Nursing homes › North Carolina › Jacob'S Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop, Madison, NC 27025 · (336) 548-9658 · 170 certified beds
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Open your comparisonCMS overall star rating: this provider 5/5; median among 415 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Principle Long Term Care, a group operating 40 facilities in 3 states. Group record: average rating 3.0/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $1,019,343 in federal fines. This facility rates above its group average (3.0/5).
Total nurse staffing: 3.32 (North Carolina median: 3.53). RN hours: 0.31. Weekend total: 3.09. Nursing staff turnover: 44%.
In the downloaded CMS dataset: 8 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2024-09-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-08-05 |
| 2024-09-18 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-10-11 |
| 2024-09-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-10-11 |
| 2024-09-18 | Provide appropriate foot care. | D | Health | corrected 2024-10-11 |
| 2023-04-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-05-25 |
| 2023-04-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-05-25 |
| 2023-04-27 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Health | corrected 2023-05-25 |
| 2023-04-27 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Health | corrected 2023-05-25 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-18 | Fine | $4,017 |
| 2024-09-18 | Fine | $12,784 |
| 2024-09-18 | Payment Denial | 2 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GOFORTH, JAMES | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2025 |
| BOICE, GALE | Corporate Officer | Individual | NOT APPLICABLE | since 03/05/2018 |
| JOHNSON, DIANNE | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2011 |
| WILSON, KATHLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
How to cite this page: CareRecords, “Jacob'S Creek Nursing and Rehabilitation Center — compliance, penalty and ownership record” (CCN 345050), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/jacob-s-creek-nursing-and-rehabilitation-center-madison-nc/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345050. Corrections: data@carerecords.org.