Bear Creek Nursing Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 112 Google reviews

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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)
- High staff turnover (57%)
- High RN turnover (67%)
Bottom 25% in FL · Below recommended RN staffing · Below chain average · $37,198 in fines
What this means for your family
While Bear Creek has a strong reputation for therapy and activities, the recent surge in reports regarding neglect and medication errors is concerning. If you choose this facility, ensure you have a family member present frequently to monitor care, and do not hesitate to escalate concerns directly to the Administrator if call lights are ignored.
Google Reviews
Google Reviews
112 reviews on Google“Bear Creek Nursing Center receives highly polarized feedback, with many families praising the facility for its cleanliness, attentive therapy teams, and welcoming atmosphere. However, there are recurring, serious reports of neglect, including issues with medication management, hygiene, and slow response times to call lights. Families considering this facility should weigh the strong administrative support and rehab outcomes against the significant concerns regarding staffing consistency and patient care oversight.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Clean, well-maintained, and odor-free environment
- Responsive and helpful administrative and admissions staff
- Engaging and creative activities program
Concerns
- Neglect and poor hygiene (e.g., residents left in soiled diapers, pressure ulcers) (mentioned by 5 reviewers)
- Slow or non-existent response to call lights/assistance requests (mentioned by 4 reviewers)
- Medication management errors or failure to administer on time (mentioned by 3 reviewers)
- Rude or dismissive staff behavior (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 114 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the facility's focus on physical and occupational therapy, how do you coordinate those sessions with daily care routines to ensure residents remain comfortable and clean?
- 2I noticed some concerns regarding response times to call lights; what is your current protocol for monitoring and ensuring timely assistance for residents?
- 3Could you walk me through your process for medication administration and how you track accuracy to ensure residents receive the right doses at the right times?
- 4I see that you are active in responding to feedback online; how does that input from families help you improve the day-to-day quality of care here?
- 5What steps are taken to ensure consistent hygiene and skin care for residents who require extra assistance throughout the day?
- 6The activities program is highly praised here—could you share some examples of how you tailor these creative programs to keep residents engaged and social?
Personalized based on this facility's data
Key Review Excerpts
“The nurses and the therapists provided excellent care. The administration made the experience stress free.”
“I checked out quite a few rehab centers and would recommend Bear Creek nursing center highly over the other centers. The staff is outstanding And goes beyond and above.”
“I DROPPED MY FATHER OFF IN PERFECT HEALTH. THREE DAYS LATER, I HAD TO CALL 911 AND GET HIM TO THE HOSPITAL. HE WAS SO BADLY NEGLECTED THAT HE HAD FLU TYPE A, PNEUMONIA, SEPSIS, AND A PRESSURE ULCER ON HIS HEEL.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents who lost too much weight
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints that triggered serious deficiencies including resident abuse and neglect issues in 2023, though the facility reports correcting these problems. The most recurring problems involve care planning and assessments, medication management, and safety hazards. While all deficiencies show correction dates, the pattern of repeated issues with basic care coordination and the documented abuse concerns warrant careful consideration during any visit.
Mar 14, 2024Routine10
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Dec 18, 2023Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 27, 2023Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Dec 16, 2021Routine6
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Oct 2, 2020Routine7
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Federal Penalties
Fine
Oct 27, 2023
$34,053
Fine
Jul 17, 2023
$3,145
Ownership & Operations
Who Operates This Facility
Bear Creek Nursing Center
nonprofit
Chain Affiliation
Health Services Management
16 facilities nationwide
Chain avg rating: 3.1/5 · Rank 14 of 16
Ownership & Management
Owners
Health Services Management, INC.
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
112 reviews from families & visitors
Official Website
Visit bearcreeknursingcenter.com
Medicare data downloads
Original nursing home datasets
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