Skilled nursing facility · CMS certification number 676408
BEAR CREEK NURSING AND REHABILITATION
GRAPEVINE, Texas · Medicare and Medicaid · 100 certified beds in Care Compare
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $122,989.00 · Payment denials: 0. The most recent penalty on file: December 21, 2025, Fine, $49,677. Every penalty on file ↓
BEAR CREEK NURSING AND REHABILITATION: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering January 1, 2025 to August 31, 2025 (242 days, not a full year), and CMS processed it on February 12, 2026.
- Net patient revenue fell from $9.5M in fiscal year 2024 to $5.3M in fiscal year 2025.
- Its result from service to patients: −$233K (2023), −$159K (2024), −$207K (2025).
- Its cost reports on file run from fiscal year 2016 to fiscal year 2025.
- Since its cost report for fiscal year 2024 was filed on May 25, 2026, 14 changes are listed on this record: 3 owner changes, 7 owner changes, a change in the Care Compare provider file and 3 deficiencies.
- Its net patient revenue of $5.3M ranks 322nd of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
BEAR CREEK NURSING AND REHABILITATION: Medicare cost reports
| Form CMS-2540-10 | 2025 · report 1447738 | 2024 · report 1450057 | 2023 · report 1387213 | 2022 · report 1358100 | 2021 · report 1340297 | 2020 · report 1301778 | 2019 · report 1276085 | 2018 · report 1247945 | 2017 · report 1210615 | 2016 · report 1174164 |
|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2025 | January 1, 2024 | January 1, 2023 | June 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | July 21, 2016 |
| Period ended | August 31, 2025 | December 31, 2024 | December 31, 2023 | December 31, 2022 | November 30, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 |
| Days, where not a full year | 242 | — | — | 213 | — | — | — | — | — | 163 |
| Report status | settled | settled | settled | settled | reopened | settled | settled | settled | settled | settled |
| Processed by CMS | February 12, 2026 | May 25, 2026 | June 27, 2024 | July 14, 2023 | January 17, 2023 | September 30, 2021 | December 14, 2020 | December 16, 2019 | August 24, 2018 | August 21, 2017 |
| Total patient revenue | $6,992,766 | $12,010,268 | $9,363,177 | $4,280,261 | $3,857,500 | $6,036,998 | $8,743,883 | $9,902,961 | $9,458,830 | $1,837,471 |
| Contractual allowances and discounts | $1,657,913 | $2,490,396 | $637,319 | $282,419 | $889,855 | $917,923 | $2,241,438 | $4,173,182 | $4,046,705 | $588,030 |
| Net patient revenue | $5,334,853 | $9,519,872 | $8,725,858 | $3,997,842 | $2,967,645 | $5,119,075 | $6,502,445 | $5,729,779 | $5,412,125 | $1,249,441 |
| Total operating expenses | $5,542,028 | $9,679,221 | $8,959,191 | $4,134,217 | $5,465,509 | $6,587,297 | $7,586,422 | $7,219,990 | $7,329,576 | $2,537,311 |
| Net income from service to patients | −$207,175 | −$159,349 | −$233,333 | −$136,375 | −$2,497,864 | −$1,468,222 | −$1,083,977 | −$1,490,211 | −$1,917,451 | −$1,287,870 |
| Total other income | $207,175 | $159,349 | $233,333 | $136,375 | $676,494 | $5,325 | $10,986 | $9,757 | $5,501 | $476 |
| Net income after other income | — | — | — | — | −$1,821,370 | −$1,462,897 | −$1,072,991 | −$1,480,454 | −$1,911,950 | −$1,287,394 |
| Net income | — | — | — | — | −$1,821,370 | −$1,462,897 | −$1,072,991 | −$1,480,454 | −$1,911,950 | −$1,287,394 |
| Total facility beds, all components | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
| Bed days available, all components | 24,300 | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,615 | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 9,763 | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 3,029 | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 14,407 | 26,886 | 25,097 | 10,744 | 10,756 | 15,544 | 21,254 | 19,363 | 15,928 | 3,034 |
| Medicare discharges | 48 | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 42 | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 80 | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 170 | 322 | 319 | 133 | 162 | 197 | 306 | 276 | 288 | 96 |
| Average length of stay, Medicare, in days | 33.65 | 34.78 | 40.62 | 46.07 | 31.58 | 38.97 | 33.44 | 30.17 | 31.43 | 25.96 |
| Average length of stay, Medicaid, in days | 232.45 | 83.19 | 368.58 | 645.78 | 246.96 | 253.33 | 338.91 | 689 | 375 | 222 |
| Average length of stay, all patients, in days | 84.75 | 83.5 | 78.67 | 80.78 | 66.4 | 78.9 | 69.46 | 70.16 | 55.31 | 31.6 |
Net income, fiscal years 2021, 2020, 2019, 2018, 2017, 2016. Checked against the form’s own arithmetic: what that check shows.
