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.
