For profit - Limited Liability company · 100 certified beds · CMS number 676408

Bear Creek Nursing and Rehabilitation, Grapevine, TX

CMS records 40 health deficiencies at Bear Creek Nursing and Rehabilitation in Grapevine, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 7, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $122,257 in the last three years.

Inspections and deficiencies

CMS findings for Bear Creek Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Bear Creek Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (15 deficiencies)

Standard inspection May 7, 2026. CMS counts 15 health deficiencies and 5 fire safety deficiencies in this cycle.

Jul 28, 2026 · Complaint inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
No plan of correction on file

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
No plan of correction on file

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
No plan of correction on file

Jun 27, 2026 · Complaint inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 12, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 12, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 12, 2026

May 7, 2026 · Standard inspection

5 deficiencies, highest D

F849 · Hospice services

Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 15, 2026

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 15, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 15, 2026

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 15, 2026

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 15, 2026

Dec 21, 2025 · Complaint inspection

2 deficiencies, highest K

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Dec 22, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Dec 22, 2025

Nov 19, 2025 · Complaint inspection

2 deficiencies, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 12, 2025

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 12, 2025
Previous cycle: 15 deficiencies (standard inspection Mar 20, 2025)

Standard inspection Mar 20, 2025. CMS counts 15 health deficiencies and 1 fire safety deficiency in this cycle.

Mar 20, 2025 · Standard + complaint inspection

8 deficiencies, highest E

F914 · Visual privacy in bedrooms

Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 11, 2025

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2025

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 11, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2025

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 11, 2025

Feb 4, 2025 · Complaint inspection

2 deficiencies, highest D

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2025

F623 · Written notice before a move

Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2025

Nov 27, 2024 · Complaint inspection

1 deficiency, highest D

F551 · Role of the resident's representative

Requirement cited (CMS): Give the resident's representative the ability to exercise the resident's rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 19, 2024

Oct 25, 2024 · Complaint inspection

4 deficiencies, highest K

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 20, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 20, 2024

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 20, 2024

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 20, 2024
Earlier cycle: 10 deficiencies (standard inspection Feb 15, 2024)

Standard inspection Feb 15, 2024. CMS counts 10 health deficiencies and 8 fire safety deficiencies in this cycle.

Feb 15, 2024 · Standard inspection

8 deficiencies, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2024

F809 · Meal times and snacks

Requirement cited (CMS): Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 31, 2024

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2024

F803 · Menus that meet nutritional needs

Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2024

F727 · RN coverage and director of nursing

Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2024

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 31, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2024

Jan 30, 2024 · Complaint inspection

1 deficiency, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 29, 2024
Found in
infection control inspection

Oct 30, 2023 · Complaint inspection

1 deficiency, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Oct 20, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at Bear Creek Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision4Jul 28, 2026; Jun 27, 2026; Mar 20, 2025; Oct 30, 2023 (PNC)
F880 Infection prevention and control program4Jul 28, 2026; Jun 27, 2026; Mar 20, 2025; Jan 30, 2024
F755 Pharmacy services and a consultant pharmacist3May 7, 2026; Dec 21, 2025; Mar 20, 2025
F760 No significant medication errors3Jul 28, 2026; Dec 21, 2025; Mar 20, 2025
F761 Drug labeling and secure storage3Nov 19, 2025; Mar 20, 2025; Feb 15, 2024
F585 Grievances and how they are handled2Nov 19, 2025; Oct 25, 2024
F698 Dialysis care2May 7, 2026; Feb 4, 2025
F842 Complete, confidential medical records2May 7, 2026; Feb 15, 2024

Fines and payment denials

DateTypeAmount / length
Dec 21, 2025Fine$48,945
Oct 25, 2024Fine$65,866
Oct 30, 2023Fine$7,446

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.31 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.67 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.99 h
Nursing staff turnover
55.0% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5

CMS figures for Bear Creek Nursing and Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
3729 Ira E Woods Avenue, Grapevine, TX 76051
Phone
(817) 527-7500
County
Tarrant
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Eduro Healthcare
Certified beds
100
Average residents per day
74.1
In Medicare/Medicaid since
Jul 21, 2016
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
  • How do staff track and report infections among residents? (F880, cited 4 times)
  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
  • What happens when a medication error is discovered, and who is notified? (F760, cited 3 times)

Other nursing homes in Grapevine and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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