Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop · Madison, NC · 27025 · 3365489658
170 certified beds For profit - Limited Liability company Chain: Principle Long Term Care
Why this verdict
- Federal penalties on record: $16,801 in fines in the last 24 months.
- Cleaner inspection record than most facilities nationally.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 2 · $16,801 |
Inspection citations (8 in the current record)
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Immediate jeopardy · J September 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2024
Provide appropriate foot care.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · E September 18, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · E September 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 11, 2024 · Nutrition and Dietary
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Potential for harm · D April 27, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 25, 2023 · Resident Rights
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Potential for harm · D April 27, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 27, 2023
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected May 25, 2023 · Resident Rights
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Potential for harm · D April 27, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 25, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 18, 2024 | Fine | $4,017 |
| September 18, 2024 | Fine | $12,784 |
| September 18, 2024 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345050 · certified since May 8, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.