Jacob's Creek Nursing and Rehabilitation Center

1721 Bald Hill Loop, Madison, NC 27025 · CCN 345050 · 170 certified beds · Data as of 2026-07-01

CMS overall5 of 5CMS inspections4 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-09-18 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.98

state median 3.11

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.15

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

44%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $16,801 in fines.

Date	Type	Amount
2024-09-18	Fine	$4,017
2024-09-18	Fine	$12,784
2024-09-18	Payment Denial	payment denial

Ownership

Ownership type: For profit - Limited Liability company. Part of the PRINCIPLE LONG TERM CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Somerwoods Rehabilitation and Healthcare Center (Somerset, KY) — CMS overall1 of 5
Greenwood Rehabilitation and Healthcare Center (Bowling Green, KY) — CMS overall2 of 5
Mountain View Rehabilitation and Healthcare Center (Pineville, KY) — CMS overall4 of 5
Lake Way Rehabilitation and Healthcare Center (Benton, KY) — CMS overall4 of 5
Rivers Edge Rehabilitation and Healthcare Center (Prospect, KY) — CMS overall3 of 5
Essex Rehabilitation and Healthcare Center (Louisville, KY) — CMS overall2 of 5
Tri Cities Rehabilitation and Healthcare Center (Cumberland, KY) — CMS overall2 of 5
Carolina Rivers Nursing and Rehabilitation Center (Jacksonville, NC) — CMS overall4 of 5

Full citation history

By severity: Potential for more than minimal harm: 7 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2024-09-18	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-09-18	F0687	Quality of Life and Care Deficiencies	D	not recorded
2024-09-18	F0695	Quality of Life and Care Deficiencies	E	not recorded
2024-09-18	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-04-27	F0550	Resident Rights Deficiencies	D	not recorded
2023-04-27	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-04-27	F0626	Resident Rights Deficiencies	D	not recorded
2023-04-27	F0867	Administration Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Jacob's Creek Nursing and Rehabilitation Center, Madison” at medicare.gov/care-compare.