The preserve is open to fishing, walking, picnicking, hunting (in season), cross country skiing, and hiking. A trailhead is located off Massachusetts Route 68 .5 miles (0.80 km) from Royalston center.
Jacobs Hill is part of a larger contiguous area of protected open space, connected by the Tully Trail and including the United States Army Corps of Engineers' Tully Lake flood control project, The Trustees of Reservations' Royalston Falls and Doane's Falls properties, and Massachusetts state forest land. Tully Lake Campground, a 35-site walk-in and tent-only facility jointly managed by the Army Corps of Engineers and the Trustees of Reservations, is located along the Tully Trail to the south.