The Pavilion at Creekwood
Nursing Home · Mansfield, TX
CMS certification number676388
Contact & location
2100 Cannon DRMansfield, TX 76063
Tarrant County
- Phone
- (817) 779-6500
- ZIP code
- 76063 – all care providers
Facility details
- Certified beds
- 126
- Residents per day
- 97.3 (77% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Mansfield Long Term Care, LLC
- Chain
- Fundamental Healthcare (66 facilities, avg 2.4★)
- Medicare certified since
- August 3, 2015
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.21 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.94 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.89 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.81 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 47.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 35.7 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- April 14, 2026
- Health deficiencies (last cycle)
- 10.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Infection control citations
- 1
- Citations on record (3 years)
- 25 health · 11 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-02 |
| 2026-04-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2026-04-14 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2026-04-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2026-04-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2026-04-14 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-04-14 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2026-04-14 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2025-08-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-07 |
| 2025-08-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-07 |
| 2025-02-26 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-27 |
| 2025-02-26 | 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-27 |
| 2025-02-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-27 |
| 2025-02-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-27 |
| 2025-01-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-06 |
| 2025-01-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-06 |
| 2025-01-05 | 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. F0742 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-06 |
| 2024-08-27 | 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. F0578 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-28 |
| 2024-05-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-21 |
| 2024-05-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-21 |
| 2024-01-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-27 |
| 2024-01-25 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-27 |
| 2023-12-12 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-13 |
| 2023-11-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-18 |
| 2023-11-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $39,674 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-05 | Fine | $14,901 |
| 2025-01-05 | Fine | $14,901 |
| 2024-08-27 | Fine | $9,872 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Fundamental Administrative Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Fundamental Clinical and Operational Services, LLC (organization) | Administrator · NOT APPLICABLE | |
| Leblanc, Ryan (individual) | Administrator · NOT APPLICABLE | |
| Rigsby, Camelia (individual) | Administrator · NOT APPLICABLE | |
| Leblanc, Ryan (individual) | Corporate Officer · NOT APPLICABLE | |
| Leblanc, Ryan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Thi of Texas LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Pavilion at Creekwood?
The Pavilion at Creekwood has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does The Pavilion at Creekwood have?
It has 126 certified beds and cares for about 97 residents per day.
Has The Pavilion at Creekwood been fined?
Yes. CMS lists 3 penalties totaling $39,674 in the last three years.
Who owns The Pavilion at Creekwood?
It is part of Fundamental Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Pavilion at Creekwood?
(817) 779-6500. The facility is located at 2100 Cannon DR, Mansfield, TX 76063.
Other nursing homes in Mansfield
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Avir at Mansfield
Nursing Home · Mansfield, TX · 127 beds
★★★★ -
Mansfield Medical Lodge
Nursing Home · Mansfield, TX · 118 beds
★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.