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Jacob's Creek Nursing And Rehabilitation Center

1721 Bald Hill Loop, Madison, NC 270253365489658Ownership: For profit - Limited Liability companyCertified beds: 170Avg. daily residents: 152Chain: Principle Long Term Care (40 facilities)County: Rockingham

The complete public record on Jacob's Creek Nursing And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Madison, North Carolina, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★★
CMS’s composite of the three ratings below. North Carolina average: 2.9 stars.
Health inspection
★★★★☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Jacob's Creek Nursing And Rehabilitation Center holds a 5-star overall rating, in the top tier CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $16,801 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.32 total nurse staff hours per resident per day
below the state average (3.83)
0.31 RN hours per resident per day
below the state average (0.61)
3.09 weekend nurse staff hours per resident per day
43.5% total nursing staff turnover
below the state average (49.0)
30.0% RN turnover
3 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

December 18, 2025 most recent standard health inspection
0 health deficiencies cited in the most recent inspection cycle
below the state average (4.8)
4 health deficiencies in the two prior cycles combined
$16,801 in federal fines across 2 penalties (last 3 years)
below the state average ($36,163)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

8 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
September 18, 20240600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintJ · Immediate jeopardy
September 18, 20240695Provide safe and appropriate respiratory care for a resident when needed.E · Potential for more than minimal harm
September 18, 20240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
September 18, 20240687Provide appropriate foot care.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.