Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 455718

Pebble Creek Nursing Center

58 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $151,360.

Abuse Icon 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
58
Total citations
34
Last 3 years
4
Actual harm+
3
Federal penalties
$151,360
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care14 Care Planning14 Resident Rights9 Medication & Pharmacy7 Abuse & Neglect5

Most common F-tags at this facility

F6566 F6954 F5583 F8123 F6413

Citation history

58 on record
SurveyF-TagViolationSeveritySource
Sep 9, 2025F880Provide and implement an infection prevention and control program.DComplaint
Sep 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
May 20, 2025F760Ensure that residents are free from significant medication errors.KComplaint
May 20, 2025F610Respond appropriately to all alleged violations.JComplaint
May 20, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Jan 23, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 23, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Sep 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jul 2, 2024F732Post nurse staffing information every day.CComplaint
May 16, 2024F641Ensure each resident receives an accurate assessment.DComplaint
May 16, 2024F880Provide and implement an infection prevention and control program.EComplaint
May 16, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
May 16, 2024F761Ensure 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.DComplaint
May 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 16, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
May 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 16, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 16, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Feb 15, 2024F693Ensure 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.DComplaint
Feb 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 15, 2024F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Oct 30, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Oct 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 30, 2023F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Sep 29, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint
Sep 29, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Sep 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 29, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Sep 29, 2023F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Jul 17, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Jun 28, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 5, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 5, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 5, 2023F760Ensure that residents are free from significant medication errors.DStandard
Apr 5, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 5, 2023F758Implement 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.DStandard
Apr 5, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 5, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 5, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 5, 2023F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard
Apr 5, 2023F693Ensure 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.EStandard
Apr 5, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 5, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 5, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 5, 2023F641Ensure each resident receives an accurate assessment.DStandard
Apr 5, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Apr 5, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
Feb 10, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 10, 2022F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Feb 10, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Feb 10, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Feb 10, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 10, 2022F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Feb 10, 2022F641Ensure each resident receives an accurate assessment.DStandard
Feb 10, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $151,360 and 1 payment-denial actions spanning 70 days.

DateTypeFinePayment denial
May 20, 2025Fine$143,190—
May 20, 2025Payment Denial—Jun 19, 2025 · 70 days
Sep 20, 2024Fine$8,170—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

Concerned about care at Pebble Creek Nursing Center?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.