CMSJune 24, 2012July 14, 2010May 26, 2009June 25, 2008November 2, 2007November 14, 2006December 20, 2005November 16, 2004November 9, 2004April 7, 2003December 26, 2001May 7, 2001October 16, 2000June 24, 1999May 27, 1998
Net patient revenue$6,994,213$6,648,309$5,530,760$5,269,534$5,296,791$4,944,818$4,574,542$4,374,029$4,792,611$3,988,785$3,653,143$3,916,858$4,220,772$4,006,298$3,520,315
Total operating expenses$6,698,271$6,352,644$5,172,042$5,070,572$5,032,857$4,923,998$4,560,421$4,503,207$4,838,759$4,031,186$3,764,594$3,639,868$3,834,519$3,756,969$3,155,139
Net income from service to patients$295,942$295,665$358,718$198,962$263,934$20,820$14,121−$129,178−$46,148−$42,401−$111,451$276,990$386,253$249,329$365,176
Total other income$173,324$1,291$6,548$46,884$41,713$1,178$5,126$23,616$23,940$12,221$45,952$66,068$33,398$13,749$23,866
Net income$469,266$296,956$365,266$245,846$305,647$21,998$19,247−$105,562−$22,208−$30,180−$65,499$343,058$419,651$263,078$389,042
Total facility beds, all components120120120120120120120120120120120120120120120
Total patient days, all components40,86639,06237,17337,87837,82537,90537,21437,07938,10234,33334,80039,33739,92941,51141,674
Total discharges, all components24226028326827928525918618715112614922870194
Average length of stay, Medicare, in days50.6939.7230.5429.9128.6824.2128.9732.7448.2856.0667.7249.5829.49100.9727.29
Average length of stay, Medicaid, in days294.86295.19293.44294.96292.02294.36294.55347.84348.24351.45351.48349.94278.13929.03397.25
Average length of stay, all patients, in days168.87150.24131.35141.34135.57133143.68199.35203.75227.37276.19264.01175.13593.01214.81

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

Pebble Creek Nursing Center: nurse staffing hours by quarter →

Who owns Pebble Creek Nursing Center, as filed with CMS

Care Compare

  • OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), since 10/01/2018; BLAKE, MALISA (individual), since 10/01/2018; CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), since 10/01/2018
  • W-2 MANAGING EMPLOYEE: HUGGINS, LINDA (individual), since 10/01/2018

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of EL PASO V ENTERPRISES, LLC (enrollment ID O20190620000181).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: HONOR X ENTERPRISES, LLC (organization), 100.00%, since 10/01/2018
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: GARY R BLAKE (individual), 50.00%, since 10/01/2018; MALISA A BLAKE (individual), 50.00%, since 10/01/2018
  • OPERATIONAL/MANAGERIAL CONTROL: CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), 100.00%, since 10/01/2018; GARY R BLAKE (individual), 50.00%, since 10/01/2018; MALISA A BLAKE (individual), 50.00%, since 10/01/2018
  • W-2 MANAGING EMPLOYEE: LINDA F HUGGINS (individual), 0.00%, since 10/01/2018

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: HONOR X ENTERPRISES, LLC; CREATIVE SOLUTIONS IN HEALTHCARE INC.

Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; MALISA A BLAKE; GARY R BLAKE; MALISA A BLAKE; LINDA F HUGGINS.

Recent changes on this record

Inspections of Pebble Creek Nursing Center

  • Cycle 1: health July 15, 2026 (24 deficiencies), fire safety July 15, 2026 (4)
  • Cycle 2: health May 20, 2025 (15 deficiencies), fire safety May 20, 2025 (9)
  • Cycle 3: health May 16, 2024 (19 deficiencies), fire safety May 16, 2024 (3)
  • Cycle 3: health April 5, 2023 (30 deficiencies), fire safety April 5, 2023 (0)

