Starfile / Mississippi

WILLOW CREEK RETIREMENT CENTER

49 WILLOW CREEK LANE, BYRAM, MS 39272 · CCN 255300

Inspection history vs Mississippi & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$8,018

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

BRIAR HILL MANAGEMENT

Facilities in chain

6

Chain avg overall

2.80 / 5

Inspection citations (24)1 actual harm

1. EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2026-01-06 · Health · corrected 2026-02-05

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-07 · Health · corrected 2024-12-04

   Potential for more than minimal harm

3. DF0693Ensure 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.2024-11-07 · Health · corrected 2024-12-04

   Potential for more than minimal harm

4. DF0760Ensure that residents are free from significant medication errors.2024-11-07 · Health · corrected 2024-12-04

   Potential for more than minimal harm

5. EF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-12-04

   Potential for more than minimal harm

6. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-12 · Health · corrected 2024-09-05

   Actual harm

7. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-24 · Health · corrected 2024-07-04

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-13 · Health · corrected 2024-04-15

   Potential for more than minimal harm

9. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-13 · Health · corrected 2024-04-15

   Potential for more than minimal harm

10. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-11 · Health · corrected 2023-09-23

    Potential for more than minimal harm

11. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-11 · Health · corrected 2023-09-23

    Potential for more than minimal harm

12. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-02-23 · Health · corrected 2023-03-29

    Potential for more than minimal harm

13. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-02-23 · Health · corrected 2023-03-29

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-23 · Health · corrected 2023-03-29

    Potential for more than minimal harm

15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-02-23 · Health · corrected 2023-03-29

    Potential for more than minimal harm

16. DF0758Implement 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.2023-02-23 · Health · corrected 2023-03-29

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-23 · Health · corrected 2023-03-29

    Potential for more than minimal harm

18. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

19. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

20. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

22. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

23. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

24. EF0880Provide and implement an infection prevention and control program.2019-10-03 · Health · corrected 2019-11-01

    Potential for more than minimal harm

Ownership

Other facilities in BYRAM

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.