With a score of 76/100 and a B grade, Jacob'S Creek Nursing And Rehabilitation Center is a well-regarded option in Madison, North Carolina. The facility performs above average in most CMS categories, placing it in the 80th percentile statewide.
Staffing levels are a potential concern at Jacob'S Creek Nursing And Rehabilitation Center, with 3.31 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 8 deficiencies at Jacob'S Creek Nursing And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.31 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.28 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.23 | 2.4 | Average |
| Weekend Total Nursing | 3.05 | 3.8 | Below Average |
| Weekend RN Hours | 0.12 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 17, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Sep 17, 2024 · Quality of Life and Care Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 17, 2024 · Nutrition and Dietary Deficiencies
- Tag 0687 Severity DProvide appropriate foot care.Sep 17, 2024 · Quality of Life and Care Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Apr 26, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.8% | 4.5% | Better |
| Falls with major injury | 5.0% | 3.0% | Worse |
| On antipsychotic medication | 6.0% | 14.5% | Better |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 6.6% | 14.0% | Better |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 8.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $16,801
How This Grade Was Calculated
This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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