THE PAVILION AT CREEKWOOD
CMS
Immediate Jeopardy
Infection Control
Medication Error
Wound Care
Penalty
$39,674
Outcome
THE PAVILION AT CREEKWOOD in MANSFIELD, TX was fined $39,674 by CMS across 3 separate penalties following 22 deficiency citations identified during federal surveys.
Details
THE PAVILION AT CREEKWOOD (MANSFIELD, TX) — $39,674 in CMS Fines
Outcome: THE PAVILION AT CREEKWOOD in MANSFIELD, TX was fined $39,674 by CMS across 3 separate penalties following 22 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Ensure medication error rates are not 5 percent or greater.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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