BEAR CREEK NURSING AND REHABILITATION: nurse staffing hours by quarter →
Who owns BEAR CREEK NURSING AND REHABILITATION, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: MAVERICK COUNTY HOSPITAL DISTRICT (organization), 100%%, since 06/01/2022
- CORPORATE DIRECTOR: MARTINEZ, ALMA (individual), NOT APPLICABLE, since 06/01/2022
- OPERATIONAL/MANAGERIAL CONTROL: BEWSEY, MICHAEL (individual), NOT APPLICABLE, since 06/01/2022; GRAPEVINE NURSING AND REHAB CENTER, LLC (organization), NOT APPLICABLE, since 06/01/2022
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of MAVERICK COUNTY HOSPITAL DISTRICT (enrollment ID O20220621003303).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: MAVERICK COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 06/01/2022
- 5% OR GREATER MORTGAGE INTEREST: LSSH GRAPEVINE PROPCO, LLC (organization), 100.00%, since 08/31/2026
- ADP OF THE SNF: LSSH GRAPEVINE PROPCO, LLC (organization), since 08/31/2026; LSSH GRAPEVINE, LLC (organization), since 08/31/2026; MUNAWAR HAIDER (individual), since 08/01/2026
- CORPORATE OFFICER: NESTOR BONILLA (individual), since 08/01/2026
- OPERATIONAL/MANAGERIAL CONTROL: LSSH GRAPEVINE, LLC (organization), since 08/01/2026; NESTOR BONILLA (individual), since 08/01/2026
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: MAVERICK COUNTY HOSPITAL DISTRICT; LSSH GRAPEVINE PROPCO, LLC; LSSH GRAPEVINE PROPCO, LLC; LSSH GRAPEVINE, LLC; LSSH GRAPEVINE, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: MUNAWAR HAIDER; NESTOR BONILLA; NESTOR BONILLA.
Changes in ownership
- October 1, 2026, enrollment ownership file; no longer listed: ALMA MARTINEZ (CORPORATE DIRECTOR); MICHAEL C BEWSEY (OPERATIONAL/MANAGERIAL CONTROL); GRAPEVINE NURSING AND REHAB CENTER, LLC (OPERATIONAL/MANAGERIAL CONTROL); listed: LSSH GRAPEVINE, LLC (ADP OF THE SNF); LSSH GRAPEVINE PROPCO, LLC (ADP OF THE SNF); LSSH GRAPEVINE PROPCO, LLC (5% OR GREATER MORTGAGE INTEREST); first listed: LSSH GRAPEVINE, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2026; MUNAWAR HAIDER (ADP OF THE SNF), associated since August 1, 2026; NESTOR BONILLA (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2026; NESTOR BONILLA (CORPORATE OFFICER), associated since August 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-10-01.csv
- December 1, 2025, enrollment ownership file; no longer listed: GRANT P HARRISON (W-2 MANAGING EMPLOYEE). Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Recent changes on this record
- October 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). NH_ProviderInfo_Oct2026.csv
- July 28, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 28, 2026: A deficiency was cited under tag F 0760, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 28, 2026: A deficiency was cited under tag F 0689, scope and severity E. NH_HealthCitations_Sep2026_2.csv
Inspections of BEAR CREEK NURSING AND REHABILITATION
- Cycle 1: health May 7, 2026 (15 deficiencies), fire safety May 7, 2026 (5)
- Cycle 2: health March 20, 2025 (15 deficiencies), fire safety March 20, 2025 (1)
- Cycle 3: health February 15, 2024 (10 deficiencies), fire safety February 15, 2024 (8)
Deficiencies cited at BEAR CREEK NURSING AND REHABILITATION
40 deficiencies on file, by tag, newest citation first
every one from a health inspection; 20 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0689, quality of life and care: July 28, 2026 (E, from a complaint, Deficient, Provider has no plan of correction); June 27, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 12, 2026); March 20, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025); October 30, 2023 (J, from a complaint, Past Non-Compliance, corrected October 20, 2023).
