F

BEAR CREEK NURSING AND REHABILITATION

3729 IRA E WOODS AVENUE, GRAPEVINE, TX 76051
Score: 19 / 100

Bear Creek Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 19/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Grapevine facility should carefully review its inspection history and quality metrics.

Staffing at Bear Creek Nursing And Rehabilitation is near the national average, with 3.55 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 30 deficiencies at Bear Creek Nursing And Rehabilitation, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.55 3.8 Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 0.82 0.7 Above Average
Certified Nursing Assistants (CNA) 1.91 2.4 Below Average
Weekend Total Nursing 3.08 3.8 Below Average
Weekend RN Hours 0.46 0.7 Below Average

🔍 Inspection & Deficiency History

30
Total Deficiencies
Dec 20, 2025
Most Recent Inspection
🟠 24 Moderate 🔴 6 Serious
View recent deficiencies (5 shown)
  • Tag 0755 Severity K
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Dec 20, 2025 · Pharmacy Service Deficiencies
  • Tag 0760 Severity K
    Ensure that residents are free from significant medication errors.
    Dec 20, 2025 · Pharmacy Service Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Nov 18, 2025 · Resident Rights Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Nov 18, 2025 · Pharmacy Service Deficiencies
  • Tag 0914 Severity E
    Provide bedrooms that don't allow residents to see each other when privacy is needed.
    Mar 19, 2025 · Environmental Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.7% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 2.5% 14.5% Better
Urinary tract infections 2.4% 2.5% Average
ADL decline (daily activities) 22.3% 14.0% Worse
Excessive weight loss 1.7% 7.5% Better
New/worsened incontinence 19.3% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $142,612

How This Grade Was Calculated

This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 19, 2025
Deficiencies (Cycle 1)
12