Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop, Madison, NC 27025
Jacob's Creek Nursing and Rehabilitation Center is a nursing home in Madison, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionDecember 18, 2025 (10 months ago)
- Health citations since April 27, 20238 (North Carolina average 18)
- Fines in the past three years2, $16,801 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Fire safety inspection on December 18, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 27, 2026.
CMS has cited this home for K0211 2 times since 2023.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on February 27, 2026.
CMS has cited this home for K0511 2 times since 2023.
CMS update of November 20, 2025
Fine
CMS changed the fine from September 18, 2024 from $16,801 to $12,784.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of December 20, 2024
CMS abuse icon
CMS added its abuse icon to this home.
October 9, 2024
Payment stoppedCMS stopped payment for new admissions from October 9, 2024, for 2 days.
Health inspection on September 18, 2024
4 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
88 of 419 North Carolina homes (21%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $12,784 on September 18, 2024.
CMS fine of $4,017 on September 18, 2024.
Show the 4 citations
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 5, 2024.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on October 11, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on October 11, 2024.
Citation F0687. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on October 11, 2024.
Fire safety inspection on September 18, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 20, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on January 20, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on January 20, 2025.
CMS has cited this home for K0324 2 times since 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on January 20, 2025.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 27, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 25, 2023.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 25, 2023.
Citation F0626. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
CMS lists it as corrected on May 25, 2023.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on May 25, 2023.
Fire safety inspection on April 27, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 5, 2023.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 5, 2023.
Citation K0341. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on July 5, 2023.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on July 5, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (336) 548-9658
- Last standard health inspection
- December 18, 2025 (10 months ago)
- Certified beds
- 170
- Residents per day, on average
- 151.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Granite Falls Ltc, LLC
- Chain
- Principle Long Term Care
- Takes part in
- Medicare and Medicaid
Fewer health citations than the North Carolina average (8 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PRINCIPLE LONG TERM CARE, INC.Operational/managerial control · not applicable · since 01/01/2011
- WILSON, KATHLEENOperational/managerial control · not applicable · since 01/01/2025
Questions
When was Jacob's Creek Nursing and Rehabilitation Center last inspected?
CMS lists December 18, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Jacob's Creek Nursing and Rehabilitation Center have?
CMS lists 8 health citations since April 27, 2023. CMS also calls these deficiencies.
Has Jacob's Creek Nursing and Rehabilitation Center been fined?
CMS lists 2 fines in the past three years, $16,801 in total.
What is the CMS star rating of Jacob's Creek Nursing and Rehabilitation Center?
Its CMS overall star rating is 5 of 5.
Is Jacob's Creek Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.