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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasThe Pavilion at Creekwood

The Pavilion at Creekwood

2100 Cannon Dr, Mansfield, TX 760638177796500
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
126
certified
3 fine(s) totaling $39,674

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 126 certified beds with an average of 99.8 residents per day (79% occupancy)

• Last health inspection found 6 deficiencies (inspected Feb 26, 2025)

• Has been fined a total of $39,674 across 3 fine(s)

• Total nursing staff: 3.18 hours per resident per day

• Staff turnover rate: 51.8% (high)

• Part of the Fundamental Healthcare chain (70 facilities)

The Pavilion at Creekwood is a 1-star Medicare and Medicaid certified nursing home in Mansfield, Texas with 126 certified beds. It has been operating since 2015. The facility scored below average compared to Texas facilities.

Beds
126
Avg Residents/Day
99.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 3, 2015
Sprinklers
Yes
Council
Resident
County
Tarrant
Last Inspection
Feb 26, 2025
Deficiencies (Cycle 1)
6
Weighted Score
108.8
Infection Citations
1

Deficiency Citations (24)

F0684Potential for Harm

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

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0655Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

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

Survey: Jan 5, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Jan 5, 2025Corrected: NoCycle: 2
F0742Immediate Jeopardy

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Survey: Jan 5, 2025Corrected: NoCycle: 2
F0578Immediate Jeopardy

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Aug 27, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: May 20, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: May 20, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jan 25, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Dec 12, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 21, 2023Corrected: NoCycle: 3
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Nov 21, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Mar 21, 2023Corrected: NoCycle: 3
F0580Potential for Harm

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

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 16, 2023Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Nov 30, 2022Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Nov 30, 2022Corrected: NoCycle: 3
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Nov 30, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 30, 2022Corrected: NoCycle: 3
Total Fines
$39,674
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineAug 27, 2024
$9,872
FineJan 5, 2025
$14,901
FineJan 5, 2025
$14,901

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.83 hrs
National avg: 2.35 hrs
LPN0.93 hrs
National avg: 0.86 hrs
RN0.42 hrs
National avg: 0.68 hrs
Total Nursing3.18 hrs
National avg: 3.89 hrs
Weekend Total2.76 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
51.8%
RN Turnover
63.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
THI OF TEXAS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 21, 2007
HUNT VALLEY HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 9, 2010
THI OF BALTIMORE, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 1, 2007
FORMAN, MURRAY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMar 28, 2006
THI OF TEXAS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 21, 2007
LEBLANC, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2022
LEBLANC, RYANCORPORATE OFFICERIndividualN/AJan 1, 2022

Nearby Nursing Homes

All Texas facilities

Mansfield Nursing & Rehabilitation Center

Mansfield, TX · 127 beds

For profit$81,477 in fines
Health
Staffing
Quality
1.7 mi

Mansfield Medical Lodge

Mansfield, TX · 118 beds

For profit$6,032 in fines
Health
Staffing
Quality
2.1 mi

Frequently Asked Questions

What is the CMS rating for The Pavilion at Creekwood?▾
The Pavilion at Creekwood has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has The Pavilion at Creekwood had any health inspection violations?▾
The Pavilion at Creekwood had 6 deficiency citations in its most recent health inspection (Feb 26, 2025). The facility has been fined a total of $39,674 across 3 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at The Pavilion at Creekwood?▾
The Pavilion at Creekwood provides 3.18 total nursing staff hours per resident per day, including 0.42 RN hours, 0.93 LPN hours, and 1.83 nurse aide hours. The total staff turnover rate is 51.8%.
How many beds does The Pavilion at Creekwood have?▾
The Pavilion at Creekwood has 126 certified beds with an average of 99.8 residents per day, resulting in approximately 79% occupancy. The facility is For profit - Limited Liability company owned and is part of the Fundamental Healthcare chain.
Are there other nursing homes near The Pavilion at Creekwood?▾
Yes, there are 2 other nursing homes in Mansfield, Texas with an average rating of 2.3/5. You can compare all facilities on the Mansfield nursing homes page.

Part of Fundamental Healthcare

This chain operates 70 facilities. View all →