Total health inspections
7
Mississippi average 4.4
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Middleton Oaks Health and Rehabilitation
Nursing Home in Mississippi
CMS overall rating
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.
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.
Middleton Oaks Health and Rehabilitation
Nursing Home in Mississippi
CMS overall rating
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.
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.
Middleton Oaks Health and Rehabilitation is located in Winona, MS. It offers skilled nursing care, rehabilitation therapy, and specialized services for Alzheimer's and dementia care. The facility is committed to providing personalized and compassionate care to support patients in their aging journey.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 78th out of 108 homes in Mississippi.
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.
This home is ranked 78th out of 108 homes in Mississippi.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.
3h 49m per day
vs Mississippi avg
-12%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
82.6%
Avg. Length of Stay
201 days
Occupancy rate
82.6%
Avg. Length of Stay
201 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
31% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
34% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$11.4M
Profit
$328.8K
Privately-owned community
Home revenue
$11.4M
Profit
$328.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.0M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeNursing Home Facilities
CountyMontgomery
CMS Certification Number255171
Middleton Oaks Health and Rehabilitation is administrated by Jonathan S. Matthews.
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Rehabilitation Therapy
Long-Term Care Services
Alzheimer's And Dementia Care
Specific ProgramsSkilled Nursing Care, Comprehensive Post-acute Care, Rehabilitation Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Long-term Care Services, Alzheimer's and Dementia Care
Operating HoursAlways Open 24 Hours
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health citations
32
Mississippi average 16.9
Citations per inspection
4.57
Mississippi average 3.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 32 citations resulted from standard inspections; and 10 of 32 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Mississippi averageMississippi average: 1
Serious Health citations
2
2
82% worse than Mississippi averageMississippi average: 1.1
0 critical citations
2 serious citations
29 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 18, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 18, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 18, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 18, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 27, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 27, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 27, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 27, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Mississippi The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
Filter by care type
| Bedford Care Center of Mendenhall |
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. | Mendenhall | 60 | 93.5% | +14% | 5.42 | +2% | +17% | 1 | 5 | 1.7 | 0 | 56 | - | - | Bedford Health Properties, Llc | $8.7M | $2.5M | 29.3% | 255149 | ||||
| Billdora Senior Care |
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. | Tylertown | 60 | 77.1% | -6% | 5.14 | -26% | +11% | 1 | 9 | 2.3 | 1 | 49 | - | - | - | $5.9M | $2.5M | 42.7% | 255243 | ||||
| Azalea Gardens Nursing 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. | Wiggins | 99 | 65.4% | -21% | 4.32 | -16% | -7% | 0 | 13 | 3.3 | 6 | 61 | - | - | Cain, Avonna | $8.2M | $3.3M | 40.3% | 255233 | ||||
| Attala County Nursing 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. | Kosciusko | 120 | 75.9% | -8% | 4.03 | -7% | -13% | 0 | 18 | 4.5 | 2 | 100 | - | - | Hood, Amy | $8.7M | $4.3M | 48.8% | 255191 | ||||
| Middleton Oaks Health and Rehabilitation |
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. | Winona | 120 | 82.6% | 0% | 3.81 | +60% | -18% | 2 | 32 | 4.6 | 2 | 93 | - | - | - | $11.3M | $3.5M | 31.3% | 255171 |
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Estimated distance in miles from Winona's city center to Middleton Oaks Health and Rehabilitation's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
215
Employees
195
Contractors
20
Staff to resident ratio
2.31:1
36% better than Mississippi averageMississippi average ratio: 1.69:1
Avg staff/day
44
Average shift
7.8 hours
0% compared with Mississippi averageMississippi average: 8 hours
Total staff hours (quarter)
31,347
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
100
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.6%
1,455 contractor hours this quarter
