Jacob's Creek Nursing and Rehabilitation Center

    1721 Bald Hill Loop, Madison, NC 27025
    • Skilled Nursing
    4.3ยท34 reviews

    Warm attentive staff; excellent care

    I'm very pleased with this facility - the staff are warm, caring, and go above and beyond, from attentive nurses and a wonderful admissions director to quick responses and successful physical therapy. The place is clean and welcoming, meals are good, doctor visits are convenient, and I trust the team to treat residents like family.

    Loved one of resident
    Jul 2026

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    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

    Reviews

    4.29ยท(34)

    Overall rating

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

      3.9
    • Staff

      4.3
    • Meals

      4.3
    • Amenities

      3.5
    • Value

      4.3

    Pros

    • Compassionate, patient nursing staff
    • Supportive and effective physical therapy/rehab
    • Warm, welcoming social atmosphere
    • Clean, well-maintained interior spaces
    • Good-quality, appealing meals
    • On-site clinical services (eye, foot, dental, primary care)
    • Activities program available
    • Attentive admissions process
    • Caring and responsive administration
    • Thorough housekeeping and room maintenance
    • Two-person rooms with space for personal belongings
    • Successful therapy outcomes for some residents

    Cons

    • Inconsistent staffing levels and high frontline turnover
    • Delays in staff responsiveness and unreliable call access
    • Restricted resident access to personal communication devices
    • Gaps in supervision and monitoring leading to unexplained injuries or condition declines
    • Limited practical access to activities for some residents
    • Administrative communication delays and slow office follow-up
    • Unclear billing practices and additional resident fees
    • Dated facility infrastructure in portions of the building
    • Variability in care quality across units and shifts
    • Gaps in end-of-life communication and clinical continuity

    Summary of reviews

    Reviewers describe a facility with notable strengths in direct-care interactions, therapy services, and cleanliness, alongside recurrent operational challenges. Positive remarks center on a caring nursing culture: staff are often described as patient, compassionate, and attentive, and multiple accounts highlight successful physical therapy and rehabilitation progress. The admissions experience is frequently characterized as straightforward and well-managed, with an admissions director singled out for ease of placement. Housekeeping and dining receive positive mentions as wellโ€”common areas and rooms are described as clean, and meals are often characterized as good or very good. On-site clinical access (eye, podiatry, dental, primary care) and two-person rooms with space for personal items are additional practical strengths.

    At the same time, a pattern of staffing and communication weaknesses recurs across reviews. Several reviewers indicate inconsistent staffing levels and high turnover among frontline caregivers, producing uneven attention and increased responsibility for the remaining staff. This inconsistency is linked to delays in responding to resident requests and problems with residentโ€“staff communication systems, including restrictions or barriers to using personal phones. Administrative responsiveness is inconsistent as well: office calls and follow-up are described as slow in some accounts.

    Safety and care-continuity concerns emerge as operational themes rather than isolated incidents. Reviewers note instances of unexplained bruising or injury, rapid declines in condition for some residents, and family distress related to those changes; these comments suggest gaps in supervision, monitoring, and clinical-communication that prospective families should evaluate. Accessibility of the activities program also appears uneven: activities exist but some residents experience barriers to participation, often connected to staff availability or mobility support. Financial transparency is another area of concern, with at least one mention of additional laundry charges and a general sense that billing practices warrant clarification.

    The facilityโ€™s physical plant and unit-level experience are mixed: many describe a clean, welcoming environment, yet others call parts of the building dated. Overall impressions vary by unit and shift, leading to variability in day-to-day care quality. There are strong endorsements of individual staff members and departmentsโ€”particularly admissions and some nursing/therapy staffโ€”contrasted with significant operational issues that can affect familiesโ€™ experience over time. Prospective residents and families would be advised to ask targeted questions about current staffing ratios and turnover, phone/communication policies, activity access for residents with limited mobility, supervision and monitoring practices, end-of-life care communication, and specific billing items during tours and pre-admission discussions.

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    Medicare Ratings

    5ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

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

    Jacob's Creek Nursing and Rehabilitation Center is located at 1721 Bald Hill Loop, Madison, NC, 27025.

    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...

    Jacob's Creek Nursing and Rehabilitation Center offers skilled nursing.

    The full address for this community is 1721 Bald Hill Loop, Madison, NC 27025.

    No, Jacob's Creek Nursing and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Jacob's Creek Nursing and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Jacob's Creek Nursing and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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