The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WILLOW CREEK RETIREMENT CENTER
BYRAM, MS · Medicare-certified · 88 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Willow Creek Retirement Center in Byram, MS has an overall 2-star rating, with 2 stars for health inspections and quality measures but 4 stars for staffing. Reported nursing hours are slightly below the federal benchmark (4.05 vs. 4.1), and the facility had $8,018 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.0501 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $8,018recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0501.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 1.09
- Nurse aides
- 2.41
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 57%
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
36.4%26.7%Improving
Residents with a fall causing major injury
0%4.2%Worsening
Residents with pressure ulcers (bedsores)
12%13.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.2%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.9%27%Improving
Residents whose ability to walk got worse
24.6%21%Improving
Long-stay residents on antianxiety or sleep medication
23.1%22.7%No change
Short-stay residents newly given an antipsychotic
2.2%0%Improving
Residents with a long-term catheter
2.5%2.8%No change
Residents with new or worsening incontinence
26.6%26%Improving
Residents with depressive symptoms
6.5%0%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
—90.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.7%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,018 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $8,018 in total fines.
- $8,018
Federal fine
Sep 12, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BRIAR HILL MANAGEMENT · 6 homes · 3.2 stars avg
- Occupancy
- 79.3 residents on an average day (90% of 88 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 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.