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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.
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 86th 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.
| 34m per day | ▼ 11% 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.
| 52m per day | ▼ 21% 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.
| 1h 52m per day | ▼ 25% 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.
| 2h 52m per day | ▼ 18% State avg: 3h 31m per day · National avg: 3h 26m 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.
| 23m per day | ▲ 5% State avg: 22m per day · National avg: 28m per day |
Lower than the Mississippi average: 82.3%Middleton Oaks Health and Rehabilitation is legally operated by Jonathan, and administrated by S. Matthews.
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.
| 32 | 45 | This facility has 29% fewer total deficiencies than a typical Mississippi nursing home (32 vs. MS avg 45).↓ 29% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 6.4 | 9 | This facility has 29% fewer deficiencies per year than a typical Mississippi nursing home (6.4 vs. MS avg 9).↓ 29% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.6 | 0.9 | This facility has 411% more deficiencies per inspection than a typical Mississippi nursing home (4.6 vs. MS avg 0.9).↑ 411% worse |
Inspections
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 50 | This facility has 86% fewer total inspections than a typical Mississippi nursing home (7 vs. MS avg 50).↓ 86% better |
Mississippi average 4.4
Last Health inspection on Sep 2025
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.
22 of 32 citations resulted from standard inspections; and 10 of 32 resulted from complaint investigations.
100% better than Mississippi averageMississippi average: 1
82% worse 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.
16% 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 22 RN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 56 CNA Staff are full-time employees. No contractors work on this role.
56
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,484 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 0 | 56 | 15,584 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 24 | 0 | 24 | 7,228 | 92 | 100% | 8.6 |
| Registered Nurse | 22 | 0 | 22 | 3,799 | 92 | 100% | 7.5 |
| RN Director of Nursing | 2 | 0 | 2 | 1,031 | 75 | 82% | 8.5 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 484 | 64 | 70% | 7.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 471 | 60 | 65% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 421 | 59 | 64% | 7.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 308 | 67 | 73% | 4.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 288 | 65 | 71% | 4.2 |
| Qualified Social Worker | 0 | 4 | 4 | 154 | 64 | 70% | 2.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 147 | 32 | 35% | 4.5 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 46 | 30 | 33% | 1.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 7 | 8% | 6 |
| Medical Director | 0 | 1 | 1 | 19 | 66 | 72% | 0.3 |
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)
72% lower than Mississippi averageMississippi average: $39K
In line with 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.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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, 2025Last 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.
8.7
30% better than Mississippi averageMississippi average: 12.4
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
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
12.1%
43% better than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents whose ability to move independently worsened
10.1%
59% better than Mississippi averageMississippi average: 24.5%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
In line with Mississippi averageMississippi average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
11.3%
58% worse than Mississippi averageMississippi average: 7.1%
Percent of long-stay residents with a urinary tract infection
1.9%
28% better than Mississippi averageMississippi average: 2.6%
Percent of long-stay residents who lose too much weight
6.7%
8% worse than Mississippi averageMississippi average: 6.2%
Percent of long-stay residents who have depressive symptoms
4.5%
189% worse than Mississippi averageMississippi average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
39.6%
87% worse than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
In line with Mississippi averageMississippi average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Mississippi averageMississippi average: 97.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.91
22% better than Mississippi averageMississippi average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.86
34% 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
92.4%
5% better than Mississippi averageMississippi average: 87.9%
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
151% worse than Mississippi averageMississippi average: 2.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.5%
In line with Mississippi averageMississippi average: 84.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.2%
15% worse than Mississippi averageMississippi average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.1%
21% better than Mississippi averageMississippi average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
2.2%
188% worse than Mississippi averageMississippi average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.7%
13% worse than Mississippi averageMississippi average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.7%
22% worse 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.
34% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Middleton Oaks Health and Rehabilitation 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 #64 / 106Payroll — State benchmarkedThis home is ranked 64th 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 stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Winona's city center to Middleton Oaks Health and Rehabilitation's address, calculated via Google Maps.
Add your location
Middleton Oaks Health and Rehabilitation is located in Winona, 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 | ||||
| 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 | ||||
| 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
Facility
120
MS AVG
71
Rank
#23 / 267 | 77.5% | -6% | 3.81 | +83% | -18% | $10.9k | 32 | 4.6 | 2 | 93 |
38
Facility
38
MS AVG
33
Rank
#149 / 319 | Jonathan | $11.4M | $4.0M | 35.2% | 255171 |
The legal owner and operator of Middleton Oaks Health and Rehabilitation is Jonathan.
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.
Middleton Oaks Health and Rehabilitation's occupancy is 78%.
S. Matthews is the administrator of Middleton Oaks Health and Rehabilitation.
Middleton Oaks Health and Rehabilitation has 120 beds.
Middleton Oaks Health and Rehabilitation is located at 627 Middleton Road.
(662) 283-1260 will put you in contact with the team at Middleton Oaks Health and Rehabilitation.
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