Willow Creek Nursing and Rehabilitation Center
2401 Wayne Memorial Drive, Goldsboro, NC 27534 · CCN 345113
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 200
- Avg residents/day
- 148.8
- Phone
- 9197362121
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-06 | 7 | 5.6 | 9.5 | +1.4 worse |
| 2 | 2023-11-30 | 8 | 7.2 | 9.8 | +0.8 worse |
| 3 | 2022-11-18 | 9 | 7.4 | 9.3 | +1.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.77 | 58.2% |
| RN staffing (reported) | 0.65 | 43.3% |
| Total nurse staffing (adjusted) | 3.78 | — |
Fines & penalties
- Total fines
- $6,570
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- PRINCIPLE LONG TERM CARE
- Facilities in chain
- 44
- Chain avg overall
- 3.10 / 5
Inspection citations (24)
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-24 · Health · corrected 2025-01-29
Potential for more than minimal harm
- DF0584Honor 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.2024-12-06 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-12-06 · Health · corrected 2024-05-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-06 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-06 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-06 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-12-06 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-12-06 · Health · corrected 2025-01-24
Potential for more than minimal harm
- FF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- DF0584Honor 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.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- BF0637Assess the resident when there is a significant change in condition2022-11-18 · Health · corrected 2022-12-22
Potential for minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- 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.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- EF0761Ensure 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.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-11-18 · Health · corrected 2022-12-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PRINCIPLE IT SERVICES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2011-01-01 |
| PRINCIPLE LONG TERM CARE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2011-01-01 |
| HILL, RAYMOND | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2011-01-01 |
| HILL, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2011-01-01 |
| HILL, STEPHEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2011-01-01 |
| PRINCIPLE LONG TERM CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-01-01 |
| HOOD, LYNN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-11-01 |
| BOICE, GALE | Individual | CORPORATE OFFICER | — | 2018-03-05 |
| HOOD, LYNN | Individual | CORPORATE OFFICER | — | 2017-11-01 |
| JOHNSON, DIANNE | Individual | CORPORATE OFFICER | — | 2011-01-01 |
Other facilities in Goldsboro
| Name | Overall | Beds |
|---|---|---|
| Goldsboro Rehabilitation and Healthcare Center | ★★★☆☆ | 130 |
| O'Berry Neuro-Medical Treatment Center | ★☆☆☆☆ | 144 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.