Jacob'S Creek Nursing And Rehabilitation Center
1721 Bald Hill Loop, Madison, NC, 27025
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Principle Long Term Care
- Certified beds
- 170 · avg 150 residents/day
- Total nursing staff turnover
- 43.1% — lower than most North Carolina nursing homesNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 20% — lower than most North Carolina nursing homesNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $16,801 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 345050
- Certified beds
- 170 beds · avg 150 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Granite Falls Ltc, Llc
- Chain affiliation
- Principle Long Term Care
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Principle Long Term Care chain — 44 facilities across 3 states. Chain-wide average overall rating 3.1 / 5.
Parent entity
Principle Long Term Care, Inc.
Disclosed owners (9 on record)
- James Walter Goforth
Adp of The Snf · since 2025
- Kathleen s Wilson
Adp of The Snf · since 2025
- Principle Long Term Care, Inc.
Adp of The Snf · since 2025
- Gale r Boice
Corporate Officer · since 2018
- Dianne Johnson
Corporate Officer · since 2011
- Principle it Services, Inc.
5% or Greater Direct Ownership Interest · 50% · since 2011
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 8)
- J0600·Sep 18, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0812·Sep 18, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0695·Sep 18, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0687·Sep 18, 2024
Quality of Life and Care Deficiencies
Provide appropriate foot care.
- D0867·Apr 27, 2023
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D0626·Apr 27, 2023
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D0609·Apr 27, 2023
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0550·Apr 27, 2023
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20242 fines · $17K · 1 payment denial
Most recent events
- Sep 18, 2024Payment denial · 2 days · starting Oct 9, 2024
- Sep 18, 2024Fine · $13K
- Sep 18, 2024Fine · $4,017
Largest single fine on record: $13K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Sep 18, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Jacob's Creek Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.