nursing home in Byram, MS
Willow Creek Retirement Center
49 Willow Creek Lane, Byram, MS 39272 · (601) 863-4201
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willow Creek Retirement Center at a glance
Willow Creek Retirement Center is a 88-bed for-profit nursing home in Byram, Mississippi (Hinds County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Mississippi average of 2.7.
Residents receive about 4.1 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 4.2 hours.
Its most recent standard health inspection (March 5, 2026) found 10 health citations. The Mississippi average is 6.9.
Federal regulators fined it 1 time in the past three years, totaling $8,018.
Nursing staff turnover is 52.9% per year (state average 45.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 88
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Briar Hill Management
- Medicare-certified since
- August 1, 2003
- Resident/family council
- Resident
- County
- Hinds County
- CMS Certification Number
- 255300
Ratings
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.8 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.2 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.05 hrs | 4.18 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.55 hrs | 0.64 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.41 hrs | 2.43 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.64 hrs | 3.50 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 52.9% | 45.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 38.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 56 | 61.2 | 80.6 | Better |
Penalties
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,018 | $17,231 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 88 | 87 | 107 | |
| Average residents per day | 79 | 74 | 86 | |
| Occupancy | 90.1% | 85.7% | 80.9% |
Long-stay residents
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 11.7% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 31.7% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.2% | 1.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 32.7% | 20.5% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.7% | 19.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.4% | 6.2% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 1.9% | 1.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.3% | 23.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.8% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.9% | 97% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.7% | 2.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96.7% | 84.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected July 9, 2026 |
| June 4, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 9, 2026 |
| March 5, 2026 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | F Potential harm, widespread | Corrected April 6, 2026 |
| March 5, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 6, 2026 |
| March 5, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 5, 2026 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 5, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 5, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 5, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 5, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 6, 2026 |
| January 6, 2026 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | E Potential harm, pattern | Corrected February 5, 2026 |
| November 7, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 4, 2024 |
| November 7, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected December 4, 2024 |
| November 7, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 4, 2024 |
| November 7, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 4, 2024 |
| September 12, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 5, 2024 |
| May 24, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected July 4, 2024 |
| March 13, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 15, 2024 |
| March 13, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 15, 2024 |
| February 23, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 23, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 29, 2023 |
| February 23, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected March 29, 2023 |
| February 23, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 23, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 23, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 23, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected March 29, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,018 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 12, 2024 | Fine | $8,018 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BRIAR HILL MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| BURLISON, SANDY Individual | adp of the snf | NOT APPLICABLE | 02/25/2019 |
| BURNS, SHARON Individual | adp of the snf | NOT APPLICABLE | 01/28/2008 |
| ESTES, TIMOTHY Individual | adp of the snf | NOT APPLICABLE | 11/11/2008 |
| GREEN, DONNA Individual | adp of the snf | NOT APPLICABLE | 05/04/2010 |
| KING, CURTIS Individual | adp of the snf | NOT APPLICABLE | 09/01/2016 |
| MUHA, ASHLEY Individual | adp of the snf | NOT APPLICABLE | 10/04/2010 |
| OMNICARE LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2017 |
| PHILIPPE, LYNN Individual | adp of the snf | NOT APPLICABLE | 01/28/2008 |
| ROTOLO, DAVID Individual | adp of the snf | NOT APPLICABLE | 01/28/2008 |
| ROTOLO, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/28/2008 |
| RUBERTINO, FROSINI Individual | adp of the snf | NOT APPLICABLE | 09/18/2017 |
| WALTERS, JOHNNIE Individual | adp of the snf | NOT APPLICABLE | 01/12/2026 |
| WCR LLC Organization | adp of the snf | NOT APPLICABLE | 01/28/2008 |
| WHITE, DEBORAH Individual | adp of the snf | NOT APPLICABLE | 05/12/2014 |
| WHITLOW, CARRIE Individual | adp of the snf | NOT APPLICABLE | 09/05/2022 |
| PHILIPPE, LYNN Individual | direct ownership interest | NOT APPLICABLE | 01/28/2008 |
| ROTOLO, DAVID Individual | direct ownership interest | NOT APPLICABLE | 01/28/2008 |
| ROTOLO, ROBERT Individual | direct ownership interest | NOT APPLICABLE | 01/28/2008 |
| BRIAR HILL MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 09/03/2003 |
| BURLISON, SANDY Individual | operational/managerial control | NOT APPLICABLE | 02/25/2019 |
| BURNS, SHARON Individual | operational/managerial control | NOT APPLICABLE | 01/28/2008 |
| GREEN, DONNA Individual | operational/managerial control | NOT APPLICABLE | 05/04/2010 |
| KING, CURTIS Individual | operational/managerial control | NOT APPLICABLE | 09/01/2016 |
| MUHA, ASHLEY Individual | operational/managerial control | NOT APPLICABLE | 10/04/2010 |
| ROTOLO, DAVID Individual | operational/managerial control | NOT APPLICABLE | 01/28/2008 |
| ROTOLO, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 01/28/2008 |
| WALTERS, JOHNNIE Individual | operational/managerial control | NOT APPLICABLE | 01/12/2026 |
| WHITE, DEBORAH Individual | operational/managerial control | NOT APPLICABLE | 05/12/2014 |
| WHITLOW, CARRIE Individual | operational/managerial control | NOT APPLICABLE | 09/05/2022 |
Other nursing homes near Willow Creek Retirement Center
Edgewood Health & Rehabilitation
205 Byram Parkway, Byram, MS 39272 · 2.2 mi
For-profit · 119 beds
- Special Focus candidate
- Abuse citation
★★★★★1Much below averagePleasant Hills Community Living Center
1600 Raymond Rd, Jackson, MS 39204 · 4.5 mi
For-profit · 100 beds · Part of Community Eldercare Services
★★★★★1Much below average- ★★★★★1Much below average
Methodist Sepcialty Care Center
1 Layfair Drive Suite 500, Flowood, MS 39232 · 7.2 mi
Non-profit · 60 beds
- CMS high performer
★★★★★5Much above averageWoodlands Rehabilitation and Healthcare Center
102 Woodchase Park Drive, Clinton, MS 39056 · 7.7 mi
For-profit · 145 beds · Part of Nexion Health
★★★★★1Much below averageCompere NH INC
865 North Street, Jackson, MS 39202 · 8.3 mi
For-profit · 60 beds · Part of Trend Consultants
★★★★★4Above average
Frequently asked questions
What is Willow Creek Retirement Center's rating?
Willow Creek Retirement Center has 2 out of 5 stars on the CMS overall star rating. The average for Mississippi nursing homes is 2.7 stars.
How many inspection citations did Willow Creek Retirement Center receive?
Its most recent standard health inspection found 10 citations, compared with a Mississippi average of 6.9. Every citation is listed on this page with its severity.
Does Willow Creek Retirement Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willow Creek Retirement Center?
It is for profit - limited liability company and part of Briar Hill Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willow Creek Retirement Center and how do I contact it?
Willow Creek Retirement Center is at 49 Willow Creek Lane, Byram, MS 39272. Phone: (601) 863-4201.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.