Jacob's Creek Nursing And Rehabilitation Center

    1721 Bald Hill Loop, Madison, NC, 27025
    3.8 · 5 reviews
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Caring staff but inconsistent assistance

    I like the warm, friendly staff - nurses are caring, patient, and often go above and beyond, and they're supportive with physical therapy. Meals look good, rooms are comfortable with space for belongings, and convenient on-site doctor visits (eye, foot, dentist, PCP) make care easy. That said, my dad is starting to dislike it: activities can be inaccessible, there aren't always enough staff, attention/assistance can be inconsistent, and there were extra laundry charges. Overall I trust and recommend the place for elderly or special-needs residents, but be ready to advocate for more hands-on help.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.80 · 5 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.2
    • Meals

      4.0
    • Amenities

      4.0
    • Value

      3.8

    Pros

    • Supportive, patient and encouraging staff
    • Strong physical therapy encouragement
    • Warm, friendly environment
    • Appropriate for elderly and special needs
    • Caring staff who meet residents' needs
    • Meals that appear appetizing
    • Two-person rooms with space for personal belongings
    • Convenient on-site doctor visits (eye, foot, dentist, primary care)
    • Staff described as loving and going above and beyond
    • Residents treated like family; strong endorsements and trust

    Cons

    • Clashes or poor fit between some residents
    • Some residents reported preexisting personal/mood issues
    • Activities exist but may be inaccessible to certain residents
    • Perceived understaffing and insufficient attention
    • Need for more hands-on assistance for some residents
    • Extra laundry charges

    Summary review

    Overall sentiment across the reviews is positive about the staff and the general atmosphere, with several reviewers expressing strong trust and endorsement of Jacob's Creek Nursing and Rehabilitation Center. Repeated praise centers on the staff’s demeanor — described as supportive, patient, caring, warm, friendly, loving, and willing to go above and beyond. Multiple reports indicate staff meet residents’ needs and treat residents like family, creating a comforting environment for elders and people with special needs. Physical therapy is specifically called out as encouraging and supportive, suggesting a focus on rehabilitation. Reviewers also note convenient medical access with on-site or coordinated visits for eye care, foot care, dental, and primary care services.

    Facilities and daily life details are portrayed positively in several comments. Meals are said to look good, rooms are typically two-person with space for personal belongings, and the overall setting is characterized as one person’s “nicest place I’ve ever been.” These points suggest reasonable accommodations and a homelike environment. The presence of activities is acknowledged, indicating some programming exists for residents’ engagement.

    However, several notable concerns recur and temper the overwhelmingly positive impressions. The most frequently mentioned downside is staffing — reviewers report not enough staff, insufficient attention, and a need for more assistance. This perceived understaffing appears linked to some residents being unable to access activities or receive as much individual attention as desired. Another theme is interpersonal fit: at least one review mentions that a resident did not get along with many other residents, and another notes the resident’s own miserable conditions, indicating that individual personality, preexisting mood or behavioral issues, or roommate compatibility can materially affect a resident’s experience.

    There are also a few operational or billing concerns: an extra laundry charge was mentioned explicitly, which may be an unexpected cost for some families. Additionally, one reviewer reported that their father was starting to not like the facility, which could reflect changes in a resident’s preferences over time, mismatches with peers or roommates, or reaction to institutional routines. These isolated negative notes do not negate the strong praise for staff but highlight variability in personal experiences.

    In summary, Jacob’s Creek is consistently highlighted for compassionate, engaged staff, a warm atmosphere, useful rehabilitation support, and convenient access to medical providers — all factors that lead multiple reviewers to trust and highly endorse the facility. The primary areas for improvement are staffing levels and ensuring activities and assistance are accessible to all residents, plus attention to roommate fit and transparent billing practices (e.g., laundry fees). Prospective residents and families should weigh the strong reports of caring personnel and convenient medical services against the potential for understaffing, activity accessibility issues, interpersonal conflicts among residents, and additional charges.

    Location

    Map showing location of Jacob's Creek Nursing And Rehabilitation Center

    About Jacob's Creek Nursing And Rehabilitation Center

    Jacob's Creek Nursing And Rehabilitation Center in Madison, North Carolina, is a skilled nursing facility that's got room for up to 170 residents, and usually around 136 people stay there each day, which means it's a busy place that's been around for a while under the same management, with Principle Long Term Care and the Hill family involved since 2011, and Melissa Ross-Merkel is the administrator, so there's some continuity in how things are run. It serves seniors who need a lot of care, especially those living with long-term illness, people recovering from being in the hospital, and folks with Alzheimer's disease or other forms of dementia, so there are different options depending on the needs-long-term care, short-term rehab, memory care units, and respite care for short stays. The staff includes licensed nurses and therapists who help with wound care, IV therapy, and physical, occupational, or speech therapy, and they also provide stroke care, cardiac and pulmonary care, and neurological support, plus the team works together to make sure every resident's care plan fits their needs and is reviewed by an interdisciplinary group who coordinate the medical, emotional, and social support.

