Willow Creek Retirement Center - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
255300
Provider Name
WILLOW CREEK RETIREMENT CENTER
Provider Address
49 WILLOW CREEK LANE
JACKSON, MS 39272
JACKSON, MS 39272
Provider Phone Number
6018634201
Provider SSA County
240
Provider County Name
Hinds
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WCRL, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35061
Reported LPN Staffing Hours per Resident per Day
1.29085
Reported RN Staffing Hours per Resident per Day
0.61037
Reported Licensed Staffing Hours per Resident per Day
1.90122
Reported Total Nurse Staffing Hours per Resident per Day
4.25183
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09512
Expected CNA Staffing Hours per Resident per Day
2.48966
Expected LPN Staffing Hours per Resident per Day
0.58254
Expected RN Staffing Hours per Resident per Day
0.90492
Expected Total Nurse Staffing Hours per Resident per Day
3.97712
Adjusted CNA Staffing Hours per Resident per Day
2.31666
Adjusted LPN Staffing Hours per Resident per Day
1.83919
Adjusted RN Staffing Hours per Resident per Day
0.50399
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30932
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Forest Hill Nursing Center Inc
927 Cooper Rd |
JACKSON MS 39212 | 4.2 miles away
Pleasant Hills Com Liv Center
1600 Raymond Rd |
JACKSON MS 39204 | 6.3 miles away
Chadwick Nursing And Rehabilitation Center Llc
1900 Chadwick Drive |
JACKSON MS 39204 | 6.7 miles away
Community Place
1129 Langley Ave |
JACKSON MS 39204 | 7.8 miles away
Trinity Mission Health & Rehab Of Clinton
102 Woodchase Park Drive |
CLINTON MS 39056 | 9.5 miles away
Compere Nh Inc
865 North Street |
JACKSON MS 39202 | 9.7 miles away
Belhaven Senior Care, Llc
1004 North St |
JACKSON MS 39202 | 9.9 miles away
Hinds County Nursing & Rehabilitation Ctr Llc
3454 Albermarle Rd |
JACKSON MS 39213 | 10.9 miles away
Magnolia Senior Care, Llc
3701 Peter Quinn Drive |
JACKSON MS 39213 | 11.6 miles away
Clinton Healthcare Llc - Snf
1251 Pinehaven Road |
CLINTON MS 39056 | 11.8 miles away
Lakeland Nursing And Rehabilitation Center Llc
3680 Lakeland Lane |
JACKSON MS 39216 | 12.1 miles away
Manhattan Nursing And Rehabilitation Center Llc
4540 Manhattan Rd |
JACKSON MS 39206 | 13 miles away
Cottage Grove Nursing Home
1116 Forest Avenue |
JACKSON MS 39206 | 13.1 miles away
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