Willow Creek Retirement Center

Nursing Home, Memory Care & Skilled Nursing · Byram, MS

CMS overall rating

49 Willow Creek Lane, Byram, MS 39272 View map

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Willow Creek Retirement Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Willow Creek Retirement Center accepts Medicaid, Medicare, and private pay.

Overview of Willow Creek Retirement Center

Willow Creek Retirement Center is an 88-bed nursing home at 49 Willow Creek Lane, Byram, Hinds County, Mississippi, 2.5 miles from the city center. WCRL, LLC owns the facility. Joshau Clayton administers. The facility is CMS-certified, accepts Medicare and Medicaid, and operates Monday through Friday, 8am to 4:30pm CST.

Services listed: physician services, 24-hour nursing care, physical therapy, occupational therapy, speech therapy, laundry, housekeeping, multi-denominational religious services, barber and beauty shop, and a secured dementia unit. Amenities: private and semi-private rooms and phone connections. Staffing data raises immediate concerns. Registered Nurse hours per resident per day: 31 minutes, 18% below Mississippi average.

This is below-average RN presence for clinical oversight and decision-making. Nurse Aide hours: 2 hours 10 minutes, 13% below state average, meaning below-average direct assistance for bathing, dressing, feeding, and mobility. Physical Therapist hours: 1 minute per day, 50% below Mississippi average, suggesting minimal therapy availability despite listing physical therapy as a service. Weekend RN coverage: 18 minutes, 18% below state average; markedly reduced clinical supervision on weekends.

Quality measures show material deficiencies in care outcomes. Long-stay hospitalizations: 3.74 per 1,000 resident days, 53% worse than Mississippi average of 2.44. This elevated rate suggests problems in preventive care, medication management, infection control, or resident monitoring. Long-stay emergency department visits: 3.09 per 1,000 days, 7% worse than state average.

Short-stay falls with major injury: 1.8%, 138% worse than Mississippi average of 0.8%. This is a severe deficiency; fall injury rates nearly three times the state norm indicate inadequate environmental safety measures, insufficient supervision, or failure to assess fall risk.

Conversely, short-stay discharge outcomes are above average: 70.4% of residents meet or exceed expected functional ability at discharge (state average 53.7%), and 57.1% successfully return to home or community (state average 50.6%). This suggests effective short-term rehabilitation for appropriate candidates, contrasting sharply with poor outcomes for long-stay residents.

Walk score 1 indicates extreme car-dependence; residents cannot meet basic needs on foot.

Willow Creek appears in CMS data without an assigned star rating, limiting transparency on inspection compliance history. The facility shows zero fines and no citation data in available comparison tables, but absence of data does not reflect positive compliance; CMS inspection records are not displayed in this profile. Families should request complete inspection records from CMS and Mississippi State Department of Health, including all deficiency findings, citations, complaint investigations, and corrective action plans.

Questions should address: RN staffing justification given below-average hours; protocols for weekend clinical coverage with minimal RN presence; fall prevention protocols and incident tracking given 138% worse-than-average major injury rate; medication management oversight; infection control measures and recent outbreak history; physical therapy availability versus listed services; infection rates and antibiotic-resistant pathogen status; administrator response to quality measure gaps; and corrective action completion status for any substantiated deficiencies. Request patient safety incident reports and mortality data.

Families evaluating Willow Creek should weigh elevated long-stay hospitalization and fall injury rates against documented short-stay rehabilitation success before placement.

Facility Direct Line (601) 863-4201

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

5h 11m per day

vs avg

4 of 6 metrics below state avg

Standout metric Weekend Total Nursing is +6% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	31m per day	▼ 17% State avg: 38m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 9m per day	▲ 4% State avg: 1h 6m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 22m per day	▼ 5% State avg: 2h 29m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 43m per day	▲ 6% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 60% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	19m per day	▼ 12% State avg: 22m per day · National avg: 28m per day

Capacity and availability

186 days

88-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 1 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

97%

Higher than the Mississippi average: 82.3%

Occupied beds

85 / 88

Average occupied beds in Mississippi homes 74 beds

Facility TypeNursing Home Facilities

CountyHinds

Willow Creek Retirement Center is administered by Joshau Clayton.

