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CareWitnessTexasMansfieldNursing HomesThe Pavilion At Creekwood

The Pavilion At Creekwood

2100 CANNON DR, Mansfield, TX, 76063

Type
Nursing home
State-licensedCMS certified · CCN 676388

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.

Full report →

CMS Star Ratings

Overall1/5
Health inspections2/5
Staffing1/5
Quality measures4/5

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 departednear 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

For-profitLlc

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

22 health citations on file4 immediate-jeopardy findings12 from complaints3 federal fines totalling $40K

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.

View the full inspection history on CMS Care Compare →

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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.