C80

Willow Creek Nursing and Rehabilitation Center

Grade C 80/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

200

Ownership

For profit - Corporation

Total Fines

$6,570

Last Survey

N/A

2401 Wayne Memorial Drive, Goldsboro, NC 27534
9197362121

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.65h
LPN
0.96h
CNA
2.17h
Total
3.78h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PRINCIPLE IT SERVICES, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2011

PRINCIPLE LONG TERM CARE, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2011

HILL, RAYMOND

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2011

HILL, ROBERT

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2011

HILL, STEPHEN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2011

PRINCIPLE LONG TERM CARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2011

HOOD, LYNN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2017

BOICE, GALE

IndividualCORPORATE OFFICERSince Mar 2018

HOOD, LYNN

IndividualCORPORATE OFFICERSince Nov 2017

JOHNSON, DIANNE

IndividualCORPORATE OFFICERSince Jan 2011

Penalties & Fines (1)

$6,570total fines
DateTypeDescriptionAmount
Dec 6, 2024Fine$6,570

Health Inspection Deficiencies (24)

January 24, 2025Health1 deficiency
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Jan 29, 2025
December 6, 2024Health7 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jan 24, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 24, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 24, 2025
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Jan 24, 2025
0584DMinimal harm, Isolated

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Jan 24, 2025
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 19, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 24, 2025
November 30, 2023Health7 deficiencies
0582FMinimal harm, Widespread

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Dec 28, 2023
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Dec 28, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 28, 2023
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Dec 28, 2023
0584DMinimal harm, Isolated

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Dec 28, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Dec 28, 2023
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Dec 28, 2023
November 18, 2022Health9 deficiencies
0637BNo harm, Pattern

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected Dec 22, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 22, 2022
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Dec 22, 2022
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 22, 2022
0698DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 22, 2022
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Dec 22, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Dec 22, 2022
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Dec 22, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 22, 2022

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Frequently Asked Questions

What is the CareGrader rating for Willow Creek Nursing and Rehabilitation Center?

Willow Creek Nursing and Rehabilitation Center in Goldsboro, North Carolina has a CareGrader grade of C (Average), with a composite score of 79.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Willow Creek Nursing and Rehabilitation Center?

Willow Creek Nursing and Rehabilitation Center has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Willow Creek Nursing and Rehabilitation Center have?

Willow Creek Nursing and Rehabilitation Center has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Willow Creek Nursing and Rehabilitation Center been fined?

Yes. Willow Creek Nursing and Rehabilitation Center has $6,570 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Willow Creek Nursing and Rehabilitation Center have?

Willow Creek Nursing and Rehabilitation Center has 200 certified beds with approximately 148 current residents (74% occupancy). The facility is located at 2401 Wayne Memorial Drive, Goldsboro, North Carolina 27534. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.