Establishment profile
PEBBLE CREEK NURSING CENTER
11608 SCOTT SIMPSON DR., EL PASO, TX, 79936
Operated by CREATIVE SOLUTIONS IN HEALTHCARE · 1 of 133 establishments
623110 — Nursing Care Facilities (Skilled Nursing Facilities)
EIN 831682587
Summary
PEBBLE CREEK NURSING CENTER has accumulated 4 OSHA violations across 3 inspections over 27 years of recorded history, with $810 in total assessed penalties.
The establishment sits in the 79th percentile for violations within its industry-state peer group of 418 employers. Inspection frequency runs at the 96th percentile. The most recent enforcement activity was recorded 21 years ago.
Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
PEBBLE CREEK NURSING CENTER appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.
OSHA workplace safety
33% of inspections at this establishment produced violations,
Most-cited OSHA standards
Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 4 distinct standards shown · 4 citations in this view · $810 in penalties.
| CFR section | Citations | Inspections | Total penalty | First cited | Last cited |
|---|---|---|---|---|---|
| 29 CFR 1910.1030 F01 IID | 1 | 1 | $405 | Aug 2005 | Aug 2005 |
| 29 CFR 1910.1030 G02 IIC | 1 | 1 | $405 | Aug 2005 | Aug 2005 |
| 29 CFR 1910.1030 H05 I | 1 | 1 | — | Aug 2005 | Aug 2005 |
| 29 CFR 1910.1200 H | 1 | 1 | — | Aug 2005 | Aug 2005 |
Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.
Peer comparison
Above average violations in NAICS 6231 within TX. Peer group: 418 employers. This establishment has 4 OSHA violations; peer median is 1.
Safety self-report (OSHA 300A)
Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.
Reported for 115 average annual employees at this establishment.
Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.
Industry benchmark
BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.
Inspection breakdown
Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for PEBBLE CREEK NURSING CENTER. Verify directly with Occupational Safety and Health Administration →
Activity timeline
No federal enforcement activity has been recorded against this establishment in 21+ years. Most recent activity: 21 years ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for PEBBLE CREEK NURSING CENTER. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for PEBBLE CREEK NURSING CENTER. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for PEBBLE CREEK NURSING CENTER. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for PEBBLE CREEK NURSING CENTER. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for PEBBLE CREEK NURSING CENTER. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 455718 · Chain: CREATIVE SOLUTIONS IN HEALTHCARE
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 64 citations across 17 surveys · 3 immediate jeopardy · 1 actual-harm · 40 complaint-triggered.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| Apr 2026 | 0604 | D | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Mar 2026 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Complaint | — |
| Mar 2026 | 0677 | D | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Complaint | — |
| Mar 2026 | 0585 | E | 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. Resident Rights Deficiencies | Complaint | — |
| Jan 2026 | 0550 | D | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies | Complaint | — |
| Jan 2026 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | — |
| Sep 2025 | 0550 | E | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies | Complaint | — |
| Sep 2025 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | — |
| May 2025 | 0600 | K (IJ) | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| May 2025 | 0760 | K (IJ) | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Complaint | — |
| May 2025 | 0610 | J (IJ) | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Jan 2025 | 0576 | D | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies | Complaint | — |
| Jan 2025 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Sep 2024 | 0600 | G (harm) | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Sep 2024 | 0677 | D | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Complaint | — |
| Jul 2024 | 0732 | C | Post nurse staffing information every day. Nursing and Physician Services Deficiencies | Complaint | — |
| May 2024 | 0689 | E | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Complaint | — |
| May 2024 | 0880 | E | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | — |
| May 2024 | 0552 | D | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies | Complaint | — |
| May 2024 | 0558 | D | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Complaint | — |
| May 2024 | 0641 | D | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| May 2024 | 0677 | D | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Complaint | — |
| May 2024 | 0690 | D | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies | Complaint | — |
| May 2024 | 0726 | D | 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. Nursing and Physician Services Deficiencies | Complaint | — |
| May 2024 | 0761 | D | 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. Pharmacy Service Deficiencies | Complaint | — |
| May 2024 | 0812 | D | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Complaint | — |
| Feb 2024 | 0558 | E | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Complaint | — |
| Feb 2024 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Feb 2024 | 0693 | D | 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. Quality of Life and Care Deficiencies | Complaint | — |
| Oct 2023 | 0558 | E | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Complaint | — |
| Oct 2023 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Oct 2023 | 0695 | D | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Complaint | — |
| Sep 2023 | 0684 | E | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | — |
| Sep 2023 | 0559 | D | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies | Complaint | — |
