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Nursing HomeMedicaid Top Rated

Jacob's Creek Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise highly regarded physical and occupational therapy team. Still worth an in-person visit.

1721 Bald Hill Loop, Madison, NC 27025170 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 78 Google reviews

5
4
3
2
1
Jacob's Creek Nursing and Rehabilitation Center Nursing Home in Madison, NC — Street View
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What this means for your family

Jacob's Creek offers a strong therapy and activities program that many families appreciate. However, the facility has a recurring pattern of communication issues and reports of understaffing; we strongly recommend you test their responsiveness by calling the facility at different times of the day before committing.

Google Reviews

Google Reviews

78 reviews on Google
Jacob's Creek Nursing and Rehabilitation Center receives highly polarized feedback, with some families praising the dedicated therapy team and specific staff members, while others report severe neglect and communication failures. While some visitors note a clean environment and attentive care, multiple reviewers have raised alarming concerns regarding staffing levels, responsiveness to patient needs, and administrative oversight. Families should conduct a thorough, unannounced visit to assess the current quality of care and staffing levels before making a decision.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean7.0Activities9.0Meds3.0Memory6.0Comms2.0ValueN/A

Strengths

  • Highly regarded physical and occupational therapy team
  • Engaging and personalized activities program
  • Helpful and professional admissions staff
  • Clean and well-maintained facility environment

Concerns

  • Difficulty reaching staff via phone (mentioned by 3 reviewers)
  • Understaffing leading to slow response times (mentioned by 4 reviewers)
  • Inattentive or rude staff behavior (mentioned by 4 reviewers)
  • Neglect regarding basic patient hygiene and care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.5'19(4)3.32.4'21(5)2.54.1'23(10)3.34.8'25(42)3.0'26(2)

Distribution · 79 analyzed

5
56
4
4
3
3
2
2
1
14
23 reviews posted between Sep 29, 2025Sep 30, 2025 · 23 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that your therapy team is so highly regarded, how do you integrate those physical and occupational therapy sessions into a resident's daily routine?
  • 2I noticed some families have shared concerns about communication delays; what is the best way for us to reach the nursing team directly if we have urgent questions about our loved one?
  • 3With the current staffing levels, what is the facility's process for ensuring that basic hygiene and daily care needs are met in a timely manner?
  • 4Since medication management is a high priority for us, could you walk us through the oversight process to ensure accuracy and consistency for residents?
  • 5We are excited about your activities program; could you tell us about a recent event or project that really brought the residents together?
  • 6In the event of a medical change or emergency, what is your protocol for notifying family members and coordinating with the attending physician?

Personalized based on this facility's data


Key Review Excerpts

Our daughter is a resident & has been for a little over two years. We have been very satisfied with the care she has received , especially the physical therapy (Brian Kidd).

Long-term resident's family · 2025★★★★★

The few meals I have tried were good. Residents are smiling! Family member and staff all tell me what a wonderful nursing team the facility has; I agree.

Visitor · 2024★★★★★

My Mom has Dementia and is on the 500 hall...Everyone there has been very nice and answered any questions that i have. I have to give a huge shout out to Kiki the activities Director- she seems to really care about the patients.

Memory care family member · 2020★★★☆☆
Source: 78 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
38%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
19.4%
NC
21.0%
Rockingham
25.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
14.4%
NC
16.4%
Rockingham
21.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.2%
Worse than Avg
Here
33.2%
US
19.5%
NC
21.5%
Rockingham
23.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
15.5%
NC
14.1%
Rockingham
16.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
12.1%
NC
5.4%
Rockingham
8.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility14.3%
Better than Avg
Here
14.3%
US
15.3%
NC
20.2%
Rockingham
23.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.9%
Worse than Avg
Here
78.9%
US
81.8%
NC
80.1%
Rockingham
85.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.0%
Mixed vs Avgs
Here
80.0%
US
79.8%
NC
78.1%
Rockingham
84.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Rockingham
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
3penalties
Well below state avg (5.6)
1 complaint-triggered
$16,801 in fines
Clean record — no deficiencies

Families have filed complaints that resulted in findings, including a serious abuse protection violation and resident rights issues. The facility shows recurring problems with fire safety systems (smoke barriers, alarms, cooking facilities appearing across multiple surveys), emergency exit obstruction, and abuse prevention protocols. While all deficiencies have correction dates, the pattern of repeated fire safety violations and family complaints about resident treatment suggests ongoing operational challenges that warrant careful consideration.

Sep 18, 2024Routine
7
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Sep 18, 2024Complaint
1
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Apr 27, 2023Routine
8
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jan 11, 2022Routine
1
0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Federal Penalties

Fine

Sep 18, 2024

$4,017

Fine

Sep 18, 2024

$12,784

Payment Denial

Sep 18, 2024

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Jacob's Creek Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Principle Long Term Care

Chain Size

44 facilities nationwide

Chain avg rating: 3.1/5 · Rank 2 of 44 (Best)

Ownership & Management

Key personnel

Goforth, JamesManaging Control - Governing BodyBoice, GaleOfficer / DirectorJohnson, DianneOfficer / DirectorPrinciple Long Term Care, INC.ManagerWilson, KathleenManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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