The Lodge at Bear Creek
Located in Grapevine, Texas, The Lodge at Bear Creek operates a 100-bed campus delivering nursing home services and short-term rehabilitation. On-site therapy resources include physical, occupational, and speech sessions, enabling individuals to receive specialized recovery care directly within the building.
Regulatory tracking shows nurse staffing levels average 3 hours and 32 minutes per resident each day. Recent health survey records reflect strong overall performance.
Living options accommodate both extended stays and short-term post-acute recovery. Payment structures accept private funding as well as Medicare and Medicaid enrollment for eligible individuals.
Older adults comparing short-term rehabilitation or long-term nursing care in Grapevine can contact the administrative office to view the facility layout, inspect the therapy rooms, and review financial arrangements.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Standout metric: Physical therapist is +203% above Texas average
3 of 6 metrics below Texas average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
98.1% of staff hours were worked by the facility's own employees
Texas average: 94.3% · Contractors this quarter: Licensed Practical Nurse (27), Registered Nurse (2), Certified Nursing Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Medium-capacity home · Offers a balance of services and community atmosphere.
Based on residents per day and 100 beds.
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
About This Community
CMS Health Inspection History
ALM Inspection Grade
22 points below the Texas average for CMS-certified facilities (82/100)
Category breakdown
Citations
Concern
302 severity-weighted points (37 citations) · 4× higher than the typical CMS-certified TX facility (median: 85)
Enforcement
Concern
$122,257 in fines · 3 enforcement actions
Persistence
Concern
24 days to fix issues · slower than the typical CMS-certified TX facility (median: 16)
Citation severity
Latest inspection: Jul 28, 2026 · 3 citations, 0 corrected
Most cited category: Quality of Life & Care, 10 of 40 citations · 10 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 40 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 40 citations resulted from standard inspections; 19 of 40 resulted from complaint investigations; and 1 of 40 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
3 penalties in the past 3 years
Latest: Dec 21, 2025 · $49,677 civil money penalty
Penalty history · past 3 years
Fine amount comparison
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
13 long-stay measures: 5 better, 6 worse, 2 near TX average
8 short-stay measures: 2 better, 2 worse, 1 near TX average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The Lodge at Bear Creek’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, but less than last year
−1.7% operating margin
+1.0 pts vs prior year
An operating loss in 6 of the last 6 reported years. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Texas homes
0.0% payroll share of revenue
TX average 68.8%
Payroll rose $0.0M while revenue rose $0.8M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.5M | +$0.8M | Trend 20172024 | TX median $9.3M | Rank in TX Rank #104 / 225Net patient revenue — State benchmarked This nursing home is ranked 104th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 54% of homes | Above TX median Higher net patient revenue than 54% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.7M | +$0.7M | Trend 20172024 | TX median $9.8M | Rank in TX Rank #119 / 225Operating expenses — State benchmarked This nursing home is ranked 119th out of 225 nursing homes we track in Texas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Texas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 47% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.2M | +$0.1M | Trend 20172024 | TX median −$0.4M | Rank in TX Rank #91 / 225Net patient income — State benchmarked This nursing home is ranked 91st out of 225 nursing homes we track in Texas for net patient income. Shows net patient revenue minus operating expenses, compared with other Texas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 60% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −1.7% | +1.0 pts | Trend 20172024 | TX median −5.0% | Rank in TX Rank #90 / 225Operating margin — State benchmarked This nursing home is ranked 90th out of 225 nursing homes we track in Texas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Texas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 60% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.2M | — | Trend — | TX median $0.4M | Rank in TX Rank #137 / 214Other income — State benchmarked This nursing home is ranked 137th out of 214 nursing homes we track in Texas for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Texas homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 36% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
Staffing spend
Spends less of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $0.0M | +$0.0M | Trend 20172024 | TX median $4.9M | Rank in TX Rank #203 / 225Payroll costs — State benchmarked This nursing home is ranked 203rd out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 10% of homes | Below TX median Higher payroll than 10% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 0.0% | +0.0 pts | Trend 20172024 | TX median 57.6% | Rank in TX Not ranked | 68.8 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average No report
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021no report | 2022no report | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.4M | $5.7M | $6.5M | $5.1M | $8.7M | $9.5M | ||
| Operating expenses | $7.3M | $7.2M | $7.6M | $6.6M | $9.0M | $9.7M | ||
| Net patient income | −$1.9M | −$1.5M | −$1.1M | −$1.5M | −$0.2M | −$0.2M | ||
| Operating margin | −35.4% | −26.0% | −16.7% | −28.7% | −2.7% | −1.7% | ||
| Net income | −$1.9M | −$1.5M | −$1.1M | −$1.5M | — | — | ||
| Payroll costs | $2.7M | $3.1M | $3.5M | $3.1M | $0.0M | $0.0M | ||
| Payroll share of revenue | 50.2% | 54.2% | 54.3% | 60.1% | 0.0% | 0.0% | ||
| Beds | 100 | 100 | 100 | 100 | 100 | 100 | ||
| Gross revenue | $9.5M | $9.9M | $8.7M | $6.0M | $9.4M | $12.0M | ||
| Salaries | $2.4M | $2.8M | $3.1M | $2.7M | $0.0M | $0.0M | ||
| Wage-related costs | $0.3M | $0.4M | $0.4M | $0.3M | $0.0M | $0.0M | ||
| Contract labor | — | $0.8M | — | — | $4.4M | $4.7M | ||
| Other operating costs | $4.6M | $4.1M | $4.1M | $3.5M | $9.0M | $9.7M | ||
| Net patient revenue per day | $340 | $296 | $306 | $329 | $348 | $354 | ||
| Cost per day | $460 | $373 | $357 | $424 | $357 | $360 | ||
| Average length of stay | 55.3 days | 70.2 days | 69.5 days | 78.9 days | 78.7 days | 83.5 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near The Lodge at Bear Creek
3.4 miles from city center
Estimated distance in miles from Grapevine's city center to The Lodge at Bear Creek's address, calculated via Google Maps.
— 2.45 miles to nearest hospital (Baylor Scott & White Medical Center - Grapevine)
Calculate Travel Distance to The Lodge at Bear Creek
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Financial Assistance for
Nursing Home in Texas
The Lodge at Bear Creek is located in Grapevine, Texas.
Here are the financial assistance programs available to residents in Texas.




