THE PAVILION AT CREEKWOOD

2100 CANNON DR, MANSFIELD, TX 76063 · CCN 676388 · 126 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-01-05 — IMMEDIATE JEOPARDY (tag F0742, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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.

2025-01-05 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-01-05 — IMMEDIATE JEOPARDY (tag F0684, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-08-27 — IMMEDIATE JEOPARDY (tag F0578, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

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.

Staffing, from payroll records

Nursing hours / resident / day

2.54

state median 2.67

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.32

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

47%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $24,773 in fines.

Date	Type	Amount
2025-01-05	Fine	$14,901
2024-08-27	Fine	$9,872

Ownership

Ownership type: For profit - Limited Liability company. Part of the FUNDAMENTAL HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

BELLTOWER HEALTH & REHABILITATION CENTER (GRANGER, IN) — CMS overall4 of 5
BERLIN NURSING AND REHABILITATION CENTER (BERLIN, MD) — CMS overall1 of 5
NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE (FREDERICK, MD) — CMS overall1 of 5
ALLEGANY HEALTH NURSING AND REHAB (CUMBERLAND, MD) — CMS overall4 of 5
OAKLAND NURSING & REHABILITATION CENTER (OAKLAND, MD) — CMS overall1 of 5
FAIRFIELD NURSING & REHABILITATION CENTER (CROWNSVILLE, MD) — CMS overall2 of 5
MORAN NURSING AND REHABILITATION CENTER (WESTERNPORT, MD) — CMS overall4 of 5
DEVLIN MANOR NURSING AND REHABILITATION CENTER (CUMBERLAND, MD) — CMS overall3 of 5

Full citation history

By severity: Potential for more than minimal harm: 20 · Immediate jeopardy: 4

Survey date	Tag	Category	Severity	Corrected
2026-04-14	F0550	Resident Rights Deficiencies	D	not recorded
2026-04-14	F0558	Resident Rights Deficiencies	D	not recorded
2026-04-14	F0636	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-14	F0755	Pharmacy Service Deficiencies	E	not recorded
2026-04-14	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-04-14	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-04-14	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-08-06	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-08-06	F0686	Quality of Life and Care Deficiencies	E	not recorded
2025-02-26	F0585	Resident Rights Deficiencies	D	not recorded
2025-02-26	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-26	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-02-26	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-01-05	F0684	Quality of Life and Care Deficiencies	J	not recorded
2025-01-05	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-01-05	F0742	Quality of Life and Care Deficiencies	J	not recorded
2024-08-27	F0578	Resident Rights Deficiencies	J	not recorded
2024-05-20	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-05-20	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-01-25	F0558	Resident Rights Deficiencies	D	not recorded
2024-01-25	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-12-12	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-11-21	F0880	Infection Control Deficiencies	E	not recorded
2023-11-21	F0919	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “THE PAVILION AT CREEKWOOD, MANSFIELD” at medicare.gov/care-compare.