WILLOW CREEK RETIREMENT CENTER
Grade C — 77/100 composite score
CMS Star Ratings
Certified Beds
88
Ownership
For profit - Limited Liability company
Total Fines
$8,018
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
PHILIPPE, LYNN
20%
ROTOLO, DAVID
40%
ROTOLO, ROBERT
40%
BRIAR HILL MANAGEMENT, LLC
BURLISON, SANDY
BURNS, SHARON
CLAYTON, JOSHUA
COOPER, SHEILA
GREEN, DONNA
KING, CURTIS
MUHA, ASHLEY
ROTOLO, DAVID
ROTOLO, ROBERT
WHITE, DEBORAH
WHITLOW, CARRIE
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Sep 12, 2024 | Fine | — | $8,018 |
Health Inspection Deficiencies (21)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for WILLOW CREEK RETIREMENT CENTER?
WILLOW CREEK RETIREMENT CENTER in BYRAM, Mississippi has a CareGrader grade of C (Average), with a composite score of 77.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for WILLOW CREEK RETIREMENT CENTER?
WILLOW CREEK RETIREMENT CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does WILLOW CREEK RETIREMENT CENTER have?
WILLOW CREEK RETIREMENT CENTER has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has WILLOW CREEK RETIREMENT CENTER been fined?
Yes. WILLOW CREEK RETIREMENT CENTER has $8,018 in total fines from CMS enforcement actions across 1 penalty.
How many beds does WILLOW CREEK RETIREMENT CENTER have?
WILLOW CREEK RETIREMENT CENTER has 88 certified beds with approximately 80 current residents (91% occupancy). The facility is located at 49 WILLOW CREEK LANE, BYRAM, Mississippi 39272. It is a for profit - limited liability company facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.