D69

Jacob's Creek Nursing and Rehabilitation Center

Grade D 69/100 composite score

For profit - CorporationAbuse Citation

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

170

Ownership

For profit - Corporation

Total Fines

$16,801

Last Survey

N/A

1721 Bald Hill Loop, Madison, NC 27025
3365489658

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.32h
LPN
0.93h
CNA
2.55h
Total
3.80h
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

50%

PRINCIPLE LONG TERM CARE, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2011

50%

HILL, RAYMOND

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2011

18%

HILL, ROBERT

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2011

20%

HILL, STEPHEN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2011

20%

PRINCIPLE LONG TERM CARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2011

HILL, RAYMOND

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2011

HILL, ROBERT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2011

HILL, ROGER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2011

HILL, STEPHEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2011

HILL, ROGER

IndividualCORPORATE DIRECTORSince Jan 2011

BOICE, GALE

IndividualCORPORATE OFFICERSince Mar 2018

JOHNSON, DIANNE

IndividualCORPORATE OFFICERSince Jan 2011

Penalties & Fines (3)

$16,801total fines
DateTypeDescriptionAmount
Sep 18, 2024Fine$4,017
Sep 18, 2024Fine$12,784
Sep 18, 2024Payment Denial

Health Inspection Deficiencies (16)

September 18, 2024Health4 deficiencies1 severe
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Oct 11, 2024
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Oct 11, 2024
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 Oct 11, 2024
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 5, 2024
April 27, 2023Health4 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 25, 2023
0867DMinimal harm, Isolated

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

Administration Deficiencies

Corrected May 25, 2023
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected May 25, 2023
0626DMinimal harm, Isolated

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Resident Rights Deficiencies

Corrected May 25, 2023
January 11, 2022Health8 deficiencies2 severe
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Feb 11, 2022
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Feb 11, 2022
0561DMinimal harm, Isolated

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies

Corrected Feb 11, 2022
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Feb 11, 2022
0584BNo harm, Pattern

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 Feb 11, 2022
0761DMinimal harm, Isolated

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 Feb 11, 2022
0835KImmediate jeopardy, Pattern

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Feb 11, 2022
0919KImmediate jeopardy, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Feb 11, 2022

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Frequently Asked Questions

What is the CareGrader rating for Jacob's Creek Nursing and Rehabilitation Center?

Jacob's Creek Nursing and Rehabilitation Center in Madison, North Carolina has a CareGrader grade of D (Below Average), with a composite score of 68.5 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 Jacob's Creek Nursing and Rehabilitation Center?

Jacob's Creek Nursing and Rehabilitation Center has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Jacob's Creek Nursing and Rehabilitation Center have?

Jacob's Creek Nursing and Rehabilitation Center has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has Jacob's Creek Nursing and Rehabilitation Center been fined?

Yes. Jacob's Creek Nursing and Rehabilitation Center has $16,801 in total fines from CMS enforcement actions across 3 penalties.

How many beds does Jacob's Creek Nursing and Rehabilitation Center have?

Jacob's Creek Nursing and Rehabilitation Center has 170 certified beds with approximately 148 current residents (87% occupancy). The facility is located at 1721 Bald Hill Loop, Madison, North Carolina 27025. 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.