| Sep 2023 | 0580 | D | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies | Complaint | — |
| Sep 2023 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Sep 2023 | 0695 | D | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Complaint | — |
| Sep 2023 | 0925 | D | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies | Complaint | — |
| Jul 2023 | 0849 | D | 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. Administration Deficiencies | Complaint | — |
| Jun 2023 | 0609 | D | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Apr 2023 | 0577 | E | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies | Standard | — |
| Apr 2023 | 0656 | E | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Apr 2023 | 0693 | E | 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. Quality of Life and Care Deficiencies | Standard | — |
| Apr 2023 | 0694 | E | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies | Standard | — |
| Apr 2023 | 0695 | E | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | — |
| Apr 2023 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | — |
| Apr 2023 | 0604 | D | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | — |
| Apr 2023 | 0641 | D | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Apr 2023 | 0655 | D | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies | Standard | — |
| Apr 2023 | 0690 | D | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies | Standard | — |
| Apr 2023 | 0755 | D | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies | Standard | — |
| Apr 2023 | 0756 | D | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies | Standard | — |
| Apr 2023 | 0758 | D | 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. Pharmacy Service Deficiencies | Standard | — |
| Apr 2023 | 0759 | D | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | — |
| Apr 2023 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | — |
| Apr 2023 | 0842 | D | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Feb 2022 | 0636 | E | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Feb 2022 | 0657 | E | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Feb 2022 | 0695 | E | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | — |
| Feb 2022 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | — |
| Feb 2022 | 0641 | D | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Feb 2022 | 0646 | D | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Feb 2022 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Feb 2022 | 0744 | D | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies | Standard | — |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
Federal criminal prosecution record
No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for PEBBLE CREEK NURSING CENTER. Verify directly with UVA Corporate Prosecution Registry →
Inspection history
| Date | Trigger | Violations | Serious | Penalty | |
|---|---|---|---|---|---|
| 2005-07-25 | Planned | 4 | 3 | $810 | |
| 1998-12-15 | Planned | 0 | — | $0 | |
| 1998-12-15 | Planned | 0 | — | $0 |
Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.
In the news
Part of a larger organization
PEBBLE CREEK NURSING CENTER is one of 133 establishments rolled up under the parent organization CREATIVE SOLUTIONS IN HEALTHCARE.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of CREATIVE SOLUTIONS IN HEALTHCARE across all 133 of its tracked locations is viewable on the parent profile.
Other employers in this industry and state
Other employers in nursing care facilities (skilled nursing facilities) within TX, ordered by federal enforcement volume:
- UNIVERSITY PARK MANORWICHITA FALLS — 2 federal enforcement records
- Creative Solutions in HealthcareFort Worth — 2 federal enforcement records
- Healthcare Services Group, IncLancaster — 2 federal enforcement records
- Healthcare Services Group, Inc.Fort Worth — 2 federal enforcement records
- TIMBERWOOD NURSING HOMELIVINGSTON — 2 federal enforcement records
- SOUTH TEXAS RURAL HEALTH SERVICESENCINAL — 2 federal enforcement records
- SAGEBROOKCEDAR PARK — 2 federal enforcement records
- Healthcare Services GroupCorpus Christi — 2 federal enforcement records
- WHITE SETTLEMENT NURSING CENTER L.L.C.WHITE SETTLEMENT — 2 federal enforcement records
- FRANK M. TEJEDA TEXAS STATE VETERANS HOMEFLORESVILLE — 2 federal enforcement records
Other locations under this parent
Other establishments operated by CREATIVE SOLUTIONS IN HEALTHCARE, ordered by federal enforcement volume:
- The Atrium of Bellmead, LLCWaco, TX — 1 federal enforcement record
- KERENS CARE CENTERKERENS, TX — 1 federal enforcement record
- Afton Oaks Nursing & Rehabilitation CenterHouston, TX — 1 federal enforcement record
- MCLEAN CARE CENTER, INC.MCLEAN, TX — 1 federal enforcement record
- GRANBURY CARE CENTERGRANBURY, TX — 1 federal enforcement record
- Franklin Heights Nursing & RehabilitationEl Paso, TX — 0 federal enforcement records
- FRANKLIN NURSING HOMEFRANKLIN, TX — 0 federal enforcement records
Related searches
- All CREATIVE SOLUTIONS IN HEALTHCARE locationsParent rollup
- Nursing Care Facilities (Skilled Nursing Facilities)All employers in this industry
- Employers in TXState-wide enforcement data
- Nursing Care Facilities in TXIndustry × state cross-filter
About this data
This profile aggregates federal enforcement records on PEBBLE CREEK NURSING CENTER from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup CREATIVE SOLUTIONS IN HEALTHCARE, which operates 133 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is PEBBLE CREEK NURSING CENTER's OSHA violation history?
- PEBBLE CREEK NURSING CENTER has 3 OSHA inspections on record with 4 violations and $810 in total penalties.
- How does PEBBLE CREEK NURSING CENTER's safety record compare to its industry?
- PEBBLE CREEK NURSING CENTER operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3. PEBBLE CREEK NURSING CENTER's self-reported DART rate is 10.28 compared to an industry average of 4.5.