We arrange tours, appointments, and even moving support so you don’t have to
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 24th out of 110 homes in Mississippi for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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 | ▼ 18% 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 13m per day | ▲ 11% 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 10m per day | ▼ 13% 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 39m per day | ▲ 4% 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 | ▼ 50% 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.
| 18m per day | ▼ 18% State avg: 22m per day · National avg: 28m per day |
Higher than the Mississippi average: 82.3%Willow Creek Retirement Center is administrated by Joshau Clayton.
In Mississippi, the State Department of Health, Bureau of Health Facilities Licensure conducts unannounced surveys to monitor facility compliance with health, safety, and resident rights laws.
This scorecard compares key inspection, citation, 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
| 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 nursing home (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 nursing home (3.4 vs. MS avg 6.4).↓ 47% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3 | 0.9 | This facility has 233% more deficiencies per inspection than a typical Mississippi nursing home (3 vs. MS avg 0.9).↑ 233% worse |
Inspections
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 50 | This facility has 84% fewer total inspections than a typical Mississippi nursing home (8 vs. MS avg 50).↓ 84% better |
Mississippi average 4.4
Last Health inspection on Nov 2024
Mississippi average 16.9
Mississippi average 3.83
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.
100% better than Mississippi averageMississippi average: 1
9% better than Mississippi averageMississippi average: 1.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Mississippi average
0% compared with Mississippi average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,374 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
80% lower than Mississippi averageMississippi average: $39K
50% fewer fines than Mississippi averageMississippi average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Mississippi averageMississippi average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 12, 2024 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 12, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.9
28% worse than Mississippi averageMississippi average: 12.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.9
34% worse than Mississippi averageMississippi average: 22.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.7%
50% worse than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents whose ability to move independently worsened
25.7%
5% worse than Mississippi averageMississippi average: 24.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
51% worse than Mississippi averageMississippi average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
77% worse than Mississippi averageMississippi average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.5%
19% worse than Mississippi averageMississippi average: 7.1%
Percent of long-stay residents with a urinary tract infection
0.4%
86% better than Mississippi averageMississippi average: 2.6%
Percent of long-stay residents who lose too much weight
7.9%
27% worse than Mississippi averageMississippi average: 6.2%
Percent of long-stay residents who have depressive symptoms
5.7%
266% worse than Mississippi averageMississippi average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
29.8%
41% worse than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
In line with Mississippi averageMississippi average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
6% worse than Mississippi averageMississippi average: 97.0%
Number of hospitalizations per 1,000 long-stay resident days.
3.74
53% worse than Mississippi averageMississippi average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.09
7% worse than Mississippi averageMississippi average: 2.88
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
13% better than Mississippi averageMississippi average: 87.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
81% better than Mississippi averageMississippi average: 2.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
14% better than Mississippi averageMississippi average: 84.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
9% better than Mississippi averageMississippi average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.6%
28% worse than Mississippi averageMississippi average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
138% worse than Mississippi averageMississippi average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
70.4%
31% better than Mississippi averageMississippi average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.1%
13% better than Mississippi averageMississippi average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
60% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Willow Creek Retirement Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #28 / 106Payroll — State benchmarkedThis home is ranked 28th out of 106 homes in Mississippi for payroll. Shows total annual staff payroll benchmarked to the Mississippi average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
Willow Creek Retirement Center is located in Byram, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.
The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
| Forrest General Hospital Skilled Nursing Unit |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Hattiesburg (Parkhaven) | 29
Facility
29
MS AVG
71
Rank
#219 / 267 | - | - | 8.64 | +89% | +87% | $0 | 3 | 1.0 | - | 28 |
67
Facility
67
MS AVG
33
Rank
#19 / 319 | - | - | - | - | 255335 | ||||
| Bedford Care Center of Petal |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Petal | 60
Facility
60
MS AVG
71
Rank
#123 / 267 | 95.0% | +15% | 5.42 | -7% | +17% | $22.2k | 5 | 1.7 | - | 53 |
27
Facility
27
MS AVG
33
Rank
#188 / 319 | Bedford Health Properties, LLC | $8.7M | $3.8M | 43.5% | 255149 | ||||
| Traceway Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Tupelo (West Main Street) | 140
Facility
140
MS AVG
71
Rank
#15 / 267 | - | - | 5.85 | -43% | +26% | $0 | 17 | 2.8 | 1 | 133 |
43
Facility
43
MS AVG
33
Rank
#122 / 319 | United Methodist Senior Services Health Care, Inc | $22.0M | $11.6M | 52.7% | 255309 | ||||
| Willow Creek Retirement Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Byram | 88
Facility
88
MS AVG
71
Rank
#91 / 267 | 96.6% | +17% | 5.18 | +24% | +12% | $8.0k | 21 | 3.5 | 1 | 85 |
1
Facility
1
MS AVG
33
Rank
#285 / 319 | Briar Hill Management, LLC | $11.6M | $5.4M | 46.5% | 255300 | ||||
| Gulfport Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Gulfport | 90
Facility
90
MS AVG
71
Rank
#82 / 267 | 82.2% | 0% | 4.67 | -28% | +1% | $33.6k | 24 | 6.0 | 5 | 74 |
9
Facility
9
MS AVG
33
Rank
#248 / 319 | Gerard And Alison Danos Childrens Tr | $6.9M | $4.8M | 70.1% | 255341 |
The legal owner and operator of Willow Creek Retirement Center is Wcrl, Llc.
Willow Creek Retirement Center has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
Willow Creek Retirement Center's occupancy is 97%.
Joshau Clayton is the administrator of Willow Creek Retirement Center.
Willow Creek Retirement Center has 88 beds.
Willow Creek Retirement Center is located at 49 Willow Creek Lane.
(601) 863-4201 will put you in contact with the team at Willow Creek Retirement Center.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
