Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop, Madison, NC 27025 · Rockingham County · 170 certified beds · avg 152 residents/day · certified since May 8, 1968
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 18, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 5, 2024 (Past Non-Compliance)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 18, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 18, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 18, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 4 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $16,801, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 18, 2024 | Fine | $4,017 |
| Sep 18, 2024 | Fine | $12,784 |
| Sep 18, 2024 | Payment Denial | 2 days from Oct 9, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.97 | 4.01 | 3.95 | top 33% in North Carolina; top 41% in the U.S. |
| Registered Nurse hours | 0.37 | 0.64 | 0.69 | bottom 21% in North Carolina; bottom 18% in the U.S. |
| Weekend total nurse staffing | 3.69 | 3.56 | 3.50 | top 28% in North Carolina; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.13 | 0.41 | 0.48 | bottom 5% in North Carolina; bottom 3% in the U.S. |
| Total nursing staff turnover (%) | 43.5 | 49.0 | 45.8 | top 37% in North Carolina; top 46% in the U.S. |
| RN turnover (%) | 30.0 | 45.7 | 42.9 | top 23% in North Carolina; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.32, RN 0.31, weekend 3.09. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Boice, Gale | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2018 |
| Goforth, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Goforth, James | Individual | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Johnson, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Principle Long Term Care, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Principle Long Term Care, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Wilson, Kathleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Wilson, Kathleen | Individual | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Countryside | 9.4 mi | Stokesdale, NC | ★★★★☆ | 4/5 | |
| Eden Rehabilitation and Healthcare Center | 12.3 mi | Eden, NC | ★★☆☆☆ | 2/5 | |
| Unc Rockingham Rehab & Nursing Care Center | 13.0 mi | Eden, NC | ★★★★★ | 4/5 | |
| Cypress Valley Center for Nursing and Rehabilitati | 13.2 mi | Reidsville, NC | ★☆☆☆☆ | 2/5 | |
| Penn Nursing Center | 13.3 mi | Reidsville, NC | ★★★★★ | 5/5 | |
| Walnut Cove Health and Rehabilitation | 14.0 mi | Walnut Cove, NC | ★★☆☆☆ | 2/5 | |
| Blumenthal Health and Rehabilitation Center | 17.3 mi | Greensboro, NC | —/5 | abuseSFF | |
| Piney Grove Nursing and Rehabilitation Center | 18.2 mi | Kernersville, NC | ★★★☆☆ | 3/5 | |
| Stokes County Nursing Home | 18.3 mi | Danbury, NC | ★★★☆☆ | 3/5 | |
| Friends Homes at Guilford | 18.6 mi | Greensboro, NC | ★★★★★ | 5/5 | |
| Heartland Living & Rehab at the Moses H Cone Memor | 19.9 mi | Greensboro, NC | ★★★★☆ | 4/5 | |
| Summerstone Health and Rehabilitation Center | 19.9 mi | Kernersville, NC | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345050.