Willow Creek Retirement Center
49 Willow Creek Lane, Byram, MS 39272 · Hinds County · 88 certified beds · avg 79 residents/day · certified since Aug 1, 2003
Part of chain: BRIAR HILL MANAGEMENT (6 facilities, chain avg rating 3.2★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$8,018
Fines, last 3 years
4.99
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Actual harm, one-off · Sep 12, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 5, 2024 (Past Non-Compliance)
All citations in the current public record (26)
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 |
|---|---|---|
| Jun 4, 2026 | D · Potential for harm, 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 |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Mar 5, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 5, 2026 | 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. |
| Jan 6, 2026 | E · Potential for harm, repeated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Nov 7, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Sep 12, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 24, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Aug 11, 2023 | E · Potential for harm, repeated | 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 |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Feb 23, 2023 | F · Potential for harm, facility-wide | 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. |
| Feb 23, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Feb 23, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Feb 23, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 23, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 23, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 8 | 1 | G ▲ |
| 2026 | 10 | 0 | F |
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)
1 fine totaling $8,018.
| Date | Type | Amount / length |
|---|---|---|
| Sep 12, 2024 | Fine | $8,018 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Mississippi avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.99 | 4.88 | 3.95 | top 36% in Mississippi; top 13% in the U.S. |
| Registered Nurse hours | 0.68 | 0.74 | 0.69 | top 47% in Mississippi; top 39% in the U.S. |
| Weekend total nurse staffing | 4.48 | 4.09 | 3.50 | top 22% in Mississippi; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.38 | 0.48 | top 47% in Mississippi; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 45.7 | 45.8 | bottom 29% in Mississippi; bottom 30% in the U.S. |
| RN turnover (%) | 57.1 | 38.4 | 42.9 | bottom 20% in Mississippi; bottom 26% 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 4.05, RN 0.55, weekend 3.64. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Philippe, Lynn | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/28/2008 |
| Rotolo, David | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/28/2008 |
| Rotolo, Robert | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/28/2008 |
| Briar Hill Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/03/2003 |
| Briar Hill Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Burlison, Sandy | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2019 |
| Burlison, Sandy | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2019 |
| Burns, Sharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/28/2008 |
| Burns, Sharon | Individual | ADP of the SNF | NOT APPLICABLE | 01/28/2008 |
| Estes, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 11/11/2008 |
| Green, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2010 |
| Green, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 05/04/2010 |
| King, Curtis | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2016 |
| King, Curtis | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2016 |
| Muha, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2010 |
| Muha, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 10/04/2010 |
| Omnicare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2017 |
| Philippe, Lynn | Individual | ADP of the SNF | NOT APPLICABLE | 01/28/2008 |
| Rotolo, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/28/2008 |
| Rotolo, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/28/2008 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 |
|---|---|---|---|---|---|
| Edgewood Health & Rehabilitation | 2.2 mi | Byram, MS | ★☆☆☆☆ | 1/5 | abuseSFF |
| Pleasant Hills Community Living Center | 4.5 mi | Jackson, MS | ★☆☆☆☆ | 2/5 | |
| Chadwick Community Care Center | 4.9 mi | Jackson, MS | ★☆☆☆☆ | 2/5 | |
| Methodist Sepcialty Care Center | 7.2 mi | Flowood, MS | ★★★★★ | 4/5 | |
| Woodlands Rehabilitation and Healthcare Center | 7.7 mi | Clinton, MS | ★☆☆☆☆ | 1/5 | |
| Compere NH INC | 8.3 mi | Jackson, MS | ★★★★☆ | 4/5 | |
| Briar Hill Rest Home | 8.7 mi | Florence, MS | ★★☆☆☆ | 3/5 | |
| Magnolia Senior Care, LLC | 9.9 mi | Jackson, MS | ★★★★☆ | 3/5 | |
| Clinton Healthcare LLC - SNF | 10.0 mi | Clinton, MS | ★★★★☆ | 4/5 | |
| Lakeland Community Care Center | 10.7 mi | Jackson, MS | ★★☆☆☆ | 2/5 | |
| Alyce G Clarke Center for Medically Fragile Childr | 11.2 mi | Jackson, MS | —/5 | ||
| Pine Forest Health and Rehabilitation | 11.4 mi | Jackson, MS | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 255300.