Lilisity

Nursing home

The Pavilion at Creekwood

2100 Cannon Dr, Mansfield, TX 76063 · Map
For profit - Limited Liability company · Part of Fundamental Healthcare (69 facilities) · 126 certified beds

Medicare and Medicaid certified
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The Pavilion at Creekwood is a Medicare-certified nursing home in Mansfield, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.18 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Feb 26, 2025 cited 6 deficiencies.

1 out of 5Overall CMS rating
2 out of 5Health inspections
1 out of 5Staffing
126 bedsCertified beds
  • 3 fines totaling $39,674In CMS records: 3 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing1/5
Quality measures4/5
Long-stay quality4/5
Short-stay quality5/5

How The Pavilion at Creekwood compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.183.403.89below avg
RN staffing (hrs/resident/day)0.420.440.68below avg
Aide staffing (hrs/resident/day)1.832.012.34below avg
Nursing staff turnover51.8%51.5%46.4%above avg
Deficiencies cited, last inspection6.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.18Total nurse hrs/resident/day
0.42RN hrs/resident/day
0.93LPN hrs/resident/day
1.83Aide hrs/resident/day
2.76Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff51.8%
Registered nurses63.6%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Feb 26, 2025Most recent inspection
6Deficiencies found
32Health inspection score
3Fines

Penalties in CMS records: 3 fines totaling $39,674, 3 total penalties.

What inspectors found at The Pavilion at Creekwood

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Quality of Life and Care Deficiencies · Aug 6, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Aug 6, 2025 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Feb 26, 2025 · Full report (PDF)
  • Potential for harm

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

    Pharmacy Service Deficiencies · Feb 26, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Feb 26, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    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.

    Resident Rights Deficiencies · Feb 26, 2025 · Full report (PDF)
  • Immediate jeopardy

    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.

    Quality of Life and Care Deficiencies · Jan 5, 2025 · Full report (PDF)
  • Immediate jeopardy

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

    Quality of Life and Care Deficiencies · Jan 5, 2025 · Full report (PDF)
  • Immediate jeopardy

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

    Quality of Life and Care Deficiencies · Jan 5, 2025 · Full report (PDF)
  • Immediate jeopardy

    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.

    Resident Rights Deficiencies · Aug 27, 2024 · Full report (PDF)
  • Potential for harm

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

    Pharmacy Service Deficiencies · May 20, 2024 · Full report (PDF)
  • Potential for harm

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

    Pharmacy Service Deficiencies · May 20, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
2100 Cannon Dr
Mansfield, TX 76063
CMS certification #
676388
Ownership
For profit - Limited Liability company
Certified beds
126
Avg residents/day
99.8
Provider type
Medicare and Medicaid
First certified
2015-08-03
Chain
Fundamental Healthcare (69 facilities)
Setting
Urban

Part of Fundamental Healthcare

Fundamental Healthcare operates 69 nursing facilities across the United States. View all Fundamental Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around The Pavilion at Creekwood using Google Maps.

Other public records

  • Website says Pets allowed
Full public records, with dates and sources

Care and services

From the community’s website

What The Pavilion at Creekwood says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Pets allowed. Any pets permitted in the building must have a current vaccination record and remain on a leash or in a proper carrier and in their owner’s control at all times. (page, checked Oct 12, 2026)
  • Apartment types named: private room, semi-private room. We offer semi-private rooms for our long-term residents. (page, checked Oct 12, 2026)

Location and nearby care

Nearest hospital with an emergency room
Methodist Mansfield Medical Center, Mansfield. 0.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Mansfield Nursing & Rehabilitation Center, Mansfield. 1.7 miles away, straight line.
Nearest home health agency office
Avian Home Healthcare, Mansfield. 1.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 76063 as metropolitan (metropolitan core).
Dialysis within 15 miles
Usrc Premier Mansfield, Mansfield, 0.5 miles away, straight line (CMS rating 2 of 5 stars)
Davita Mansfield Dialysis Center, Mansfield, 2.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Usrc Mansfield Dialysis, Mansfield, 2.8 miles away, straight line (CMS rating 2 of 5 stars)
Hospice
90 Medicare hospices tell CMS they serve ZIP code 76063.
Cardinal Hospice, office in Mansfield, 1.4 miles away, straight line
Carestar Hospice, office in Mansfield, 2.3 miles away, straight line
Alevcare Hospice, office in Mansfield, 2.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Nearest geriatric medicine practice
Acclaim Physician Group Inc, Fort Worth. 12.5 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is The Pavilion at Creekwood a good nursing home?

CMS gives The Pavilion at Creekwood an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is The Pavilion at Creekwood staffed?

The Pavilion at Creekwood reports 3.18 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has The Pavilion at Creekwood had inspection problems?

Its most recent CMS inspection cited 6 deficiencies.

How many beds does The Pavilion at Creekwood have?

The Pavilion at Creekwood is certified for 126 beds.