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Complaint Investigation

The Pavilion At Creekwood

January 5, 2025 · Mansfield, TX · 2100 Cannon Dr
Citations 1
CMS Rating 2/5
Beds 126
Provider ID 676388
Healthcare Facility
The Pavilion At Creekwood
Mansfield, TX  ·  View full profile →
Inspection Summary

THE PAVILION AT CREEKWOOD in MANSFIELD, TX — inspection on January 5, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF742
Immediate Few affected

Review of the Suicide Ideation Assessment completed by the Social Worker, dated 01/03/25 reflected that Resident #1 was not deemed a threat to herself. Resident #1 will continue to follow up with psychiatry while remaining in the facility.

An observation on 01/04/25 at 2:30 PM revealed Resident #1 was sleeping in bed.

676388

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676388 B.

Wing 01/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Pavilion at Creekwood 2100 Cannon Dr Mansfield, TX 76063

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MANSFIELD, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE PAVILION AT CREEKWOOD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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