Nursing HomeInspections

Jacob's Creek Nursing and Rehabilitation Center

Nursing home in Madison, NC

Medicare & Medicaid certified5★ overall (CMS)

Call (336) 548-9658Send a messageMap ↗

Public-record details

Address
1721 Bald Hill Loop, Madison, NC 27025
Phone
(336) 548-9658
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
345050
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
170
Average residents per day
152
Ownership
For-profit, limited Liability company
Legal business name
Granite Falls LTC, LLC
Chain
Principle Long Term Care (40 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 8, 1968
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 345050. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 18, 2025. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 27, 2023 to Sep 18, 2024): 1 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 18, 2024Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 18, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Sep 18, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 18, 2024Protect 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		J
Immediate jeopardy, isolated
Apr 27, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 27, 2023Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 27, 2023Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 27, 2023Set 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

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 2 fines totalling $16,801 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 18, 2024Fine: $4,017
Sep 18, 2024Fine: $12,784
Sep 18, 2024Payment denial for 2 days from Oct 9, 2024

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
3.32 hours
Registered nurse (RN) time per resident per day
0.31 hours
Nurse aide time per resident per day
2.16 hours
Total nurse staffing on weekends
3.09 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
30%
Administrators who left in the past year
3

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.