The Pavilion at Creekwood
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 67 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (52%)
- High RN turnover (64%)
Bottom 25% in Texas · Below recommended RN staffing · Worst in FUNDAMENTAL HEALTHCARE chain · $39,674 in fines
What this means for your family
This facility is a strong option for short-term rehabilitation due to its highly rated physical therapy team. However, if you are seeking long-term care, you must closely monitor nursing responsiveness and hygiene, as multiple recent reports indicate significant failures in nighttime care and basic patient sanitation.
Google Reviews
Google Reviews
67 reviews on Google“Families considering The Pavilion at Creekwood will find a stark divide between the highly praised rehabilitation and physical therapy teams and severe allegations of nursing neglect. While many reviewers laud the facility's cleanliness and the effectiveness of the therapy staff in post-surgery recovery, multiple families report critical issues regarding hygiene, unresponsive night staff, and inadequate medication management.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical and occupational therapy teams
- Clean and beautiful facility appearance
- Friendly and professional front desk/administrative staff
- Effective post-surgical rehabilitation
Concerns
- Nursing neglect and hygiene issues (e.g., soiled linens/diapers) (mentioned by 6 reviewers)
- Unresponsive or rude night/weekend nursing staff (mentioned by 5 reviewers)
- Inconsistent medication management and medical errors (mentioned by 2 reviewers)
- Communication failures regarding patient status or admissions (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 68 analyzed
How They Respond to Reviews
The owner relies heavily on a small set of repetitive templates for positive reviews, often using identical phrasing for different users. While they attempt to address negative reviews with more specific language, the responses frequently revert to standardized corporate apologies and requests for offline communication.
Questions for Your Tour
- 1We've heard wonderful things about your therapy teams; could you tell us more about how the physical and occupational therapists work with residents during their recovery?
- 2How does the nursing team ensure that residents' personal hygiene and linen changes are managed consistently throughout the day and night?
- 3What specific protocols are in place to ensure medication is administered accurately and that any changes in a resident's status are communicated to the family promptly?
- 4Can you describe the dining experience here, specifically regarding how much input residents have in their daily meal options?
- 5What is the process for handling medical emergencies or urgent care needs during the night and over the weekends?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“The rehab team at The Pavilion is awesome. They are all so positive and upbeat. I was wheelchair bound when I got to The Pavilion and I walked out of there with the aid of a wonderful walker.”
“The nursing staff dont care about the patient... I went to pick up my dad I had him in a soiled diaper I has on for 3 days I has on for 3 days He was worse condition than when he went in there”
“The facility is absolutely stunning! The leadership team is truly exceptional, showing genuine care for the residents and the wider community.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
1
measures
4
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaint reports leading to 12 deficiencies, indicating ongoing concerns about treatment and care, medication management, and safety measures. The facility shows recurring issues with appropriate treatment according to resident preferences, medication safety, and fire safety systems across multiple surveys from 2022 to 2025. While all violations have been corrected, the pattern of repeated problems in core care areas suggests families should carefully evaluate whether this facility can consistently meet their loved one's needs.
Aug 6, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 26, 2025Routine7
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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.
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
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 5, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Aug 27, 2024Complaint1
Resident Rights Deficiencies
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.
May 20, 2024Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Jan 25, 2024Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal Penalties
Fine
Jan 5, 2025
$14,901
Fine
Jan 5, 2025
$14,901
Fine
Aug 27, 2024
$9,872
Ownership & Operations
Who Operates This Facility
Mansfield Long Term Care, LLC
for profit
RYAN K LEBLANC
Chain Affiliation
Fundamental Healthcare
69 facilities nationwide
Chain avg rating: 2.8/5 · Rank 25 of 26 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
67 reviews from families & visitors
Official Website
Visit pavilionatcreekwood.com
Medicare data downloads
Original nursing home datasets
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