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C
Below Standard

WILLOW CREEK RETIREMENT CENTER

49 WILLOW CREEK LANE · BYRAM, MS 39272

6018634201 · For profit - Limited Liability company

88 beds80.7 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WILLOW CREEK RETIREMENT CENTER receives an overall staffing grade of C (Below Standard). With 3.9235 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.522 HPRD, below the recommended 0.75. It is 0.03 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 10.61% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.522 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.9235hrs/resident/day▲ 0.03
CMS benchmark: 3.48
RN HPRD
0.522hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
10.61%
4.0448 weekday → 3.6155 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1751hrs/resident/day
Direct care aides
LPN HPRD
1.2264hrs/resident/day
Licensed practical nurses
Consistency
0.2984std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hinds County Average-0.20 HPRD
4.12
03.92 HPRD
vs. Mississippi State Average-0.29 HPRD
4.21
03.92 HPRD
vs. National Average+0.03 HPRD
3.90
03.92 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WILLOW CREEK RETIREMENT CENTER ★
BYRAM · This facility
—
C
3.92350.522★★★☆☆
EDGEWOOD HEALTH & REHABILITATION
BYRAM
2.2 mi
D
4.81310.3078★☆☆☆☆
PLEASANT HILLS COM LIV CENTER
JACKSON
4.5 mi
B
3.83550.6126★★☆☆☆
CHADWICK COMMUNITY CARE CENTER
JACKSON
4.9 mi
C
3.01440.533★☆☆☆☆
Methodist Specialty Care Center
FLOWOOD
7.2 mi
A+
6.96821.6648★★★★★
WOODLANDS REHABILITATION AND HEALTHCARE CENTER
CLINTON
7.7 mi
B
3.80320.653★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
23
Total Deficiencies
$8,018
Fines Assessed
Nov 7, 2024Health
4 deficiencies cited
▼
Sep 12, 2024Health
1 deficiency cited· Includes actual harm
▼
May 24, 2024Health
1 deficiency cited
▼
Mar 13, 2024Health
2 deficiencies cited
▼
Aug 11, 2023Health
2 deficiencies cited
▼
Feb 23, 2023Health
6 deficiencies cited
▼
Oct 3, 2019Health
7 deficiencies cited
▼

Penalty History

Sep 12, 2024Fine
$8,018
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.