Texas › Tarrant County › Mansfield
The Pavilion At Creekwood
2100 Cannon Dr, Mansfield, TX 76063
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Pavilion At Creekwood is a For-profit, limited liability company nursing home in Mansfield, Texas, certified for 126 beds and caring for about 97 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (10, 8, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 19.8 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $40K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 47.0%.
Compared with county, state and nation
| Measure | This facility | Tarrant Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 28 | 25 | 28.7 |
| Citations per 100 beds | 19.8 | 21.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 47.0% | 53.4% | 52.1% | 45.8% |
| Fines listed | $39,674 | $31,778 | $16,801 | — |
County and state figures are medians across facilities (71 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Apr 2026, 26 Feb 2025.
Severity mix: J ×4 D ×13 E ×7 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Jun 2026 |
| 14 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 15 Apr 2026 |
| 14 Apr 2026 | F0761 | 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. | E | Standard survey | 15 Apr 2026 |
| 14 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Apr 2026 |
| 14 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Apr 2026 |
| 14 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Apr 2026 |
| 14 Apr 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 15 Apr 2026 |
| 14 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 Apr 2026 |
| 6 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 7 Aug 2025 |
| 6 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Aug 2025 |
| 26 Feb 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 Feb 2025 |
| 26 Feb 2025 | F0585 | 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. | D | Standard survey | 27 Feb 2025 |
| 26 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Feb 2025 |
| 26 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Feb 2025 |
| 5 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 6 Jan 2025 |
| 5 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 6 Jan 2025 |
| 5 Jan 2025 | F0742 | 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. | J | Complaint investigation | 6 Jan 2025 |
| 27 Aug 2024 | F0578 | 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. | J | Complaint investigation | 28 Aug 2024 |
| 20 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 21 May 2024 |
| 20 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 21 May 2024 |
| 25 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jan 2024 |
| 25 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 Jan 2024 |
| 12 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 13 Dec 2023 |
| 21 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 18 Dec 2023 |
| 21 Nov 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 22 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Jan 2025 | Fine | $14,901 | |
| 5 Jan 2025 | Fine | $14,901 | |
| 27 Aug 2024 | Fine | $9,872 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 47.0%, RNs 35.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Mansfield Long Term Care, Llc. Chain: Fundamental Healthcare (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Thi of Texas LLC | Operational/managerial control | NOT APPLICABLE | 06/21/2007 |
| Fundamental Administrative Services LLC | Adp of the snf | NOT APPLICABLE | 07/01/2007 |
| Fundamental Clinical and Operational Services, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2007 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Tarrant County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Allegiant Wellness and Rehab | Crowley | 60 | 5 | 5 | 4 | 11 | 18.3 | — | 24 Jul 2025 |
| Crowley Nursing and Rehabilitation | Crowley | 120 | 5 | 4 | 2 | 17 | 14.2 | $18K | 5 Jun 2025 |
| Discovery Village At Southlake | Southlake | 41 | 5 | 5 | 4 | 15 | 36.6 | $13K | 4 Jun 2026 |
| Grapevine Medical Lodge | Grapevine | 132 | 5 | 4 | 2 | 8 | 6.1 | — | 15 Apr 2025 |
| Heritage House At Keller Rehab & Nursing | Keller | 120 | 5 | 4 | 2 | 20 | 16.7 | $23K | 28 Mar 2026 |
| Hurst Plaza Nursing and Rehab | Hurst | 106 | 5 | 5 | 2 | 15 | 14.2 | $7K | 21 May 2026 |
| La Dora Nursing and Rehabilitation Center | Bedford | 62 | 5 | 5 | 2 | 10 | 16.1 | — | 24 Apr 2026 |
| Stonegate Nursing and Rehabilitation | Fort Worth | 134 | 5 | 4 | 2 | 23 | 17.2 | $17K | 12 Feb 2026 |
All 71 facilities in Tarrant County
Questions and answers
How many deficiencies has The Pavilion At Creekwood been cited for?
25 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Pavilion At Creekwood been fined?
Yes. CMS lists fines totalling $40K in the period covered.
How does staffing at The Pavilion At Creekwood compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Pavilion At Creekwood?
It is part of the Fundamental Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Thi of Texas LLC. Individual owners and managers are not listed on this site.
When was The Pavilion At Creekwood last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jun 2026; the most recent standard health survey was 14 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.