Willow Creek Retirement Center

Nursing Home · Byram, MS

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number255300

Contact & location

49 Willow Creek Lane
Byram, MS 39272
Hinds County
Phone
(601) 863-4201
ZIP code
39272 – all care providers

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Facility details

Certified beds
88
Residents per day
79.3 (90% occupied)
Ownership
For profit - Limited Liability company
Legal name
Wcrl, LLC
Chain
Briar Hill Management (6 facilities, avg 3.2★)
Medicare certified since
August 1, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.8
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.8
Quality measures★★★★★ 2/5
State avg 2.2
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.05 (state 4.18 · U.S. 3.86)
Registered nurses (RN)
0.55 (state 0.64 · U.S. 0.69)
Licensed practical nurses
1.09 (state 1.11 · U.S. 0.86)
Nurse aides
2.41 (state 2.43 · U.S. 2.32)
Weekend total
3.64 (state 3.51 · U.S. 3.42)
Nursing staff turnover
52.9 (state 45.7 · U.S. 45.8)%
RN turnover
57.1 (state 38.4 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 5, 2026
Health deficiencies (last cycle)
10.0 (state 6.7 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
26 health · 2 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-04 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-06-04 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-03-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-03-05 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-03-05 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-03-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-03-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-03-05 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-03-05 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-06
2026-01-06 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-05
2024-11-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-04
2024-11-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-04
2024-11-07 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-04
2024-11-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-04
2024-09-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-09-05
2024-05-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-04
2024-03-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-15
2024-03-13 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-15
2023-08-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-23
2023-08-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-23
2023-02-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-29
2023-02-23 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-29
2023-02-23 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-29
2023-02-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-29
2023-02-23 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-29
2023-02-23 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-29

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,018 in fines.

DateTypeAmount
2024-09-12Fine$8,018

Ownership & management

NameRoleSince
Briar Hill Management, LLC (organization)Administrator · NOT APPLICABLE
Burlison, Sandy (individual)Administrator · NOT APPLICABLE
Burns, Sharon (individual)Administrator · NOT APPLICABLE
Estes, Timothy (individual)Administrator · NOT APPLICABLE
Green, Donna (individual)Administrator · NOT APPLICABLE
King, Curtis (individual)Administrator · NOT APPLICABLE
Muha, Ashley (individual)Administrator · NOT APPLICABLE
Omnicare LLC (organization)Administrator · NOT APPLICABLE
Philippe, Lynn (individual)Administrator · NOT APPLICABLE
Rotolo, David (individual)Administrator · NOT APPLICABLE
Rotolo, Robert (individual)Administrator · NOT APPLICABLE
Rubertino, Frosini (individual)Administrator · NOT APPLICABLE
Walters, Johnnie (individual)Administrator · NOT APPLICABLE
WCR LLC (organization)Administrator · NOT APPLICABLE
White, Deborah (individual)Administrator · NOT APPLICABLE
Whitlow, Carrie (individual)Administrator · NOT APPLICABLE
Philippe, Lynn (individual)Direct Ownership Interest · NOT APPLICABLE
Rotolo, David (individual)Direct Ownership Interest · NOT APPLICABLE
Rotolo, Robert (individual)Direct Ownership Interest · NOT APPLICABLE
Briar Hill Management, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Burlison, Sandy (individual)Operational/managerial Control · NOT APPLICABLE
Burns, Sharon (individual)Operational/managerial Control · NOT APPLICABLE
Green, Donna (individual)Operational/managerial Control · NOT APPLICABLE
King, Curtis (individual)Operational/managerial Control · NOT APPLICABLE
Muha, Ashley (individual)Operational/managerial Control · NOT APPLICABLE
Rotolo, David (individual)Operational/managerial Control · NOT APPLICABLE
Rotolo, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Walters, Johnnie (individual)Operational/managerial Control · NOT APPLICABLE
White, Deborah (individual)Operational/managerial Control · NOT APPLICABLE
Whitlow, Carrie (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Willow Creek Retirement Center?

Willow Creek Retirement Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.8-star average in Mississippi.

How many beds does Willow Creek Retirement Center have?

It has 88 certified beds and cares for about 79 residents per day.

Has Willow Creek Retirement Center been fined?

Yes. CMS lists 1 penalty totaling $8,018 in the last three years.

Who owns Willow Creek Retirement Center?

It is part of Briar Hill Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Willow Creek Retirement Center?

(601) 863-4201. The facility is located at 49 Willow Creek Lane, Byram, MS 39272.

Other nursing homes in Byram

Compare all nursing homes in Byram, MS →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.