JACOB'S CREEK NURSING AND REHABILITATION CENTER

📍 1721 BALD HILL LOOP, madison, NC 27025 📞 3365489658 🛏️ 170 beds

Overall Rating

1/5

Health Inspection

⭐⭐
2/5

Staffing

1/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

41
Total Violations
7 years of data
$62,711
Total Fines
2 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 4 violations

Tag 0550 D Apr 27, 2023

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

✓ Corrected: May 25, 2023
Tag 0609 D Apr 27, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 25, 2023
Tag 0626 D Apr 27, 2023

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: May 25, 2023
Tag 0867 D Apr 27, 2023

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

✓ Corrected: May 25, 2023

2022 8 violations

Tag 0550 D Jan 11, 2022

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

✓ Corrected: Feb 11, 2022
Tag 0554 D Jan 11, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Feb 11, 2022
Tag 0561 D Jan 11, 2022

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

✓ Corrected: Feb 11, 2022
Tag 0583 D Jan 11, 2022

Keep residents' personal and medical records private and confidential.

✓ Corrected: Feb 11, 2022
Tag 0584 B Jan 11, 2022

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.

✓ Corrected: Feb 11, 2022
Tag 0761 D Jan 11, 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.

✓ Corrected: Feb 11, 2022
Tag 0835 K Jan 11, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Feb 11, 2022
Tag 0919 K Jan 11, 2022

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Feb 11, 2022

2021 1 violations

Tag 0755 D Jan 8, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 30, 2021

2020 8 violations

Tag 0580 D Mar 12, 2020

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

✓ Corrected: Apr 9, 2020
Tag 0584 C Mar 12, 2020

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.

✓ Corrected: Apr 9, 2020
Tag 0641 D Mar 12, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 9, 2020
Tag 0644 D Mar 12, 2020

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

✓ Corrected: Apr 9, 2020
Tag 0658 D Mar 12, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 9, 2020
Tag 0687 D Mar 12, 2020

Provide appropriate foot care.

✓ Corrected: Apr 9, 2020
Tag 0730 D Mar 12, 2020

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Apr 9, 2020
Tag 0761 D Mar 12, 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.

✓ Corrected: Apr 9, 2020

2019 8 violations

Tag 0580 D Mar 28, 2019

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

✓ Corrected: Apr 25, 2019
Tag 0656 D Mar 28, 2019

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

✓ Corrected: Apr 25, 2019
Tag 0657 D Mar 28, 2019

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

✓ Corrected: Apr 25, 2019
Tag 0686 D Mar 28, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 25, 2019
Tag 0759 D Mar 28, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 25, 2019
Tag 0760 E Mar 28, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 25, 2019
Tag 0761 D Mar 28, 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.

✓ Corrected: Apr 25, 2019
Tag 0880 D Mar 28, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 25, 2019

2018 6 violations

Tag 0880 D Dec 1, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 21, 2018
Tag 0580 D Mar 14, 2018

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

✓ Corrected: Apr 6, 2018
Tag 0600 J Mar 14, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 6, 2018
Tag 0842 D Mar 14, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Apr 6, 2018
Tag 0812 E Feb 22, 2018

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

✓ Corrected: Mar 22, 2018
Tag 0867 E Feb 22, 2018

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

✓ Corrected: Mar 22, 2018

2017 6 violations

Tag 0280 D Jul 1, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Jul 29, 2017
Tag 0312 D Jul 1, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Jul 29, 2017
Tag 0248 E Feb 23, 2017

Provide activities to meet the interests and needs of each resident.

✓ Corrected: Mar 19, 2017
Tag 0281 D Feb 23, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 19, 2017
Tag 0315 D Feb 23, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Mar 19, 2017
Tag 0371 E Feb 23, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Mar 19, 2017

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 $12,971

$12,971
Fine
January 11, 2022
Average: $12,971 | Range: $12,971 - $12,971

2018 1 penalties totaling $49,740

$49,740
Fine
February 22, 2018
Average: $49,740 | Range: $49,740 - $49,740

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 27, 2023
0.00

Health

January 11, 2022
0.00

Health

January 8, 2021
0.00

Health

March 12, 2020
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345050
345050
3365489658
Rockingham

Historical Ownership Records

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