Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop
Madison, NC, 27025
3365489658
CCN: 345050
5
Overall4
Health3
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ST JAMES NURSING CENTER, INC
1128a1
Excluded 1994-03-31
Ownership
| Name | Role | % |
|---|---|---|
| PRINCIPLE LONG TERM CARE, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| PRINCIPLE IT SERVICES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| HILL, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% |
| HILL, STEPHEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% |
| HILL, RAYMOND | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% |
| BOICE, GALE | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, DIANNE | CORPORATE OFFICER | NOT APPLICABLE |
| PRINCIPLE LONG TERM CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILSON, KATHLEEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (2)
| Date | Type | Amount |
|---|---|---|
| 2024-09-18 | Fine | $13K |
| 2024-09-18 | Payment Denial | 2 days |
Health Deficiencies (8)
2024-09-18 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F687 · Quality of Life and Care Deficiencies
Provide appropriate foot care.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-04-27 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F626 · Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.31
RN Hrs/Resident/Day0.54
0.28
LPN Hrs/Resident/Day0.81
0.81
CNA Hrs/Resident/Day2.33
2.23
PT Hrs/Resident/Day0.12
0.04
Data as of 2026-03-01