The Pavilion At Creekwood
2100 CANNON DR, Mansfield, TX, 76063
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Fundamental Healthcare
- Certified beds
- 126 · avg 100 residents/day
- Total nursing staff turnover
- 51.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 63.6% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $39,674 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 145851
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 1 Medicare-only · 125 Medicaid/Medicare
- Current license effective
- August 3, 2025
- Current license expires
- August 3, 2028
- Initial license date
- August 3, 2015
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Mansfield Long Term Care, Llc (Limited Liability Company (LLC))
- Administrator
- Ryan K Leblanc
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (8 on record)
- Ryan k Leblanc
Corporate Officer · since 2022
- Camelia m Rigsby
Adp of The Snf · since 2016
- Hunt Valley Holdings Llc
5% or Greater Indirect Ownership Interest · 100% · since 2010
- Fundamental Administrative Services Llc
Adp of The Snf · since 2007
- Fundamental Clinical And Operational Services, Llc
Adp of The Snf · since 2007
- Thi of Baltimore, Inc.
5% or Greater Indirect Ownership Interest · 100% · since 2007
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 22)
- E0686·Aug 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0684·Aug 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0759·Feb 26, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Feb 26, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0655·Feb 26, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0585·Feb 26, 2025
Resident Rights Deficiencies
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.
- J0742·Jan 5, 2025Complaint
Quality of Life and Care Deficiencies
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.
- J0689·Jan 5, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20252 fines · $30K
- 20241 fine · $9,872
Most recent events
- Jan 5, 2025Fine · $15K
- Jan 5, 2025Fine · $15K
- Aug 27, 2024Fine · $9,872
Largest single fine on record: $15K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Feb 26, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Pavilion at Creekwood is a 126-bed nursing home in Mansfield, TX, part of the Fundamental Healthcare chain. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and 2-star health inspection rating, though quality-of-care measures score 4 stars for long-stay residents and 5 stars for short-stay. Three CMS fines totaling $39,674 have been issued. The license is active through August 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 191 minutes of total nursing care per day, about 50 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or medically more complex on average — so those 191 minutes stretch thinner than the number alone suggests. RN coverage specifically runs about 25 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility.
Three CMS fines totaling $39,674 have been assessed. The state median for fined facilities is about $20,699, and roughly 30% of Texas nursing homes have received no fines at all — this facility's total sits nearly double the state median among those fined.
Despite the 1-star staffing and 2-star health inspection ratings, quality-of-care measures score 4 stars for long-stay residents and 5 stars for short-stay residents. That combination — low staffing hours, lower inspection results, yet strong outcome measures — is an unusual pairing worth exploring directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on evenings and weekends
Weekend nursing hours here average about 166 minutes per resident per day — ask how many nurses and aides are on the floor during overnight and weekend shifts specifically.
How the three fines were resolved
CMS issued three fines totaling $39,674; ask what the citations were for and what changes the facility made in response.
Resident Council access and frequency
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can submit concerns or receive updates.
Staffing consistency for individual residents
With 1-star staffing, ask whether residents are assigned consistent aides each week or whether staffing rotates frequently across the floor.
What drives the strong outcome scores
Quality-of-care measures rate 4–5 stars despite low staffing hours; ask the director of nursing what clinical protocols account for those results.
Current bed availability and wait times
With about 100 residents in 126 licensed beds, ask whether the specific bed type needed — Medicare or Medicaid — is currently open or has a waitlist.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.