Mississippi › Hinds County › Byram
Willow Creek Retirement Center
49 Willow Creek Lane, Byram, MS 39272
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 88 beds, Willow Creek Retirement Center serves Byram in Hinds County, Mississippi and has taken Medicare and Medicaid residents since 2003.
CMS gives it 2 of 5 stars overall, below the Mississippi median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (10, 5, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 29.5 per 100 beds, more than the state median of 19.2.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 4.1 hours per resident per day (0.6 RN), close to the Mississippi median of 4.0; nursing staff turnover is 52.9%.
Compared with county, state and nation
| Measure | This facility | Hinds Co. median | Mississippi median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 24 | 16 | 28.7 |
| Citations per 100 beds | 29.5 | 24.0 | 19.2 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 4.0 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 52.9% | 52.9% | 44.4% | 45.8% |
| Fines listed | $8,018 | $8,542 | $8,224 | — |
County and state figures are medians across facilities (9 in the county, 202 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Mississippi average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 7 Nov 2024.
Severity mix: G ×1 D ×17 E ×6 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Jul 2026 |
| 4 Jun 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 Jul 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Apr 2026 |
| 5 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Apr 2026 |
| 5 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. | D | Standard survey | 6 Apr 2026 |
| 5 Mar 2026 | 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 | 6 Apr 2026 |
| 5 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Apr 2026 |
| 5 Mar 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 6 Apr 2026 |
| 5 Mar 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 6 Apr 2026 |
| 6 Jan 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Complaint investigation | 5 Feb 2026 |
| 7 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Dec 2024 |
| 7 Nov 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 | 4 Dec 2024 |
| 7 Nov 2024 | F0693 | 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. | D | Standard survey | 4 Dec 2024 |
| 7 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 4 Dec 2024 |
| 12 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Sep 2024 |
| 24 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 4 Jul 2024 |
| 13 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 Apr 2024 |
| 13 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 15 Apr 2024 |
| 11 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 23 Sep 2023 |
| 11 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 23 Sep 2023 |
| 23 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Mar 2023 |
| 23 Feb 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 29 Mar 2023 |
| 23 Feb 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 29 Mar 2023 |
| 23 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Mar 2023 |
| 23 Feb 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Mar 2023 |
| 23 Feb 2023 | F0758 | 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. | D | Standard survey | 29 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Sep 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Mississippi average. Turnover: nursing staff 52.9%, RNs 57.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Mississippi median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.7% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 1.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.7% | 18.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.7% | 6.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.7% | 20.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Wcrl, Llc. Chain: Briar Hill Management (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Briar Hill Management, LLC | Operational/managerial control | NOT APPLICABLE | 09/03/2003 |
| Briar Hill Management, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Omnicare LLC | Adp of the snf | NOT APPLICABLE | 05/01/2017 |
| Wcr LLC | Adp of the snf | NOT APPLICABLE | 01/28/2008 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hinds County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clinton Healthcare LLC - SNF | Clinton | 121 | 4 | 4 | 4 | 20 | 16.5 | — | 20 Nov 2025 |
| Compere Nh Inc | Jackson | 60 | 4 | 4 | 2 | 8 | 13.3 | — | 2 Jul 2025 |
| Magnolia Senior Care, LLC | Jackson | 60 | 4 | 3 | 3 | 12 | 20.0 | $9K | 16 Apr 2026 |
| Edgewood Health & Rehabilitationabuse iconSFF Candidate | Byram | 119 | 1 | 1 | 3 | 47 | 39.5 | $148K | 2 Mar 2026 |
| Pine Forest Health and Rehabilitationabuse icon | Jackson | 120 | 1 | 1 | 2 | 41 | 34.2 | $137K | 28 May 2026 |
| Pleasant Hills Community Living Center | Jackson | 100 | 1 | 2 | 3 | 24 | 24.0 | $140K | 23 Feb 2026 |
| Woodlands Rehabilitation and Healthcare Center | Clinton | 145 | 1 | 1 | 4 | 32 | 22.1 | $30K | 1 Jul 2026 |
| Alyce G Clarke Center For Medically Fragile Childr | Jackson | — | — | — | — | 0 | — | — | — |
All 9 facilities in Hinds County
Questions and answers
How many deficiencies has Willow Creek Retirement Center been cited for?
26 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Mississippi median is 16 per facility.
Has Willow Creek Retirement Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Willow Creek Retirement Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Mississippi median of 4.0 and a national average of 3.9.
Who operates Willow Creek Retirement Center?
It is part of the Briar Hill Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Briar Hill Management, LLC. Individual owners and managers are not listed on this site.
When was Willow Creek Retirement Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 5 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.