Owner NameWcrl, LLC

Accept Medicaid

Accept Medicare

Rehabilitation Services

24-Hour Staffing

Private And Semi-Private Rooms

Phone Connections

Religious Services

Touring Hours8 a.m. - 4:30 p.m. CST Mon. - Fri

Since 2019 · 7 years of data 24 deficiencies 8 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Mississippi state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Mississippi state average

Overall vs. MS average

Latest Inspection January 6, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MS Average	vs. MS Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	24	45	This facility has 47% fewer total deficiencies than a typical Mississippi assisted living residence (24 vs. MS avg 45).↓ 47% better
Deficiencies per year Average deficiencies per year since 2019.	3.4	6.4	This facility has 47% fewer deficiencies per year than a typical Mississippi assisted living residence (3.4 vs. MS avg 6.4).↓ 47% better
Deficiencies per inspection Average deficiencies per inspection.	3	3	This facility has deficiencies per inspection in line with the Mississippi average (3 vs. MS avg 3).— At avg

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MS Average	vs. MS Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	8	15	This facility has had 47% fewer total inspections than the Mississippi average (8 vs. MS avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 47% fewer

Show Inspection Reports

Inspections since 2019

Total health inspections 6

State average N/A

Last Health inspection on Nov 2024

Total health citations

State average N/A

Citations per inspection

3.5

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 21 citations resulted from standard inspections; and 4 of 21 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

20 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Infection Control moderate citation Nov 07, 2024

Corrected

Pharmacy moderate citation Nov 07, 2024

Corrected

Quality of Care moderate citation Nov 07, 2024

Corrected

Care Planning moderate citation Nov 07, 2024

Corrected

Total staff 111

Employees 96

Contractors 15

Staff to resident ratio 1.42 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 50

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 36,397

Nursing staff breakdown

7.3 hours

8 hours

7.7 hours

Contractor staffing

3,374 contractor hours this quarter

Speech Language Pathologist: 6 Physical Therapy Assistant: 3 Physical Therapy Aide: 3 Qualified Social Worker: 2 Respiratory Therapy Technician: 1

Staff by category


Certified Nursing Assistant	49	0	49	18,134	92	100%	7.7
Licensed Practical Nurse	26	0	26	8,273	92	100%	8
Registered Nurse	13	0	13	2,405	91	99%	7.3
Speech Language Pathologist	0	6	6	1,376	80	87%	10.2
Other Dietary Services Staff	2	0	2	1,072	92	100%	8
Clinical Nurse Specialist	2	0	2	968	74	80%	7.6
Physical Therapy Aide	0	3	3	717	71	77%	10.1
Nurse Practitioner	1	0	1	636	64	70%	9.9
Physical Therapy Assistant	0	3	3	608	64	70%	9.1
Qualified Social Worker	0	2	2	571	74	80%	7.4
Dental Services Staff	1	0	1	542	62	67%	8.7
RN Director of Nursing	1	0	1	498	63	68%	7.9
Administrator	1	0	1	496	62	67%	8
Respiratory Therapy Technician	0	1	1	103	50	54%	2.1

49 Certified Nursing Assistant

% of Days 100%

26 Licensed Practical Nurse

% of Days 100%

13 Registered Nurse

% of Days 99%

6 Speech Language Pathologist

% of Days 87%

2 Other Dietary Services Staff

% of Days 100%

2 Clinical Nurse Specialist

% of Days 80%

3 Physical Therapy Aide

% of Days 77%

1 Nurse Practitioner

% of Days 70%

3 Physical Therapy Assistant

% of Days 70%

2 Qualified Social Worker

% of Days 80%

1 Dental Services Staff

% of Days 67%

1 RN Director of Nursing

% of Days 68%

1 Administrator

% of Days 67%

1 Respiratory Therapy Technician

% of Days 54%

View All Staffing Data

Total fines amount $8K

80% lower than State average

State average: $39K

Number of fines 1

50% fewer fines than State average

State average: 2.0

Payment Denials 0

100% fewer payment denials than State average

State average: 0.2

Fines amount comparison

This facility $8K

State average $39K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 12, 2024 · $8K

