Nursing home report
MANSFIELD, TX · Medicare-certified · 126 beds
2 of 5 stars overall. The Pavilion at Creekwood has low health inspection and staffing ratings, with staffing at 3.13 hours per resident per day below the 4.1 benchmark; it also had $39,674 in fines in the last 24 months, including a recent federal penalty.
Health inspections
Staffing
3.1255 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1255.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 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.
