With a score of 58 out of 100, Willow Creek Nursing And Rehabilitation Center earns a C grade — placing it near the middle of North Carolina nursing facilities. Families should review the detailed metrics below when considering this Goldsboro location.
Staffing at Willow Creek Nursing And Rehabilitation Center is near the national average, with 3.77 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 24 deficiencies at Willow Creek Nursing And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.77 | 3.8 | Average |
| Registered Nurses (RN) | 0.65 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.96 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.16 | 2.4 | Below Average |
| Weekend Total Nursing | 3.42 | 3.8 | Below Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Jan 23, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 5, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 5, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Dec 5, 2024 · Quality of Life and Care Deficiencies
- Tag 0726 Severity DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Dec 5, 2024 · Nursing and Physician Services 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 | 7.2% | 4.5% | Worse |
| Falls with major injury | 1.7% | 3.0% | Better |
| On antipsychotic medication | 12.3% | 14.5% | Better |
| Urinary tract infections | 3.1% | 2.5% | Worse |
| ADL decline (daily activities) | 14.8% | 14.0% | Average |
| Excessive weight loss | 13.9% | 7.5% | Worse |
| New/worsened incontinence | 7.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $6,570
How This Grade Was Calculated
This facility's grade of C is based on a score of 58 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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