The Pavilion At Creekwood

2100 Cannon Dr, Mansfield, TX 76063 8177796500

Overall Rating

★☆☆☆☆ Poor 1 out of 5 stars

Key Metrics

Health Inspection 2/5
Staffing 1/5
Quality Measures 4/5
Certified Beds 126
Avg Residents/Day 99.8
Total Penalties 3
Total Fines $39,674

Penalty History

Date Type Fine
Jan 5, 2025 Fine $14,901
Jan 5, 2025 Fine $14,901
Aug 27, 2024 Fine $9,872

Recent Health Citations

Citation Aug 6, 2025

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

Scope/Severity: E
Citation Aug 6, 2025

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

Scope/Severity: D
Citation Feb 26, 2025

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

Scope/Severity: D
Citation Feb 26, 2025

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

Scope/Severity: D
Citation Feb 26, 2025

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.

Scope/Severity: D

Staffing Detail

RN Hours/Resident/Day
0.42
Total Nurse Hours/Resident/Day
3.18
CNA Hours/Resident/Day
1.83
Weekend Nurse Hours
2.76

Turnover Rates

RN Turnover 63.6%
Total Nurse Turnover 51.8%
Admin Turnover 0.0%

Quality Measures

Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

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