- F 0760, pharmacy service: July 28, 2026 (D, from a complaint, Deficient, Provider has no plan of correction); December 21, 2025 (K, from a complaint, Deficient, Provider has date of correction, corrected December 22, 2025); March 20, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0880, infection control: July 28, 2026 (D, from a complaint, Deficient, Provider has no plan of correction); June 27, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected July 12, 2026); March 20, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025); January 30, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected February 29, 2024).
- F 0690, quality of life and care: June 27, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 12, 2026).
- F 0692, quality of life and care: May 7, 2026 (D, Deficient, Provider has date of correction, corrected May 15, 2026).
- F 0698, quality of life and care: May 7, 2026 (D, Deficient, Provider has date of correction, corrected May 15, 2026); February 4, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected February 17, 2025).
- F 0755, pharmacy service: May 7, 2026 (D, Deficient, Provider has date of correction, corrected May 15, 2026); December 21, 2025 (K, from a complaint, Deficient, Provider has date of correction, corrected December 22, 2025); March 20, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0842, resident assessment and care planning: May 7, 2026 (D, Deficient, Provider has date of correction, corrected May 15, 2026); February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0849, administration: May 7, 2026 (D, Deficient, Provider has date of correction, corrected May 15, 2026).
- F 0585, resident rights: November 19, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected December 12, 2025); October 25, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected November 20, 2024).
- F 0761, pharmacy service: November 19, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected December 12, 2025); March 20, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025); February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0656, resident assessment and care planning: March 20, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0693, quality of life and care: March 20, 2025 (D, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0914, environmental: March 20, 2025 (E, Deficient, Provider has date of correction, corrected April 11, 2025).
- F 0623, resident rights: February 4, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected February 17, 2025).
- F 0551, resident rights: November 27, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 19, 2024).
- F 0580, resident rights: October 25, 2024 (K, from a complaint, Deficient, Provider has date of correction, corrected November 20, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: October 25, 2024 (K, from a complaint, Deficient, Provider has date of correction, corrected November 20, 2024).
- F 0684, quality of life and care: October 25, 2024 (K, from a complaint, Deficient, Provider has date of correction, corrected November 20, 2024).
- F 0584, resident rights: February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0657, resident assessment and care planning: February 15, 2024 (D, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0727, nursing and physician services: February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0803, nutrition and dietary: February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0804, nutrition and dietary: February 15, 2024 (E, Deficient, Provider has date of correction, corrected March 31, 2024).
- F 0809, nutrition and dietary: February 15, 2024 (D, Deficient, Provider has date of correction, corrected March 31, 2024).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 21, 2025 | Fine | $49,677 | 136637 | ||
| October 25, 2024 | Fine | $65,866 | 113340 | ||
| October 30, 2023 | Fine | $7,446 | 111705 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
BEAR CREEK NURSING AND REHABILITATION in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: MAVERICK COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2016-07-21
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Tarrant
- Telephone Number: 8175277500
- Chain Name: EDURO HEALTHCARE
- Chain ID: 193
- Special Focus Status: SFF Candidate
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 68.7
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 2
- Long-Stay QM Rating: 3
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in GRAPEVINE and Texas
Report a figure on BEAR CREEK NURSING AND REHABILITATION’s record that differs from its CMS file, quoting 676408.