Nursing homeActive
Willow Creek Retirement Center
49 Willow Creek Lane, Byram, MS 39272601863420188 certified beds · 79 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
26
● 0● 25● 1
Penalties · 3 yrs
$8,018
1 fine
Last survey
2026-06-04
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Mississippi State Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2026-03-05 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2026-01-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-07 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-13 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-08-11 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-02-23 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Mississippi State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 255300-20260604-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 255300-20260604-F602
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F558
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F656
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F690
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F761
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F867
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 255300-20260305-F880
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-05Record 255300-20260106-F740
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 255300-20241107-F656
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 255300-20241107-F693
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 255300-20241107-F760
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 255300-20241107-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-05Record 255300-20240912-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-04Record 255300-20240524-F686
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 255300-20240313-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 255300-20240313-F690
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 255300-20230811-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 255300-20230811-F656
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-29Record 255300-20230223-F561
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-29Record 255300-20230223-F565
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-29Record 255300-20230223-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-29Record 255300-20230223-F690
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-29Record 255300-20230223-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-03-29Record 255300-20230223-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-09-12 | Civil money penalty | $8,018 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.55
Facility
Mississippi
National
Mississippi 0.64 · National 0.69
Total nurse hours per resident day4.05
Facility
Mississippi
National
Mississippi 4.18 · National 3.86
Weekend total nurse hours3.64
Facility
Mississippi
National
Mississippi 3.51 · National 3.42
Total nursing staff turnover53%
Facility
Mississippi
National
Mississippi 46% · National 46%
Registered nurse turnover57%
Facility
Mississippi
National
Mississippi 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Mississippi | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 11.7% | 6.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 31.7% | 21.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.4% | 2.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 32.7% | 20.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.3% | 23.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Briar Hill Management, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burlison, Sandy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burns, Sharon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Green, Donna Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| King, Curtis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Muha, Ashley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rotolo, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rotolo, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Walters, Johnnie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| White, Deborah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Whitlow, Carrie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Briar Hill Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burlison, Sandy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burns, Sharon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Estes, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Green, Donna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| King, Curtis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Muha, Ashley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Omnicare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Philippe, Lynn Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Philippe, Lynn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rotolo, David Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rotolo, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rotolo, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rotolo, Robert Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rubertino, Frosini Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walters, Johnnie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wcr LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White, Deborah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Whitlow, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Briar Hill Management — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Mississippi.
No county cost figures on file for Hinds.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Edgewood Health & Rehabilitation Byram | 2.2 mi | 2026-03-02 | 01914 |
| Pleasant Hills Community Living Center Jackson | 4.5 mi | 2026-02-23 | 0204 |
| Chadwick Community Care Center Jackson | 4.9 mi | 2026-07-02 | 0191 |
| Methodist Sepcialty Care Center Flowood | 7.2 mi | 2026-06-04 | 090 |
| Woodlands Rehabilitation And Healthcare Center Clinton | 7.7 mi | 2026-07-01 | 0245 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |