WILLOW CREEK RETIREMENT CENTER
WILLOW CREEK RETIREMENT CENTER is a 88-bed nursing home in BYRAM, Mississippi. CMS has certified it for Medicare and Medicaid since 2003-08-01. It averages 79.3 residents a day.
What harm was found in the violations cited at WILLOW CREEK RETIREMENT CENTER?
CMS lists 26 health-inspection deficiencies for WILLOW CREEK RETIREMENT CENTER since 2023-02-23, 20 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-04 | F0600, F0602 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2026-03-05 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2026-03-05 | F0558, F0584, F0656, F0690, F0761, F0867 | Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
| 2026-01-06 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E |
| 2024-11-07 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-11-07 | F0656, F0693, F0760 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure that residents are free from significant medication errors. | D |
| 2024-09-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-05-24 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-03-13 | F0686, F0690 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 |
| 2023-08-11 | F0600, F0656 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2023-02-23 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-02-23 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E |
| 2023-02-23 | F0561, F0677, F0690, F0758 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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 |
Why was WILLOW CREEK RETIREMENT CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2024-09-12 | Fine | $8,018 |
How is WILLOW CREEK RETIREMENT CENTER staffed relative to the MS average?
| Measure | This facility | MS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.05014 | 4.17985 |
| Total nursing staff turnover (%) | 52.9 | 45.7 |
| Average number of residents per day | 79.3 | 73.7 |
Who owns WILLOW CREEK RETIREMENT CENTER, and what chain is it in?
WILLOW CREEK RETIREMENT CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name WCRL, LLC and belongs to the BRIAR HILL MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | PHILIPPE, LYNN, ROTOLO, DAVID, ROTOLO, ROBERT | since 01/28/2008 |
| OPERATIONAL/MANAGERIAL CONTROL | BRIAR HILL MANAGEMENT, LLC, BURLISON, SANDY, BURNS, SHARON, GREEN, DONNA, KING, CURTIS, MUHA, ASHLEY, ROTOLO, DAVID, ROTOLO, ROBERT, WALTERS, JOHNNIE, WHITE, DEBORAH, WHITLOW, CARRIE | since 01/12/2026 |
| ADP OF THE SNF | BRIAR HILL MANAGEMENT, LLC, OMNICARE LLC, WCR LLC, BURLISON, SANDY, BURNS, SHARON, ESTES, TIMOTHY, GREEN, DONNA, KING, CURTIS, MUHA, ASHLEY, PHILIPPE, LYNN, ROTOLO, DAVID, ROTOLO, ROBERT, RUBERTINO, FROSINI, WALTERS, JOHNNIE, WHITE, DEBORAH, WHITLOW, CARRIE | since 01/12/2026 |
Were you or a family member harmed at WILLOW CREEK RETIREMENT CENTER?