Nursing homeActive

Jacob's Creek Nursing and Rehabilitation Center

1721 Bald Hill Loop, Madison, NC 270253365489658170 certified beds · 152 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
8
071
Penalties · 3 yrs
$16,801
2 fines · 1 action
Last survey
2025-12-18
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-18Standard000CMS-2567 (Care Compare)
2024-09-18Standard031CMS-2567 (Care Compare)
2023-04-27Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Carolina Division of Health Service Regulation 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.

2024-09-18Standard survey · 4 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-05Record 345050-20240918-F600
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 345050-20240918-F687
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 345050-20240918-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 345050-20240918-F812
2023-04-27Standard survey · 4 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345050-20230427-F550
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345050-20230427-F609
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345050-20230427-F626
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 2023-05-25Record 345050-20230427-F867

Penalties & enforcement

DateActionAmountSource
2024-09-18Civil money penalty$12,784CMS · Penalties
2024-09-18Civil money penalty$4,017CMS · Penalties
2024-09-18Denial of payment for new admissions
Payment denial for 2 days, from 2024-10-09
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.31
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.32
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.09
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover44%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover30%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.2%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.0%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
7.9%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.6%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
8.0%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
9.9%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
34.8%21.3%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)
EntityRoleInterestSinceRegistry
Principle Long Term Care, Inc.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wilson, Kathleen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Boice, Gale
Individual
CORPORATE OFFICERNOT APPLICABLE
Goforth, James
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Goforth, James
Individual
ADP OF THE SNFNOT APPLICABLE
Johnson, Dianne
Individual
CORPORATE OFFICERNOT APPLICABLE
Principle Long Term Care, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Wilson, Kathleen
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Principle Long Term Care40 facilities
View chain record

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 North Carolina.

No county cost figures on file for Rockingham.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Countryside
Stokesdale
9.4 mi2026-06-25160
Eden Rehabilitation and Healthcare Center
Eden
12.3 mi2026-04-13181
UNC Rockingham Rehab & Nursing Care Center
Eden
13.0 mi2025-06-19140
Cypress Valley Center for Nursing and Rehabilitati
Reidsville
13.1 mi2025-06-051151
Penn Nursing Center
Reidsville
13.3 mi2026-04-02010
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01