The Pavilion at Creekwood

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 24, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 15, 2026

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 22, 2026

• Include a process for Emergency Preparedness collaboration.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 7, 2026

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 4, 2026

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 15, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 15, 2026

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2026

• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 7, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 7, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 17, 2025

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2025

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2025

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 6, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 6, 2025

• 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.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 6, 2025

• 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.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 28, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 21, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 21, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 27, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 26, 2024

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 26, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 18, 2023

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 22, 2023

The Pavilion at Creekwood offers Skilled Nursing / Long Term Care.

The Pavilion at Creekwood is located at 2100 Cannon Dr in Mansfield, Texas.

Reviews for The Pavilion at Creekwood are overwhelmingly negative, with multiple families describing serious lapses in medication administration, hygiene, and staff communication during rehab and long-term stays. While the building itself is frequently described as clean and attractive, several reviewers say the quality of hands-on care did not match the appearance, including one report tied to a resident's death after a medication delay.

The Pavilion at Creekwood had 10 government inspection visits in the last three years, with 35 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with The Pavilion at Creekwood and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.