Willow Creek Nursing and Rehabilitation Center

2401 Wayne Memorial Drive
Goldsboro, NC, 27534
9197362121
CCN: 345113
3
Overall
3
Health
3
Staffing
4
Quality
ChainPRINCIPLE LONG TERM CARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
PRINCIPLE IT SERVICES, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
PRINCIPLE LONG TERM CARE, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HILL, RAYMOND5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HILL, ROBERT5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HILL, STEPHEN5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOHNSON, DIANNECORPORATE OFFICERNOT APPLICABLE
BOICE, GALECORPORATE OFFICERNOT APPLICABLE
HOOD, LYNNCORPORATE OFFICERNOT APPLICABLE
HOOD, LYNNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PRINCIPLE LONG TERM CARE, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-12-06Fine$7K
Health Deficiencies (24)
2025-01-24 · Health
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-12-06 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
D
F584 · Resident Rights Deficiencies
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.
2023-11-30 · Health
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F584 · Resident Rights Deficiencies
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.
F
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2022-11-18 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F761 · Pharmacy Service Deficiencies
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.
E
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F694 · Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
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
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
B
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.77
3.68
RN Hrs/Resident/Day
0.65
0.54
LPN Hrs/Resident/Day
0.96
0.81
CNA Hrs/Resident/Day
2.16
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01