Home / North Carolina / Madison
Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop, Madison, NC 27025 · Rockingham County · (336) 548-9658
170 certified beds, about 152 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1968
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345050 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 8 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $16,801 in the last three years; the largest was $12,784, and the latest is dated September 18, 2024.
Nurses and nurse aides worked 3.32 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
43.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
December 18, 2025Standard inspection · 0 citations
September 18, 2024Standard inspection, Complaint inspection · 4 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observations, record review, and resident, physician, nurse practitioner and staff interviews the facility failed to protect a resident's right to be free from physical abuse. Resident #123 was observed sitting on a black container behind Resident #100 with his left hand around Resident 100's neck and his right arm covered around his left arm. Resident #100 was leaning forward and crying, and her face was blue. Resident #100 continued to cry after the residents were separated. A skin assessment completed after the incident revealed Resident #100 had redness on her cheeks and petechiae (tiny spots of bleeding under the skin) on the front part of her neck. The abuse occurred for 1 of 3 sampled residents reviewed for protection from abuse (Resident #100).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to post cautionary signage outside the resident's room to indicate supplemental oxygen (O2) was in use for 7 of 7 residents reviewed for respiratory care (Resident #109; Resident #79; Resident #114; Resident #70; Resident #51; Resident #343; and Resident #32).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation and staff interviews, the facility failed to label and date food stored for use in a nourishment room refrigerator and freezers and failed to date opened nutritional supplements in 2 of 2 nourishment refrigerators reviewed for food storage (100 hallway and 500 hallway nourishment room). These practices had the potential to affect food served to residents.
- D Provide appropriate foot care.
Inspectors wroteBased on observations, record review, and family member and staff interviews, the facility failed to provide foot care and arrange podiatry services for 1 of 3 dependent residents reviewed for foot care. Resident #127 was discovered to have long and curled toenails on both feet growing into the next toe which extended 1.5 inches beyond the base of the nail.
April 27, 2023Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, and staff and resident interviews the facility failed to maintain a resident's dignity by dressing a resident (Resident #54) in a facility gown. This occurred for 1 of 3 residents reviewed for dignity.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews, resident representative interview and record review, the facility failed to submit an Initial Allegation Report and an Investigation Report to the State Survey Agency for 1 of 3 residents (Resident #129) reviewed for abuse.
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on record reviews, and interviews with facility staff, the hospital's social worker and the hospital's psychiatric nurse practitioner, the facility failed to permit 1 of 4 sampled residents (Resident #96) to return to the facility following a facility-initiated transfer to the hospital.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations and staff interviews the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the recertification survey completed on 1/11/22. This was for one deficiency that was cited in the area of Resident Rights/Exercise of Rights (F550) on 1/11/22 and recited on the current recertification and complaint survey of 4/27/23. The continued failure of the facility during two federal surveys showed a pattern of the facility's inability to sustain an effective Quality Assessment and Assurance Program.
Fire safety inspections
10 fire safety citations on file: 2 on December 18, 2025, 4 on September 18, 2024, 4 on April 27, 2023.
Every fire safety citation10 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly installed electrical wiring and gas equipment.
- F Install corridor and hallway doors that block smoke.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Install a fire alarm system that can be heard throughout the facility.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 18, 2024 | Fine | $4,017 |
| September 18, 2024 | Fine | $12,784 |
| September 18, 2024 | Payment Denial | 2 days from October 9, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.32 | 3.85 | 3.86 |
| Registered nurses | 0.31 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.42 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 43.5% | 49.0% | 45.8% |
| Registered nurse turnover | 30.0% | 45.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.42 on weekdays and 3.09 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.32 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.32 | 0.31 | 3.42 | 3.09 | 0.9% | 0 of 90 | 152 |
| Oct to Dec 2025 | 3.40 | 0.28 | 3.52 | 3.09 | 3.1% | 0 of 92 | 150 |
| Jul to Sep 2025 | 3.31 | 0.28 | 3.41 | 3.05 | 2.3% | 0 of 92 | 148 |
| Apr to Jun 2025 | 3.35 | 0.28 | 3.47 | 3.06 | 0.0% | 0 of 91 | 141 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.9 | 14.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.8 | 1.8 |
Owners and operators
Legal business name: GRANITE FALLS LTC, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Goforth, James | Managing control - governing body | Individual | 01/01/2025 | |
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Wilson, Kathleen | Operational/managerial control | Individual | 01/01/2025 | |
| Principle Long Term Care, Inc. | Adp of the SNF | Organization | 04/14/2025 | |
| Goforth, James | Adp of the SNF | Individual | 05/12/2025 | |
| Wilson, Kathleen | Adp of the SNF | Individual | 05/12/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 18, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 18, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 27, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 18, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Countryside Stokesdale, 9.4 mi · 4 of 5 stars · 7 citations
- Eden Rehabilitation and Healthcare Center Eden, 12.3 mi · 2 of 5 stars · 11 citations
- Unc Rockingham Rehab & Nursing Care Center Eden, 13 mi · 5 of 5 stars · 7 citations
- Cypress Valley Center for Nursing and Rehabilitati Reidsville, 13.1 mi · 1 of 5 stars · 27 citations
- Penn Nursing Center Reidsville, 13.3 mi · 5 of 5 stars · 1 citation
- Walnut Cove Health and Rehabilitation Walnut Cove, 14 mi · 2 of 5 stars · 23 citations
- Blumenthal Health and Rehabilitation Center Greensboro, 17.3 mi · not rated · 70 citations
- Piney Grove Nursing and Rehabilitation Center Kernersville, 18.2 mi · 3 of 5 stars · 14 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Jacob's Creek Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Jacob's Creek Nursing and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Jacob's Creek Nursing and Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on December 18, 2025. The North Carolina average is 4.7.
- Has Jacob's Creek Nursing and Rehabilitation Center been fined?
- Yes. CMS lists 2 fines totaling $16,801 in the last three years.
- Does Jacob's Creek Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Jacob's Creek Nursing and Rehabilitation Center?
- CMS lists 8 owners and managers, and links the home to Principle Long Term Care. Legal business name: GRANITE FALLS LTC, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.