WILLOW CREEK NURSING AND REHABILITATION CENTER

πŸ“ 2401 WAYNE MEMORIAL DRIVE, goldsboro, NC 27534 πŸ“ž 9197362121 πŸ›οΈ 200 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

54
Total Violations
7 years of data
$37,600
Total Fines
2 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0580 D Jan 24, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jan 29, 2025

2023 7 violations

Tag 0582 F Nov 30, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Dec 28, 2023
Tag 0584 D Nov 30, 2023

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.

βœ“ Corrected: Dec 28, 2023
Tag 0677 D Nov 30, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Dec 28, 2023
Tag 0688 D Nov 30, 2023

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.

βœ“ Corrected: Dec 28, 2023
Tag 0689 E Nov 30, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 28, 2023
Tag 0812 E Nov 30, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Dec 28, 2023
Tag 0867 F Nov 30, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Dec 28, 2023

2022 10 violations

Tag 0637 B Nov 18, 2022

Assess the resident when there is a significant change in condition

βœ“ Corrected: Dec 22, 2022
Tag 0657 D Nov 18, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Dec 22, 2022
Tag 0693 D Nov 18, 2022

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.

βœ“ Corrected: Dec 22, 2022
Tag 0694 D Nov 18, 2022

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

βœ“ Corrected: Dec 22, 2022
Tag 0698 D Nov 18, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Dec 22, 2022
Tag 0756 E Nov 18, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Dec 22, 2022
Tag 0760 D Nov 18, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 22, 2022
Tag 0761 E Nov 18, 2022

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.

βœ“ Corrected: Dec 22, 2022
Tag 0867 E Nov 18, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Dec 22, 2022
Tag 0880 D Nov 18, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 22, 2022

2021 7 violations

Tag 0684 J Aug 17, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 14, 2021
Tag 0558 D Jul 29, 2021

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Sep 7, 2021
Tag 0563 F Jul 29, 2021

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

βœ“ Corrected: Sep 7, 2021
Tag 0582 D Jul 29, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Sep 7, 2021
Tag 0644 D Jul 29, 2021

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Sep 7, 2021
Tag 0692 D Jul 29, 2021

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Sep 7, 2021
Tag 0880 E Jul 29, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 7, 2021

2020 3 violations

Tag 0550 D Feb 14, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 8, 2020
Tag 0761 D Feb 14, 2020

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.

βœ“ Corrected: Mar 8, 2020
Tag 0880 D Feb 14, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 8, 2020

2019 7 violations

Tag 0565 E Feb 22, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Mar 22, 2019
Tag 0604 D Feb 22, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Mar 22, 2019
Tag 0623 C Feb 22, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Mar 22, 2019
Tag 0698 D Feb 22, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Mar 22, 2019
Tag 0761 E Feb 22, 2019

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.

βœ“ Corrected: Mar 22, 2019
Tag 0867 D Feb 22, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Mar 22, 2019
Tag 0883 D Feb 22, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Mar 22, 2019

2018 19 violations

Tag 0583 D Jul 6, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jul 21, 2018
Tag 0550 D Jun 20, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jul 10, 2018
Tag 0561 D Jun 20, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Jul 10, 2018
Tag 0725 E Jun 20, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jul 10, 2018
Tag 0550 D Jun 1, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jun 29, 2018
Tag 0561 D Jun 1, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Jun 29, 2018
Tag 0582 B Jun 1, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Jun 29, 2018
Tag 0641 D Jun 1, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jun 29, 2018
Tag 0655 D Jun 1, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jun 29, 2018
Tag 0698 D Jun 1, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jun 29, 2018
Tag 0880 C Jun 1, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 29, 2018
Tag 0558 D Apr 26, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: May 14, 2018
Tag 0580 D Apr 26, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: May 14, 2018
Tag 0656 D Apr 26, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 14, 2018
Tag 0677 D Apr 26, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: May 14, 2018
Tag 0690 D Apr 26, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 14, 2018
Tag 0695 D Apr 26, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: May 14, 2018
Tag 0725 D Apr 26, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: May 14, 2018
Tag 0760 D Apr 26, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: May 14, 2018

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $14,713

$14,713
Fine
November 18, 2022
Average: $14,713 | Range: $14,713 - $14,713

2021 1 penalties totaling $22,887

$22,887
Fine
July 29, 2021
Average: $22,887 | Range: $22,887 - $22,887

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

November 30, 2023
0.00

Health

November 18, 2022
0.00

Health

August 17, 2021
0.00

Health

July 29, 2021
0.00

Health

February 14, 2020
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345113
345113
9197362121
Wayne

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual