• 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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Reasonably accommodate the needs and preferences of each resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Reasonably accommodate the needs and preferences of each resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Observe each nurse aide's job performance and give regular training.
Provide and implement an infection prevention and control program.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| THI OF TEXAS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jun 21, 2007 |
| HUNT VALLEY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 9, 2010 |
| THI OF BALTIMORE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2007 |
| FORMAN, MURRAY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Mar 28, 2006 |
| THI OF TEXAS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 21, 2007 |
| LEBLANC, RYAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2022 |
| LEBLANC, RYAN | CORPORATE OFFICER | Individual | N/A | Jan 1, 2022 |
This chain operates 70 facilities. View all →