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Complaint Investigation

Bear Creek Nursing And Rehabilitation

December 21, 2025 · Grapevine, TX · 3729 Ira E Woods Avenue
Citations 2
CMS Rating 1/5
Beds 100
Provider ID 676408
Healthcare Facility
Bear Creek Nursing And Rehabilitation
Grapevine, TX  ·  View full profile →
Inspection Summary

BEAR CREEK NURSING AND REHABILITATION in GRAPEVINE, TX — inspection on December 21, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0755
Pharmacy Service Deficiencies
Immediate Jeopardy

During interviews with multiple staff members who represented all assigned shifts (MDS Nurse, Staffing Coordinator, CNA A, CNA B, CNA C, CNA D, CNA E, CNA F, CNA G, CNA H, RN I, RN J, LVN K, and LVN L) on 12/21/25 between 2:10PM and 4:15PM, they each reported being in-serviced on topics including abuse/neglect, new admission processes, medication regimen reviews, and discharge orders/instructions.

These staff members were able to verbalize the facility's policies and procedures related to the aforementioned areas.

Staff members appeared knowledgeable on the facility's policies and procedures.

These interviews were conducted without incident or concern regarding the trainings provided.

The Administrator was notified the IJ was removed on 12/21/25 at 5:40PM, however the facility remained out of compliance at a severity level of no actual harm with the potential for more than minimal harm and a scope of pattern due to the facility still monitoring the effectiveness of their Plan of Removal.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Bear Creek Nursing and Rehabilitation

3729 Ira E Woods Avenue Grapevine, TX 76051

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited BEAR CREEK NURSING AND REHABILITATION in GRAPEVINE, TX for a deficiency under regulatory tag F-F0760 during a complaint investigation conducted on 2025-12-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 2 deficiencies cited during this inspection of BEAR CREEK NURSING AND REHABILITATION.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-22.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRAPEVINE, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BEAR CREEK NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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