Nursing home · Top rated by CMS
Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop, Madison, NC 27025 · Map
For profit - Limited Liability company · Part of Principle Long Term Care (44 facilities) · 170 certified beds
Jacob's Creek Nursing and Rehabilitation Center is a Medicare-certified nursing home in Madison, North Carolina. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.31 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Dec 18, 2025 cited 0 deficiencies.
- 2 fines totaling $16,801In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Jacob's Creek Nursing and Rehabilitation Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.31 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.23 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 39.7% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (December 2025)
Penalties in CMS records: 2 fines totaling $16,801, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Jacob's Creek Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Sep 18, 2024 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Apr 27, 2023
Show all 8 deficiencies
- Potential for harm
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Apr 27, 2023 - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 27, 2023 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Apr 27, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1721 Bald Hill Loop
Madison, NC 27025 - CMS certification #
- 345050
- Ownership
- For profit - Limited Liability company
- Certified beds
- 170
- Avg residents/day
- 148.4
- Provider type
- Medicare and Medicaid
- First certified
- 1968-05-08
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Urban
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Jacob's Creek Nursing and Rehabilitation Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2023, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 23, 2023: fatality or catastrophe inspection, no inspection (safety). Case closed Apr 4, 2023. No violations cited. OSHA record. OSHA recorded the employer as 153689 - Principle Long Term Care, INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Unc Rockingham, Eden. 13.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Countryside, Stokesdale. 9.4 miles away, straight line.
- Nearest home health agency office
- Adoration Home Health, Reidsville. 9.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 4.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27025 as metropolitan (metropolitan low commuting).
- Dialysis within 15 miles
- Davita Reidsville Dialysis, Reidsville, 12.3 miles away, straight line (CMS rating 2 of 5 stars)
Davita Dialysis Care Of Rockingham County, Eden, 12.6 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Rockingham Kidney Center, Reidsville, 14.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 27025.
Ancora Compassionate Care, office in Reidsville, 5.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Authoracare Collective, office in Greensboro, 19.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- The Moses H Cone Memorial Hospital Operating Corporation, Greensboro. 19.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Jacob's Creek Nursing and Rehabilitation Center a good nursing home?
CMS gives Jacob's Creek Nursing and Rehabilitation Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Jacob's Creek Nursing and Rehabilitation Center staffed?
Jacob's Creek Nursing and Rehabilitation Center reports 3.31 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Jacob's Creek Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Jacob's Creek Nursing and Rehabilitation Center have?
Jacob's Creek Nursing and Rehabilitation Center is certified for 170 beds.