Middleton Oaks Health and Rehabilitation
Nursing Home & Memory Care · Winona, MS
CMS overall rating Info 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.

Middleton Oaks Health and Rehabilitation

Nursing Home & Memory Care · Winona, MS
CMS overall rating Info 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.
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Middleton Oaks Health and Rehabilitation accepts Medicaid, Medicare, and private pay.

Inspection History

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.

Since 2021 · 5 years of data 32 deficiencies 7 inspections

Inspection Scorecard Info 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 2021 vs. Mississippi state average
Overall vs. MS average 1 Worse Metrics worse than Mississippi average:
• Deficiencies per inspection (411% above)
3 Better Metrics better than Mississippi average:
• Total deficiencies (29% below)
• Deficiencies per year (29% below)
• Total inspections (86% below)
Latest Inspection September 18, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMS Averagevs. MS Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3245 This facility has 29% fewer total deficiencies than a typical Mississippi assisted living residence (32 vs. MS avg 45).↓ 29% better
Deficiencies per year Info Average deficiencies per year since 2021. 6.49 This facility has 29% fewer deficiencies per year than a typical Mississippi assisted living residence (6.4 vs. MS avg 9).↓ 29% better
Deficiencies per inspection Info Average deficiencies per inspection. 4.60.9 This facility has 411% more deficiencies per inspection than a typical Mississippi assisted living residence (4.6 vs. MS avg 0.9).↑ 411% worse

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

This FacilityMS Averagevs. MS Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 750 This facility has 86% fewer total inspections than a typical Mississippi assisted living residence (7 vs. MS avg 50).↓ 86% better

Health Inspection History

Inspections since 2021
Total health inspections 7

State average N/A


Last Health inspection on Sep 2025

Total health citations
32 Rank #108 / 120Health citations — State benchmarkedThis home is ranked 108th out of 120 homes in Mississippi. Shows this facility's total health deficiency citations benchmarked to the Mississippi State average, with a ranking across all 120 MS facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.57 Rank #84 / 120Citations per inspection — State benchmarkedThis home is ranked 84th out of 120 homes in Mississippi. Shows average deficiency citations per CMS inspection for this facility versus the Mississippi mean across 120 facilities with citation data. Lower is better.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 5 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

29 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 5 years)
Abuse/Neglect moderate citation Sep 18, 2025
Corrected

Care Planning moderate citation Sep 18, 2025
Corrected

Infection Control moderate citation Mar 27, 2025
Corrected

Nursing Services moderate citation Mar 27, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 128
Employees 109
Contractors 19
Staff to resident ratio 1.38 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 44
Average shift 7.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 31,493

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 22 RN Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 24 LPN Staff are full-time employees. No contractors work on this role. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 56 CNA Staff are full-time employees. No contractors work on this role. 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.7%

1,484 contractor hours this quarter

Qualified Social Worker: 4 Occupational Therapy Assistant: 4 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Respiratory Therapy Technician: 2 Medical Director: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5605615,58492100%8.2
Licensed Practical Nurse240247,22892100%8.6
Registered Nurse220223,79992100%7.5
RN Director of Nursing2021,0317582%8.5
Administrator1015046368%8
Nurse Practitioner1014886166%8
Dietitian1014846470%7.6
Physical Therapy Aide0114806065%8
Clinical Nurse Specialist1014716065%7.8
Mental Health Service Worker1014215964%7.1
Speech Language Pathologist0333086773%4.5
Physical Therapy Assistant0332886571%4.2
Qualified Social Worker0441546470%2.3
Respiratory Therapy Technician0221473235%4.5
Occupational Therapy Assistant044463033%1.4
Occupational Therapy Aide0114278%6
Medical Director011196672%0.3
56 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
22 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 82%
1 Administrator
% of Days 68%
1 Nurse Practitioner
% of Days 66%
1 Dietitian
% of Days 70%
1 Physical Therapy Aide
% of Days 65%
1 Clinical Nurse Specialist
% of Days 65%
1 Mental Health Service Worker
% of Days 64%
3 Speech Language Pathologist
% of Days 73%
3 Physical Therapy Assistant
% of Days 71%
4 Qualified Social Worker
% of Days 70%
2 Respiratory Therapy Technician
% of Days 35%
4 Occupational Therapy Assistant
% of Days 33%
1 Occupational Therapy Aide
% of Days 8%
1 Medical Director
% of Days 72%

