WILLOW CREEK RETIREMENT CENTER

49 WILLOW CREEK LANE
BYRAM, MS, 39272
6018634201
CCN: 255300
3
Overall
3
Health
4
Staffing
2
Quality
ChainBRIAR HILL MANAGEMENT
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
PHILIPPE, LYNN5% OR GREATER DIRECT OWNERSHIP INTEREST20%
ROTOLO, DAVID5% OR GREATER DIRECT OWNERSHIP INTEREST40%
ROTOLO, ROBERT5% OR GREATER DIRECT OWNERSHIP INTEREST40%
BRIAR HILL MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BURLISON, SANDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BURNS, SHARONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COOPER, SHEILAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GREEN, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KING, CURTISOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MUHA, ASHLEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROTOLO, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROTOLO, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WALTERS, JOHNNIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WHITE, DEBORAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WHITLOW, CARRIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-09-12Fine$8K
Health Deficiencies (24)
2026-01-06 · Health
E
F740 · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2024-11-07 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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
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.
2024-09-12 · Health
G
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.
2024-05-24 · Health
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-03-13 · Health
D
F690 · Quality of Life and Care Deficiencies
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
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-08-11 · Health
E
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.
E
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.
2023-02-23 · Health
F
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.
D
F758 · Pharmacy Service Deficiencies
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
F690 · Quality of Life and Care Deficiencies
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
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2019-10-03 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
F690 · Quality of Life and Care Deficiencies
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
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
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
F646 · Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.92
3.68
RN Hrs/Resident/Day
0.52
0.54
LPN Hrs/Resident/Day
1.22
0.81
CNA Hrs/Resident/Day
2.17
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01