CareSentinel

Federal Nursing-Home Survey Record

THE PAVILION AT CREEKWOOD

CCN 676388 · 2100 CANNON DR, MANSFIELD, TX, 76063 · Operated within the FUNDAMENTAL HEALTHCARE chain

Does THE PAVILION AT CREEKWOOD have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), THE PAVILION AT CREEKWOOD (CCN 676388), in MANSFIELD, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $39,674 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $39,674 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$39,674

CMS has $39,674 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-08-06
CURRENT CYCLE
F686S/S E

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

2025-08-06
CURRENT CYCLE
F684S/S D

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

2025-02-26
CURRENT CYCLE
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-02-26
CURRENT CYCLE
F655S/S D

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

2025-02-26
CURRENT CYCLE
F585S/S D

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.

2025-02-26
CURRENT CYCLE
F755S/S D

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

2025-01-05
HISTORICAL
F689S/S J

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

2025-01-05
HISTORICAL
F684S/S J

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

2025-01-05
HISTORICAL
F742S/S J

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.

2024-08-27
HISTORICAL
F578S/S J

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.

2024-05-20
HISTORICAL
F755S/S E

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

2024-05-20
HISTORICAL
F757S/S D

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

2024-01-25
HISTORICAL
F812S/S F

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

2024-01-25
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2023-12-12
HISTORICAL
F695S/S D

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

2023-11-21
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-11-21
HISTORICAL
F919S/S D

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

2022-11-30
HISTORICAL
F730S/S E

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

2022-11-30
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2022-11-30
HISTORICAL
F656S/S D

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

2022-11-30
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at THE PAVILION AT CREEKWOOD?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

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The resident is…