Penalties and fines

Includes penalties issued in 2025

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 Rank #78 / 121Federal fines — State benchmarkedThis home is ranked 78th out of 121 homes in Mississippi. Shows this facility's cumulative CMS federal fine dollars versus the Mississippi average among facilities with fines, and where it ranks among 121 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
72% lower than State average

State average: $39K

Number of fines 2
In line with State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.2

Fines amount comparison
Fines amount comparison
This facility $11K
State average $39K
Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 27, 2025
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 27, 2025
$5K

Last updated: Jan 2026

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 Info 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 State average

State average: 12.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.3
31% better than State average

State average: 22.3

Long-stay resident measures
Average State avg: 2.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.1%
43% better than State average

State average: 21.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.1%
59% better than State average

State average: 24.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.9%
11% worse than State average

State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.3%
In line with State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 11.3%
58% worse than State average

State average: 7.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.9%
28% better than State average

State average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.7%
8% worse than State average

State average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.5%
189% worse than State average

State average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 39.6%
87% worse than State average

State average: 21.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.8%
In line with State average

State average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
In line with State average

State average: 97.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.91
22% better than State average

State average: 2.44

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.86
34% worse than State average

State average: 2.88

Short-stay resident measures
Significantly below average State avg: 1.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.4%
5% better than State average

State average: 87.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.3%
151% worse than State average

State average: 2.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 82.5%
In line with State average

State average: 84.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 32.2%
15% worse than State average

State average: 27.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 12.1%
21% better than State average

State average: 15.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.2%
188% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 46.7%
13% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.7%
22% worse than State average

State average: 50.6%

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

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.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$299.0K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.1M Rank #35 / 113Revenue — State benchmarkedThis home is ranked 35th out of 113 homes in Mississippi. Shows this facility's annual revenue compared to the Mississippi average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$299.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$29.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #65 / 113Payroll — State benchmarkedThis home is ranked 65th out of 113 homes in Mississippi. 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.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.0M 43.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #98 / 113Payroll % — State benchmarkedThis home is ranked 98th out of 113 homes in Mississippi. Shows payroll as a percentage of revenue versus the Mississippi average. Well-run Mississippi facilities typically land around 51–70% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicare (34% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
169 total

Coverage residents most often arrive under.

Medicare 34%
Private pay 31%
Medicaid 34%
Discharges
180 total

Coverage residents most often leave under.

Medicare 30%
Private pay 33%
Medicaid 37%

Places of interest near Middleton Oaks Health and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from Winona's city center to Middleton Oaks Health and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Middleton Oaks Health and Rehabilitation

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Address

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Frequently Asked Questions about Middleton Oaks Health and Rehabilitation

Who is the owner of Middleton Oaks Health and Rehabilitation?

Middleton Oaks Health and Rehabilitation is legally operated by Jonathan, and administered by S. Matthews.

Is Middleton Oaks Health and Rehabilitation in a walkable area?

Middleton Oaks Health and Rehabilitation has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Middleton Oaks Health and Rehabilitation?

Middleton Oaks Health and Rehabilitation's occupancy is 78%.

Does Middleton Oaks Health and Rehabilitation operate as a for-profit or non-profit?

Middleton Oaks Health and Rehabilitation is registered as a for-profit in MS.

Who is the administrator of Middleton Oaks Health and Rehabilitation?

S. Matthews is the administrator of Middleton Oaks Health and Rehabilitation.

How many beds does Middleton Oaks Health and Rehabilitation have?

Middleton Oaks Health and Rehabilitation has 120 beds.

What is the address of Middleton Oaks Health and Rehabilitation?

Middleton Oaks Health and Rehabilitation is located at 627 Middleton Road, Winona, MS 38967.

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