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Nursing HomeMedicaid Investigative

Bear Creek Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3729 Ira E. Woods Ave, Grapevine, TX 76051100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 154 Google reviews

5
4
3
2
1
Bear Creek Nursing and Rehabilitation Nursing Home in Grapevine, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (12 vs median 8.0)
  • High staff turnover (57%)
  • High RN turnover (67%)

Below average in Texas · Meets national RN staffing standard · Above average staffing · $142,612 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for short-term rehabilitation due to its highly skilled physical and occupational therapy teams. However, if you are seeking long-term care, you must closely monitor nursing response times and medication schedules, as multiple families have reported serious lapses in basic hygiene and timely medication delivery.

Google Reviews

Google Reviews

154 reviews on Google
Families considering Bear Creek Nursing and Rehabilitation will find a facility with a highly-regarded physical and occupational therapy team and a beautiful, clean building. However, there is a significant and recurring pattern of serious concerns regarding nursing staff shortages, delayed medication administration, and inadequate hygiene care for residents. While many praise the rehabilitation outcomes, others report distressing lapses in basic daily care and communication.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean9.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Clean, modern, and beautiful facility
  • Compassionate rehabilitation specialists
  • Welcoming and professional administration

Concerns

  • Inadequate nursing staffing levels (mentioned by 5 reviewers)
  • Delayed medication administration (mentioned by 4 reviewers)
  • Neglect of basic hygiene (bathing/diaper changes) (mentioned by 3 reviewers)
  • Poor food quality (mentioned by 3 reviewers)
  • Slow response to call lights (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(6)'20(4)'22(40)'24(26)'26(5)

Distribution · 158 analyzed

5
105
4
10
3
3
2
5
1
35

How They Respond to Reviews

0%response rate
Defensive

The owner responds to almost all reviews but frequently uses a defensive tone when addressing complaints, often attempting to justify facility practices or questioning the reviewer's credibility. While positive reviews receive warm, personalized thanks, negative reviews are often met with rebuttals, denials of issues, or redirection to private phone calls.

Questions for Your Tour

  • 1The therapy teams here have such a wonderful reputation; could you tell us more about how the physical and occupational therapists work with residents to meet their specific rehab goals?
  • 2We noticed the administration team is very professional and welcoming; how do you ensure that important updates regarding a resident's care are communicated clearly to family members?
  • 3What specific protocols are in place to ensure that medications are administered accurately and on a consistent schedule every day?
  • 4How does the nursing team manage call lights during busy shifts to ensure that residents receive timely assistance with their immediate needs?
  • 5Could you describe the daily dining experience, including how much input residents have in their meal choices and how the nutritional quality is maintained?
  • 6In the event of a medical emergency after hours, what is the process for notifying the family and coordinating with outside doctors?

Personalized based on this facility's data


Key Review Excerpts

The patient plan has been very clear and the direction unwavering. Unfortunately, there was slippage of employment due to a change of ownership. There was a slight turnover of talent but it has begun to return.

Rehab patient · 2025★★★★★

My husband went days without any physical therapy. I only found out six days later, during our first meeting with the social worker that he had not even been given a bath. His medications were given hours late, the nurses excuse was they were caring for 16 patients at a tim

Long-term resident's family · 2025☆☆☆☆

The staff is wonderful, and she was treated so good. Thankful to everyone at The Lodge at Bear Creek. Highly recommend if you're loved one needs a short term PT stay!

Rehab patient's family · 2024★★★★★
Source: 154 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
15.3%
TX
14.9%
Tarrant
12.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Tarrant
2.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.4%
TX
9.4%
Tarrant
8.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
19.5%
TX
18.4%
Tarrant
16.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
TX
96.9%
Tarrant
97.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
4.9%
TX
4.0%
Tarrant
3.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.8%
Better than Avg
Here
89.8%
US
79.7%
TX
88.0%
Tarrant
89.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.7%
Mixed vs Avgs
Here
89.7%
US
81.8%
TX
89.2%
Tarrant
91.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
TX
1.5%
Tarrant
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
3penalties
Above state avg (9.1)
14 complaint-triggered
$142,612 in fines

This facility has a concerning pattern of complaint-triggered deficiencies with 14 cases where families filed reports about care problems. The most recurring issues involve medication management, resident rights violations, and infection control, with some problems persisting across multiple surveys despite reported corrections. Recent complaints in 2025 included medication errors and abuse prevention failures, suggesting ongoing challenges in core care areas that families should carefully evaluate during visits.

Dec 21, 2025Complaint
2
0755Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Nov 19, 2025Complaint
2
0585Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Mar 20, 2025Routine
8
0914Potential for harm · PatternCorrected

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Mar 20, 2025Complaint
1
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Feb 4, 2025Complaint
2
0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Nov 27, 2024Complaint
1
0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

Federal Penalties

Fine

Dec 21, 2025

$75,300

Fine

Oct 25, 2024

$65,866

Fine

Oct 30, 2023

$7,446

Ownership & Operations

Who Operates This Facility

Owner / Operator

Maverick County Hospital District

Organization Type

for profit

Management Company

GRAPEVINE NURSING AND REHAB CENTER LLC

Administrator

RA LAWRENCE

Chain Affiliation

Chain Name

Eduro Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 2.3/5 · Rank 10 of 21

Ownership & Management

Owners

Maverick County Hospital District

Owner · Organization

100%

Key personnel

Martinez, AlmaOfficer / DirectorGrapevine Nursing and Rehab Center, LLCManagerBewsey, MichaelManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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