Pebble Creek Nursing Center - El Paso Nursing Home
General Information
UPDATEFederal Provider Number
455718
Provider Name
PEBBLE CREEK NURSING CENTER
Provider Address
11608 SCOTT SIMPSON DR
EL PASO, TX 79936
EL PASO, TX 79936
Provider Phone Number
(915) 857-0071
Provider SSA County
480
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENAN PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1987-11-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73382
Reported LPN Staffing Hours per Resident per Day
1.58284
Reported RN Staffing Hours per Resident per Day
0.57304
Reported Licensed Staffing Hours per Resident per Day
2.15588
Reported Total Nurse Staffing Hours per Resident per Day
4.88970
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01422
Expected CNA Staffing Hours per Resident per Day
2.58819
Expected LPN Staffing Hours per Resident per Day
0.60245
Expected RN Staffing Hours per Resident per Day
0.88401
Expected Total Nurse Staffing Hours per Resident per Day
4.07465
Adjusted CNA Staffing Hours per Resident per Day
2.59176
Adjusted LPN Staffing Hours per Resident per Day
2.18070
Adjusted RN Staffing Hours per Resident per Day
0.48436
Adjusted Total Nurse Staffing Hours per Resident per Day
4.83720
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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