Nursing home report
MANSFIELD, TX · Medicare-certified · 126 beds
The Pavilion at Creekwood in Mansfield, TX has an overall 2-star rating, with 2-star health inspection and staffing ratings and 4-star quality measures. It reports 3.21 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $39,674 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.2084 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2084.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 742 — 42 CFR §483.40 — S/S: J
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 578 — 42 CFR §483.10 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 4 health deficiencies.
A federal fine of $14,901 was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $9,872 was recorded.
On record with Medicare: 3 fines · $39,674 in total fines.
Federal fine
Jan 5, 2025
Federal fine
Aug 27, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
