Willow Creek Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 2401 Wayne Memorial Drive, Goldsboro, NC 27534
- CCN
- 345113
- Ownership type
- For-profit, limited liability company
- Certified beds
- 200
- Residents per day
- 165
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Willow Creek Nursing and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 19 Mar 2026. The latest survey cycle has 9 health citations. The median for nursing homes in North Carolina is 3. CMS lists 3 fines with a total of $15,358 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Wayne County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 19 Mar 2026 | 9 | 3 |
| Cycle 2 | 6 Dec 2024 | 8 | 5 |
| Cycle 3 | No date | 7 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Jun 2026 |
| 11 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Jun 2026 |
| 11 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Jun 2026 |
| 11 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 30 Jun 2026 |
| 11 Jun 2026 | F0908 | Keep all essential equipment working safely. | F | Complaint investigation | 30 Jun 2026 |
| 19 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | B | Standard survey | 7 Apr 2026 |
| 19 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Apr 2026 |
| 13 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | Past Non-Compliance |
| 13 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Jan 2025 |
| 6 Dec 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 24 Jan 2025 |
| 6 Dec 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 19 May 2024 |
| 6 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Jan 2025 |
| 6 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Jan 2025 |
| 6 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Jan 2025 |
| 6 Dec 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 24 Jan 2025 |
| 6 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 24 Jan 2025 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Nov 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 28 Dec 2023 |
| 30 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Dec 2023 |
| 30 Nov 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 28 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Feb 2026 | Fine | $4,394 | |
| 13 Feb 2026 | Fine | $4,394 | |
| 6 Dec 2024 | Fine | $6,570 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.58 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.51 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 1.10 | 0.89 | |
| Nurse aides | 1.97 | 2.34 | |
| All nurse staff, weekends | 3.32 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 59.2%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 46.4%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.5% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.5% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Birch LTC Group, LLC
- Chain
- Principle Long Term Care (40 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Principle It Services, Inc. | Direct ownership interest | 1 Jan 2011 | |
| Principle Long Term Care, Inc. | Direct ownership interest | 1 Jan 2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | 1 Jan 2011 | |
| Principle It Services, Inc. | Adp of the snf | 1 Jan 2011 | |
| Principle Long Term Care, Inc. | Adp of the snf | 17 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Wayne County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Goldsboro Rehabilitation and Healthcare Center | Goldsboro | 3 of 5 | 3 | $16,153 | 17 Dec 2025 | |
| O'Berry Neuro-Medical Treatment CenterSpecial Focus candidate | Goldsboro | 2 of 5 | 2 | $167,242 | 9 Oct 2025 | |
| Mount Olive Center | Mount Olive | 1 of 5 | 14 | $171,721 | 1 Oct 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Willow Creek Nursing and Rehabilitation Center (CCN 345113). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/willow-creek-nursing-and-rehabilitation-center-goldsboro-nc-345113/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Willow Creek Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 11 Jun 2026. It was a complaint investigation. It gave 5 citations. The standard survey before the last one was on 6 Dec 2024.
- Who operates Willow Creek Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Principle Long Term Care. The CMS ownership file names Principle Long Term Care, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Willow Creek Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.