Respiratory Therapy Technician: 4
Qualified Social Worker: 3
Physical Therapy Assistant: 3
Occupational Therapy Assistant: 3
Medical Director: 2
Speech Language Pathologist: 2
Certified Nursing Assistant: 1
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 99 | 1 | 100 | 16,188 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 48 | 0 | 48 | 6,503 | 91 | 100% | 7.8 |
| Registered Nurse | 32 | 0 | 32 | 3,692 | 91 | 100% | 7.5 |
| RN Director of Nursing | 5 | 0 | 5 | 1,111 | 75 | 82% | 8.7 |
| Nurse Practitioner | 3 | 0 | 3 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 487 | 64 | 70% | 7.6 |
| Dietitian | 2 | 0 | 2 | 479 | 60 | 66% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 472 | 59 | 65% | 8 |
| Administrator | 2 | 0 | 2 | 456 | 57 | 63% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 344 | 43 | 47% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 302 | 49 | 54% | 5.6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 297 | 42 | 46% | 6.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 249 | 44 | 48% | 5.3 |
| Qualified Social Worker | 0 | 3 | 3 | 187 | 43 | 47% | 4.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 35 | 6 | 7% | 5.8 |
| Medical Director | 0 | 2 | 2 | 19 | 65 | 71% | 0.3 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 15 | 10 | 11% | 1.4 |
100 Certified Nursing Assistant
% of Days
100%
48 Licensed Practical Nurse
% of Days
100%
32 Registered Nurse
% of Days
100%
5 RN Director of Nursing
% of Days
82%
3 Nurse Practitioner
% of Days
70%
2 Mental Health Service Worker
% of Days
70%
2 Dietitian
% of Days
66%
2 Clinical Nurse Specialist
% of Days
65%
2 Administrator
% of Days
63%
1 Physical Therapy Aide
% of Days
47%
3 Physical Therapy Assistant
% of Days
54%
4 Respiratory Therapy Technician
% of Days
46%
2 Speech Language Pathologist
% of Days
48%
3 Qualified Social Worker
% of Days
47%
1 Occupational Therapy Aide
% of Days
7%
2 Medical Director
% of Days
71%
3 Occupational Therapy Assistant
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93
Medicare
15
16.1% of residents
Medicaid
71
76.3% of residents
Private pay or other
7
7.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.7
30% better than Mississippi averageMississippi average: 12.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
31% better than Mississippi averageMississippi average: 22.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
43% better than Mississippi averageMississippi average: 21.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.1%
Percent of long-stay residents whose ability to move independently worsened
10.1%
59% better than Mississippi averageMississippi average: 24.5%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
11% worse than Mississippi averageMississippi average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
In line with Mississippi averageMississippi average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
11.3%
Percent of long-stay high risk residents with pressure ulcers
11.3%
58% worse than Mississippi averageMississippi average: 7.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
28% better than Mississippi averageMississippi average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.7%
Percent of long-stay residents who lose too much weight
6.7%
8% worse than Mississippi averageMississippi average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.5%
Percent of long-stay residents who have depressive symptoms
4.5%
189% worse than Mississippi averageMississippi average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
39.6%
Percent of long-stay residents who received an antipsychotic medication
39.6%
87% worse than Mississippi averageMississippi average: 21.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Mississippi averageMississippi average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Mississippi averageMississippi average: 97.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
5% better than Mississippi averageMississippi average: 87.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
151% worse than Mississippi averageMississippi average: 2.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.5%
In line with Mississippi averageMississippi average: 84.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$11K
72% lower than Mississippi averageMississippi average: $39K
Number of fines
2
In line with Mississippi averageMississippi average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$11K
Mississippi average
$39K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2025
$5K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Middleton Oaks Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
82.6%
↑ 13.0pp vs 2022
Net Income
$328.8K
↑ ~$384.8K vs 2022
Total Payroll
$4.0M
↑ ~$795.7K vs 2022
Profit Margin
2.9%
↑ 3.5pp vs 2022
Loading trend charts...
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