Federal inspection record · CMS data as of October 1, 2026
Willow Creek Retirement Center
49 Willow Creek Lane, Byram, MS · (601) 863-4201
- Certified beds
- 88
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Briar Hill Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 2003
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Mississippi homes
Willow Creek Retirement Center carries 59 inspection points. That is fewer than 33% of Mississippi's 199 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–30 pts
- 3★ 30–47 pts
- 2★ 47–78.5 pts
- 1★ over 78.5 pts
Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
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.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights4E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Pharmacy Service3D
- D
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.
- D
Ensure that residents are free from significant medication errors.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-05
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-11-07
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-02-23
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 41 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 41 min
Mississippi average
4 h 12 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 54% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,018 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-12 | Fine | $8,018 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.5 | 2.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.7 | 2.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 100.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 98.7% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.8% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts better | 0.4% | 1.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 6.2% | 6.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 22.5% | 23.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.6 pts worse | 31.4% | 21.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.3 pts worse | 28.6% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.1 pts worse | 32.4% | 20.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.6% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.7% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.3 pts worse | 29.2% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts worse | 10.0% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11 pts better | 100.0% | 89.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse | 16.4% | 15.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 1.6% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.6 pts better | 98.6% | 85.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse | 29.9% | 27.1% | 23.4% |
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Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Briar Hill Management, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Briar Hill Management, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Burlison, Sandy | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Burlison, Sandy | Adp Of The SNF · Individual | 0% | 6 facilities |
| Burns, Sharon | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Burns, Sharon | Adp Of The SNF · Individual | 0% | 6 facilities |
| Estes, Timothy | Adp Of The SNF · Individual | 0% | 16 facilities |
| Green, Donna | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Green, Donna | Adp Of The SNF · Individual | 0% | 6 facilities |
| King, Curtis | Operational/Managerial Control · Individual | 0% | 6 facilities |
| King, Curtis | Adp Of The SNF · Individual | 0% | 6 facilities |
| Muha, Ashley | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Muha, Ashley | Adp Of The SNF · Individual | 0% | 6 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Philippe, Lynn | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Philippe, Lynn | Adp Of The SNF · Individual | 0% | 6 facilities |
| Rotolo, David | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Rotolo, David | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Rotolo, David | Adp Of The SNF · Individual | 0% | 6 facilities |
| Rotolo, Robert | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Rotolo, Robert | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Rotolo, Robert | Adp Of The SNF · Individual | 0% | 6 facilities |
| Rubertino, Frosini | Adp Of The SNF · Individual | 0% | 6 facilities |
| Walters, Johnnie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Walters, Johnnie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wcr LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| White, Deborah | Operational/Managerial Control · Individual | 0% | 6 facilities |
| White, Deborah | Adp Of The SNF · Individual | 0% | 6 facilities |
| Whitlow, Carrie | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Whitlow, Carrie | Adp Of The SNF · Individual | 0% | 6 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1F
- F
Meet requirements for the use of electrical equipment.
Emergency Preparedness1D
- D
Conduct testing and exercise requirements.
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Other homes nearby
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Edgewood Health & Rehabilitation
Byram, MS · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 3 min
- Fines
- $136,131
-
Pleasant Hills Community Living Center
Jackson, MS · Community Eldercare Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 48 min
- Fines
- $119,077
-
Chadwick Community Care Center
Jackson, MS
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $8,281