Nursing HomeInspections

Willow Creek Retirement Center

Nursing home in Byram, MS

Medicare & Medicaid certified2★ overall (CMS)

Call (601) 863-4201Send a messageMap ↗

Public-record details

Address
49 Willow Creek Lane, Byram, MS 39272
Phone
(601) 863-4201
Listed under
For-profit
Medicare CCN
255300
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
88
Average residents per day
79
Ownership
For-profit, limited Liability company
Legal business name
Wcrl, LLC
Chain
Briar Hill Management (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 255300. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 5, 2026. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 23, 2023 to Jun 4, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 4, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 4, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 5, 2026Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 5, 2026Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Jan 6, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 7, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 7, 2024Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,018 in the last three years.

Sep 12, 2024Fine: $8,018

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.05 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
2.41 hours
Total nurse staffing on weekends
3.64 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
57%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Byram

Edgewood Health & Rehabilitation205 Byram Parkway · Byram, MS 39272 · (601) 362-5394 · For-profit47 health citations in 3 inspection cycles · last standard inspection Aug 1, 2024 · $148,438 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

All 2 in Byram →