Civil Money Penalty Sep 12, 2024

$8K

Last updated: Jan 2026

High-risk clinical events score 15.9

28% worse than State average

State average: 12.4

Functional decline score 29.9

34% worse than State average

State average: 22.3

Long-stay resident measures

Significantly below average

Need for Help with Daily Activities Increased 31.7%

50% worse than State average

State average: 21.2%

Walking Ability Worsened 25.7%

5% worse than State average

State average: 24.5%

Low Risk Residents with Bowel/Bladder Incontinence 32.3%

51% worse than State average

State average: 21.4%

Falls with Major Injury 5.7%

77% worse than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers 8.5%

19% worse than State average

State average: 7.1%

Urinary Tract Infection 0.4%

86% better than State average

State average: 2.6%

Lost Too Much Weight 7.9%

27% worse than State average

State average: 6.2%

Depressive Symptoms 5.7%

266% worse than State average

State average: 1.5%

Antipsychotic Use 29.8%

41% worse than State average

State average: 21.2%

Pneumococcal Vaccine 99.7%

In line with State average

State average: 95.9%

Influenza Vaccine 90.9%

6% worse than State average

State average: 97.0%

Hospitalizations per 1,000 days 3.74

53% worse than State average

State average: 2.44

ED visits per 1,000 days 3.09

7% worse than State average

State average: 2.88

Short-stay resident measures

Average

Pneumococcal Vaccine 99.1%

13% better than State average

State average: 87.9%

Antipsychotic medication increase 0.5%

81% better than State average

State average: 2.5%

Influenza Vaccine 96.7%

14% better than State average

State average: 84.6%

Re-hospitalized after SNF stay 25.3%

9% better than State average

State average: 27.9%

Emergency department visits 19.6%

28% worse than State average

State average: 15.3%

Falls with major injury 1.8%

138% worse than State average

State average: 0.8%

Ability to care for self at discharge 70.4%

31% better than State average

State average: 53.7%

Successful return to home or community 57.1%

13% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

60% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 20 - 21 years

Total residents 78

Medicare

14.1% of residents

Medicaid

64.1% of residents

Private pay or other

21.8% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Willow Creek Retirement Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 94.3% ↑ 3.4pp vs 2022

