All states › North Carolina › Madison › Jacob's Creek Nursing and Rehabilitation Center
1721 Bald Hill Loop Madison, NC 27025 · Rockingham County
CMS certification number 345050 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
EProvide safe and appropriate respiratory care for a resident when needed.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide appropriate foot care.
April 27, 2023 · 4 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Questions to ask on a tour of Jacob's Creek Nursing and Rehabilitation Center
- 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?
- CMS cited the home under its abuse and neglect rules on September 18, 2024. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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13.0 mi
UNC Rockingham EdenEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 7m for patients treated and sent home
- 18.5 mi
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19.9 mi
Moses H Cone Memorial Hospital, the GreensboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Principle Long Term Care nursing homes in North Carolina
- Carolina Rivers Nursing and Rehabilitation Center · Jacksonville · 5 stars
- Maple Grove Health and Rehabilitation Center · Greensboro · 5 stars
- Grantsbrook Nursing and Rehabilitation Center · Grantsboro · 5 stars
- Kerr Lake Nursing and Rehabilitation Center · Henderson · 4 stars
- Lake Park Nursing and Rehabilitation Center · Indian Trail · 4 stars
- Bethany Woods Nursing and Rehabilitation Center · Albemarle · 4 stars
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.