Nursing homes › Mississippi › Willow Creek Retirement Center
49 Willow Creek Lane, Byram, MS 39272 · (601) 863-4201 · 88 certified beds
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Open your comparisonCMS overall star rating: this provider 2/5; median among 199 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 Briar Hill Management, a group operating 6 facilities in 1 state. Group record: average rating 3.2/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $114,017 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 4.05 (Mississippi median: 4.01). RN hours: 0.55. Weekend total: 3.64. Nursing staff turnover: 53%.
In the downloaded CMS dataset: 26 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-07-09 |
| 2026-06-04 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2026-07-09 |
| 2026-03-05 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-04-06 |
| 2026-03-05 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-04-06 |
| 2026-03-05 | 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. | D | Health | corrected 2026-04-06 |
| 2026-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-04-06 |
| 2026-03-05 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-04-06 |
| 2026-03-05 | 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. | D | Health | corrected 2026-04-06 |
| 2026-03-05 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Health | corrected 2026-04-06 |
| 2026-01-06 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | complaint | corrected 2026-02-05 |
| 2024-11-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-12-04 |
| 2024-11-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-12-04 |
| 2024-11-07 | 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. | D | Health | corrected 2024-12-04 |
| 2024-11-07 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-12-04 |
| 2024-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-09-05 |
| 2024-05-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | complaint | corrected 2024-07-04 |
| 2024-03-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-04-15 |
| 2024-03-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-04-15 |
| 2023-08-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2023-09-23 |
| 2023-08-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2023-09-23 |
| 2023-02-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-03-29 |
| 2023-02-23 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2023-03-29 |
| 2023-02-23 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2023-03-29 |
| 2023-02-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-03-29 |
| 2023-02-23 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-03-29 |
| 2023-02-23 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Health | corrected 2023-03-29 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-12 | Fine | $8,018 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PHILIPPE, LYNN | Direct Ownership Interest | Individual | NOT APPLICABLE | since 01/28/2008 |
| ROTOLO, DAVID | Direct Ownership Interest | Individual | NOT APPLICABLE | since 01/28/2008 |
| ROTOLO, ROBERT | Direct Ownership Interest | Individual | NOT APPLICABLE | since 01/28/2008 |
| BRIAR HILL MANAGEMENT, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/03/2003 |
| BURLISON, SANDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/25/2019 |
| BURNS, SHARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/28/2008 |
| GREEN, DONNA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/04/2010 |
| KING, CURTIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2016 |
| MUHA, ASHLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/04/2010 |
| ROTOLO, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/28/2008 |
| ROTOLO, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/28/2008 |
| WALTERS, JOHNNIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/12/2026 |
| WHITE, DEBORAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/12/2014 |
| WHITLOW, CARRIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/05/2022 |
How to cite this page: CareRecords, “Willow Creek Retirement Center — compliance, penalty and ownership record” (CCN 255300), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/willow-creek-retirement-center-byram-ms/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 255300. Corrections: data@carerecords.org.