THE PAVILION AT CREEKWOOD
THE PAVILION AT CREEKWOOD is a 126-bed nursing home in MANSFIELD, Texas. CMS has certified it for Medicare and Medicaid since 2015-08-03. It averages 97.3 residents a day.
What harm was found in the violations cited at THE PAVILION AT CREEKWOOD?
CMS lists 25 health-inspection deficiencies for THE PAVILION AT CREEKWOOD, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-04-14 | F0755, F0761, F0812 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-04-14 | F0550, F0558, F0636, F0760 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure that residents are free from significant medication errors. | D |
| 2025-08-06 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2025-08-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-02-26 | F0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2025-02-26 | F0585, F0655, F0755 | 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. | D |
| 2025-01-05 | F0684, F0689, F0742 | 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. | J |
| 2024-08-27 | 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 |
| 2024-05-20 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-05-20 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-01-25 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-01-25 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-12-12 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2023-11-21 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-11-21 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
Why was THE PAVILION AT CREEKWOOD fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-01-05 | Fine | $14,901 |
| 2025-01-05 | Fine | $14,901 |
| 2024-08-27 | Fine | $9,872 |
How is THE PAVILION AT CREEKWOOD staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.20837 | 3.38539 |
| Total nursing staff turnover (%) | 47.0 | 55.3 |
| Average number of residents per day | 97.3 | 75.8 |
Who owns THE PAVILION AT CREEKWOOD, and what chain is it in?
THE PAVILION AT CREEKWOOD is registered with CMS as For profit - Limited Liability company, operates under the legal business name MANSFIELD LONG TERM CARE, LLC and belongs to the FUNDAMENTAL HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE OFFICER | LEBLANC, RYAN | since 01/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | THI OF TEXAS LLC, LEBLANC, RYAN | since 01/01/2022 |
| ADP OF THE SNF | FUNDAMENTAL ADMINISTRATIVE SERVICES LLC, FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC, LEBLANC, RYAN, RIGSBY, CAMELIA | since 01/01/2022 |
Were you or a family member harmed at THE PAVILION AT CREEKWOOD?