The Pavilion At Creekwood
2100 Cannon Dr, Mansfield, TX 76063 · Tarrant County
For-profit · 126 certified beds · 77% occupancy · (817) 779-6500
The U.S. government (CMS) rates The Pavilion At Creekwood 2 out of 5 stars overall — below average. Its nurse staffing is 2% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.21 nurse hours per resident per day. 2% below the Texas median of 3.27.
Nursing staff turnover: 47% · RN turnover: 35.7%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0755 · Apr 14, 2026Corrected Apr 15, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Apr 14, 2026Corrected Apr 15, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Apr 14, 2026Corrected Apr 15, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0686 · Aug 6, 2025ComplaintCorrected Aug 7, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0550 · Apr 14, 2026Corrected Apr 15, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0558 · Apr 14, 2026Corrected Apr 8, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0636 · Apr 14, 2026Corrected Apr 15, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0760 · Apr 14, 2026Corrected Apr 15, 2026
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0684 · Aug 6, 2025ComplaintCorrected Aug 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0684 · Jan 5, 2025ComplaintCorrected Jan 6, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 24 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Fundamental Healthcare chain (67 facilities), chain average overall rating 2.4★.