Net Patient Income $255.7K ↑ ~$254.3K vs 2022

Payroll Costs $4.7M ↑ ~$72.3K vs 2022

Operating Margin 2.7% ↑ 2.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	93.7%	94.1%	93.9%	93.5%	91.7%	92.6%	94.4%	94.3%	95.9%	90.9%	89.4%	90.9%	94.3%
Beds	88	88	88	88	88	88	88	88	88	88	88	88	88
Net Income	$210,599	-$140,687	$172,868	$317,203	$230,430	$294,594	$157,485	$375,219	$458,289	$233,785	$727,358	$123,462	$317,434
Gross Revenue	$7,633,103	$7,662,745	$6,949,762	$7,342,745	$9,549,787	$9,693,411	$9,822,975	$9,589,302	$10,367,796	$9,758,683	$9,680,079	$10,203,959	$11,515,120
Operating Expenses	$6,616,444	$6,857,466	$7,022,165	$7,080,866	$7,397,004	$7,587,555	$7,790,337	$7,846,237	$8,209,113	$8,587,702	$8,648,931	$8,818,894	$9,140,584
Net Patient Income	$201,685	-$176,930	$128,301	$240,823	$171,108	$232,507	$97,267	$308,061	$390,990	-$357,650	-$220,042	$1,423	$255,699
Net Patient Revenue	$6,818,129	$6,680,536	$7,150,466	$7,321,689	$7,568,112	$7,820,062	$7,887,604	$8,154,298	$8,600,103	$8,230,052	$8,428,889	$8,820,317	$9,396,283
Payroll Costs	$3,215,768	$3,322,183	$3,138,125	$3,203,886	$3,317,898	$3,562,449	$3,757,868	$3,793,874	$3,997,429	$4,095,827	$4,466,766	$4,668,322	$4,740,615
Operating Margin %	3.0%	-2.7%	1.8%	3.3%	2.3%	3.0%	1.2%	3.8%	4.6%	-4.4%	-2.6%	0.0%	2.7%
Medicare %	22.8%	17.1%	21.0%	19.1%	23.2%	20.1%	18.6%	16.4%	16.8%	18.3%	20.9%	14.3%	13.2%
Medicaid %	67.1%	70.4%	63.5%	62.8%	63.6%	68.4%	69.1%	70.2%	70.0%	68.3%	66.7%	72.0%	73.9%
Private %	10.1%	12.5%	15.5%	18.1%	13.2%	11.4%	12.3%	13.4%	13.2%	13.5%	12.3%	13.7%	12.9%
Net Patient Revenue/Day	$227	$220	$237	$244	$257	$262	$260	$269	$279	$281	$293	$302	$310
Cost/Day	$220	$226	$233	$236	$251	$254	$257	$259	$267	$293	$301	$302	$302
Avg Length of Stay	206.1 days	202.0 days	173.4 days	157.2 days	115.1 days	143.4 days	163.8 days	175.0 days	181.2 days	191.3 days	222.7 days	166.9 days	185.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.4M

Net patient income

$255.7K

For-profit Operated by a single business entity.

Net patient revenue

$9.4M

Net patient income

$255.7K

Other income

$61.7K

Payroll costs

$4.7M 50.5% of net patient revenue

Other operating costs

$4.4M

Total costs

$9.1M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 60%

Private pay 38%

Medicaid 2%

Coverage residents most often leave under.

Medicare 72%

Private pay 15%

Medicaid 13%

2.5 miles from city center Estimated distance in miles from Byram's city center to Willow Creek Retirement Center's address, calculated via Google Maps.

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The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.


Traceway Retirement Community	NH AL IL MC SNF	Tupelo (West Main Street)	-	140	-	43	Private Rooms / Semi-Private Rooms
Willow Creek Retirement Center	NH MC SNF	Byram	-	88	-	1	-
Landmark of DeSoto	NH HOS MC PC SNF	Horn Lake	-	60	A+	60	-
Tunica Nursing Home	NH	South Tunica	-	60	-	49	-
Vaiden Community Living Center	NH HOS RC SNF	Vaiden	-	60	A+	19	-

Nursing Home Explorer

Who is the owner of Willow Creek Retirement Center?

Willow Creek Retirement Center is legally operated by Wcrl, LLC, and administered by Joshau Clayton.

Is Willow Creek Retirement Center in a walkable area?

Willow Creek Retirement Center has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Willow Creek Retirement Center?

Willow Creek Retirement Center's occupancy is 97%.

Does Willow Creek Retirement Center operate as a for-profit or non-profit?

Willow Creek Retirement Center is registered as a for-profit in MS.

Who is the administrator of Willow Creek Retirement Center?

Joshau Clayton is the administrator of Willow Creek Retirement Center.

How many beds does Willow Creek Retirement Center have?

Willow Creek Retirement Center has 88 beds.

What is the address of Willow Creek Retirement Center?

Willow Creek Retirement Center is located at 49 Willow Creek Lane, Byram, MS 39272.

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Willow Creek Retirement Center

Overview of Willow Creek Retirement Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Willow Creek Retirement Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Mississippi state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

49 Certified Nursing Assistant

26 Licensed Practical Nurse

13 Registered Nurse

6 Speech Language Pathologist

2 Other Dietary Services Staff

2 Clinical Nurse Specialist

3 Physical Therapy Aide

1 Nurse Practitioner

3 Physical Therapy Assistant

2 Qualified Social Worker

1 Dental Services Staff

1 RN Director of Nursing

1 Administrator

1 Respiratory Therapy Technician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Willow Creek Retirement Center

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