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Jacob's Creek Nursing and Rehabilitation Center

All states › North Carolina › Madison › Jacob's Creek Nursing and Rehabilitation Center

1721 Bald Hill Loop Madison, NC 27025 · Rockingham County

(336) 548-9658

Accepts Medicare Accepts Medicaid 170 certified beds For profit

CMS certification number 345050 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Jacob's Creek Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Jacob's Creek Nursing and Rehabilitation Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the North Carolina average of 3.0. Inspectors issued 8 citations in the last three years. CMS imposed 3 penalties, including $16,801 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.62 hours per resident per day at Jacob's Creek Nursing and Rehabilitation Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 3.28 hours, 9% below its all-week average. 39.3% of nursing staff left within a year (North Carolina median 48.5%). 3 administrators left in the past year.

Nursing care per resident per day 3.62 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.34 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.28 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 39.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds170
Residents per day 151 About 89% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMay 1968
Part of a chainPrinciple Long Term Care
Legal business nameGRANITE FALLS LTC, LLC

Paying for care at Jacob's Creek Nursing and Rehabilitation Center: Medicare and Medicaid

Jacob's Creek Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 18, 2025 and found 0 deficiencies. In total, inspectors issued 8 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 8 citations at Jacob's Creek Nursing and Rehabilitation Center across 2 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 18, 2024 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (2) and quality of life and care (2). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, September 18, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

September 18, 2024 · 4 citations · includes complaint inspection

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Aug 5, 2024)

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Oct 11, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 11, 2024)

DProvide appropriate foot care.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0687 · Deficient, Provider has date of correction (Oct 11, 2024)

April 27, 2023 · 4 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 25, 2023)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (May 25, 2023)

DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0626 · Deficient, Provider has date of correction (May 25, 2023)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (May 25, 2023)

Questions to ask on a tour of Jacob's Creek Nursing and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on September 18, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on September 18, 2024. How are staff trained, and how are concerns reported?
  3. Several administrators left in the past year. What has changed for residents since then?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $16,801 in fines.

DateTypeAmount or length
Sep 18, 2024 Fine $4,017
Sep 18, 2024 Fine $12,784
Sep 18, 2024 Payment Denial 2 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 3/5 5/5
August 2026 5/5 4/5 3/5 5/5
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Location

Hospitals near Jacob's Creek Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Countryside Stokesdale · 9.4 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 60 beds · Medicaid
Eden Rehabilitation and Healthcare Center Eden · 12.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 112 beds · Medicaid
UNC Rockingham Rehab & Nursing Care Center Eden · 13.0 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 121 beds · Medicaid
Cypress Valley Center for Nursing and Rehabilitation Reidsville · 13.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 110 beds · Medicaid
Penn Nursing Center Reidsville · 13.3 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 82 beds · Medicaid

More nursing homes near Jacob's Creek Nursing and Rehabilitation Center ›   All nursing homes in Madison ›

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Other Principle Long Term Care nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/madison/jacobs-creek-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.