    There are specialized areas meant to keep memory care residents safe by reducing confusion and preventing wandering, and they use technology like access controls and things like HEPA air scrubbers and cold plasma cleaning to keep the air clean and the place healthy, plus they work with university epidemiology experts to follow state and federal safety guidance, so masks and regular screenings happen when necessary. Life inside Jacob's Creek includes help with daily needs-like bathing, dressing, meals, and getting around-as well as activities that match people's interests, and there's a focus on comfort and dignity in the environment, with staff aiming to offer personalized support and respect for both physical and spiritual needs. The goal is to cut down on how often people have to go back to the hospital and to make moving between care settings as smooth as it can be, so the staff keeps up with everything that's needed for each person, 24 hours every day.

    Jacob's Creek has had some problems in the past, which you can read about in the inspection report from September 18, 2024, like issues with abuse and neglect protection, safe respiratory care, and food standards, with a total of 16 deficiencies noted, and nurse turnover's at 50 percent, while nurse staffing hours are a bit over three per resident per day. The nursing home belongs to a for-profit corporation, with ownership split between Principle IT Services, Inc. and Principle Long Term Care, Inc., and it's a member of the North Carolina Health Care Facilities Association. With memory care, a mix of therapies and social programs, and a plan for each resident's care, Jacob's Creek works to create a safe and welcoming place for seniors who need ongoing health support, and the aim is to deliver care with respect, routine safety practices, and a sense of community.

    People often ask...

    Nearby Communities

    • Aerial view of a three-story senior living facility with a front entrance, parking lot, and surrounding trees.
      $4,000+3.9 (15)
      1 Bedroom
      independent, assisted living, memory care

      The Barclay at Midlothian

      11210 Robious Road, Richmond, VA, 23235
    • Front exterior view of Julian Woods Retirement Community, a large three-story building with a covered entrance, multiple windows, and a parking lot with several parked cars in front. The sky is clear and blue.
      $5,112 – $6,645+4.7 (38)
      Semi-private • 1 Bedroom • Studio
      independent living, assisted living

      Julian Woods Retirement Community

      421 Overlook Rd Ext, Arden, NC, 28704
    • Front entrance of a brick multi-story building with a covered porte-cochère and a 'Brookdale' sign above the doors.
      $3,448 – $4,482+4.7 (112)
      Semi-private • Studio
      independent living, assisted living

      Brookdale Mt. Lebanon

      1050 McNeilly Rd, Pittsburgh, PA, 15226
    • Exterior view of Renaissance on Peachtree, a multi-story building with large windows and a covered entrance. The building is surrounded by trees and greenery under a partly cloudy blue sky.
      $5,300+4.3 (118)
      2 Bedroom
      independent living, assisted living

      Renaissance on Peachtree

      3755 Peachtree Rd NE, Atlanta, GA, 30319
    • Exterior view of a large, multi-story senior living facility building at dusk with lights on inside. In the foreground, there is a landscaped area with a sign that reads 'Legend Personal Care Memory Care' and the number 425. The building has multiple windows and a sloped roof.
      $5,725 – $7,442+4.3 (30)
      Semi-private • 1 Bedroom • Studio
      assisted living, memory care

      Legend at Silver Creek

      425 Lambs Gap Rd, Mechanicsburg, PA, 17050
    • Aerial view of a senior living facility named Montage Mason surrounded by green lawns, trees, parking lots, and nearby buildings under a clear sky.
      $4,395 – $5,274+4.5 (75)
      Semi-private
      assisted living, memory care

      Montage Mason

      5373 Merten Dr, Mason, OH, 45040

    Assisted Living in Nearby Cities

    1. 6 facilities$4,518/mo
    2. 7 facilities$4,494/mo
    3. 12 facilities$5,147/mo
    4. 5 facilities
    5. 17 facilities$4,413/mo
    6. 19 facilities$4,812/mo
    7. 14 facilities$4,199/mo
    8. 15 facilities$4,476/mo
    9. 2 facilities$6,629/mo
    10. 0 facilities
    11. 13 facilities$4,242/mo
    12. 0 facilities
    © 2025 Mirador Living