CareWitness
Federal record · CMS Care Compare · CCN 676388 · Processed JUN 1 2026
CareWitnessTexasMansfieldNursing HomesThe Pavilion At Creekwood

The Pavilion At Creekwood

2100 Cannon Dr, Mansfield, TX, 76063

Type
Nursing home
Medicare/Medicaid certified · CCN 676388

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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 June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections2 / 5
Staffing1 / 5
Quality measures5 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Fundamental Healthcare
Certified beds
126 · avg 94 residents/day
Total nursing staff turnover
46.8%lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
RN turnover
40%lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $39,674 total
Infection control citations
1

Medicare certification

CMS Certification Number
676388
Certified beds
126 beds · avg 94 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Mansfield Long Term Care, Llc
Chain affiliation
Fundamental Healthcare

CMS Care Compare, processing date June 1, 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 May 2026.

Federal inspection record

21 health citations on file4 immediate-jeopardy findings11 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 21)

  • 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 Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about The Pavilion At Creekwoodinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.