The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Jacob's Creek Nursing and Rehabilitation Center
Madison, NC · Medicare-certified · 170 beds
Needs attention
For-profitChain member
5 of 5 overall
Jacob's Creek Nursing and Rehabilitation Center in Madison, NC has an overall 5-star rating, with 4 stars for health inspections, 3 stars for staffing, and 5 stars for quality measures. It reported 3.40 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $16,801 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3958 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $16,801recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3958.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.27
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.4%8.9%Worsening
Residents with a fall causing major injury
3.7%5.6%Worsening
Residents with pressure ulcers (bedsores)
1.6%3.2%Worsening
Residents with a urinary tract infection
0%2.1%Worsening
Residents who lost too much weight
5.4%12.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.6%11.4%Worsening
Residents whose ability to walk got worse
10.6%22.3%Worsening
Long-stay residents on antianxiety or sleep medication
33.8%33.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.1%9.6%Improving
Residents with depressive symptoms
2.7%0.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
99.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—80%—
Short-stay residents given the pneumonia vaccine
85.7%70%Worsening
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide appropriate foot care for residents. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $12,784 was recorded.
- PENALTY
A federal fine of $4,017 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $16,801 in total fines · 1 payment denial.
- 2 days
Medicare/Medicaid payment denial
Sep 18, 2024
- $12,784
Federal fine
Sep 18, 2024
- $4,017
Federal fine
Sep 18, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
- Occupancy
- 150.2 residents on an average day (88% of 170 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.