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Willow Creek Retirement Center in Byram, MS
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Ratings Deep Dive
5Deficiencies found in last inspections
1Penalties in last 3 years
1Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| F656 | Nov 7, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| F760 | Nov 7, 2024 | Ensure that residents are free from significant medication errors. | D |
| F880 | Nov 7, 2024 | Provide and implement an infection prevention and control program. | E |
| F693 | Nov 7, 2024 | 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. | D |
| F689 | Sep 12, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
0.5RN Hours / Resident / Day
3.9Total Nurse Hours / Resident / Day
40.0%RN Turnover Rate
1.0Long-Stay QM Rating
3.0Short-Stay QM Rating
80.7Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTPHILIPPE, LYNN
5% OR GREATER DIRECT OWNERSHIP INTERESTROTOLO, DAVID
5% OR GREATER DIRECT OWNERSHIP INTERESTROTOLO, ROBERT
OPERATIONAL/MANAGERIAL CONTROLBRIAR HILL MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROLBURLISON, SANDY
OPERATIONAL/MANAGERIAL CONTROLBURNS, SHARON
OPERATIONAL/MANAGERIAL CONTROLCLAYTON, JOSHUA
OPERATIONAL/MANAGERIAL CONTROLCOOPER, SHEILA
OPERATIONAL/MANAGERIAL CONTROLGREEN, DONNA
OPERATIONAL/MANAGERIAL CONTROLKING, CURTIS
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Sep 12, 2024 | Fine | $8,018 |
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