Deficiencies cited at Pebble Creek Nursing Center

80 deficiencies on file, by tag, newest citation first

every one from a health inspection; 40 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0550, resident rights: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026); January 22, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 24, 2026); September 9, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected September 16, 2025); May 20, 2025 (E, Deficient, Provider has date of correction, corrected May 25, 2025).
  • F 0584, resident rights: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0637, resident assessment and care planning: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0677, quality of life and care: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026); March 31, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 15, 2026); September 20, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 11, 2024); May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024).
  • F 0686, quality of life and care: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0692, quality of life and care: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0695, quality of life and care: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026); May 20, 2025 (D, Deficient, Provider has date of correction, corrected May 21, 2025); October 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 30, 2023); September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2023); April 5, 2023 (E, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0726, nursing and physician services: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026); May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024).
  • F 0761, pharmacy service: July 15, 2026 (E, Deficient, Provider has date of correction, corrected August 28, 2026); May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024).
  • F 0801, nutrition and dietary: July 15, 2026 (E, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0802, nutrition and dietary: July 15, 2026 (E, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0803, nutrition and dietary: July 15, 2026 (E, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0805, nutrition and dietary: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0812, nutrition and dietary: July 15, 2026 (E, Deficient, Provider has date of correction, corrected August 28, 2026); March 31, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected April 24, 2026); May 20, 2025 (E, Deficient, Provider has date of correction, corrected May 25, 2025); May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024); April 5, 2023 (E, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0813, nutrition and dietary: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026).
  • F 0880, infection control: July 15, 2026 (D, Deficient, Provider has date of correction, corrected August 28, 2026); January 22, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 24, 2026); September 9, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected September 16, 2025); May 20, 2025 (D, Deficient, Provider has date of correction, corrected May 25, 2025); May 16, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024).
  • F 0850, administration: May 22, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0882, infection control: May 22, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0604, freedom from abuse, neglect, and exploitation: April 23, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 21, 2026); April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0585, resident rights: March 17, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected April 18, 2026).
  • F 0558, resident rights: May 20, 2025 (E, Deficient, Provider has date of correction, corrected May 25, 2025); May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024); February 15, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected March 1, 2024); October 30, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
  • F 0600, freedom from abuse, neglect, and exploitation: May 20, 2025 (K, from a complaint, Deficient, Provider has date of correction, corrected May 25, 2025); September 20, 2024 (G, from a complaint, Past Non-Compliance, corrected August 2, 2024).
  • F 0610, freedom from abuse, neglect, and exploitation: May 20, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected May 25, 2025).
  • F 0689, quality of life and care: May 20, 2025 (E, Deficient, Provider has date of correction, corrected May 25, 2025); May 16, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024).
  • F 0760, pharmacy service: May 20, 2025 (K, from a complaint, Deficient, Provider has date of correction, corrected May 25, 2025); April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0804, nutrition and dietary: May 20, 2025 (E, Deficient, Provider has date of correction, corrected May 25, 2025).
  • F 0842, resident assessment and care planning: May 20, 2025 (E, Deficient, Provider has date of correction, corrected May 25, 2025); April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0576, resident rights: January 23, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected February 7, 2025).
  • F 0656, resident assessment and care planning: January 23, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected February 7, 2025); February 15, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected March 29, 2024); October 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 30, 2023); September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 2, 2023); April 5, 2023 (E, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0732, nursing and physician services: July 2, 2024 (C, from a complaint, Deficient, Provider has date of correction, corrected July 25, 2024).
  • F 0552, resident rights: May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024).
  • F 0641, resident assessment and care planning: May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024); April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0690, quality of life and care: May 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 3, 2024); April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0693, quality of life and care: February 15, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected March 1, 2024); April 5, 2023 (E, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0559, resident rights: September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 27, 2023).
  • F 0580, resident rights: September 29, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2023).
  • F 0684, quality of life and care: September 29, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2023).
  • F 0925, environmental: September 29, 2023 (D, from a complaint, Past Non-Compliance, corrected July 25, 2023).
  • F 0577, resident rights: April 5, 2023 (E, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0655, resident assessment and care planning: April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0694, quality of life and care: April 5, 2023 (E, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0755, pharmacy service: April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 28, 2023).
  • F 0756, pharmacy service: April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).
  • F 0758, pharmacy service: April 5, 2023 (D, Deficient, Provider has date of correction, corrected May 2, 2023).
  • F 0759, pharmacy service: April 5, 2023 (D, Deficient, Provider has date of correction, corrected April 20, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
May 20, 2025Fine$137,014113901
May 20, 2025Payment DenialJune 19, 202570
September 20, 2024Fine$8,170113252

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Pebble Creek Nursing Center in Care Compare

  • Ownership Type: For profit - Individual
  • Legal Business Name: EL PASO V ENTERPRISES, LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 1987-11-13
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: El Paso
  • Telephone Number: 9158570071
  • Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
  • Chain ID: 169
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 96.0
  • Overall Rating: 1
  • Health Inspection Rating: 1
  • QM Rating: 2
  • Long-Stay QM Rating: 3
  • Short-Stay QM Rating: 1

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for Pebble Creek Nursing Center: no change in ownership since September 20, 2022.

Other nursing facilities in El Paso

Report a figure on Pebble Creek Nursing Center’s record that differs from its CMS file, quoting 455718.