Occupancy rate
100%
In line with Mississippi averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Madison County
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.
The Nichols Center
Nursing Home in Madison County
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.
The Nichols Center
Live to your potential at The Nichols Center, a distinct nursing home in Madison, MS, that offers long-term care and short-term rehabilitation. With its comprehensive care options, residents receive the right care for their unique needs around the clock. Therapy services, including physical, occupational, and speech therapy are also provided to enhance residents’ living experiences.
Focusing on residents’ holistic wellness, recreational activities and enriching programs are conducted based on their interests. Well-balanced dining options are also served to meet residents’ dietary needs and preferences. This nursing home is ideal for those needing assistance to make the most of their best years.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
100%
Residents per day (avg)
56
Occupancy rate
100%
Residents per day (avg)
56
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
60% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
40% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
10 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.1M
Operating loss
-$410.9K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10,073,178.00
Operating loss
$-410,871.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
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.
$7.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.5M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with Mississippi averageOccupied beds
60 / 60
Average residents
74 per day
Facility TypeNursing Home Facility
CountyMadison
The Nichols Center is legally operated by NC Leasing, LLC, and administrated by Lisha Woodard.
Offers Alzheimer's Care
What does this home offer?
Accept Medicaid: Yes
On-site Medical Care and Health Services
Types of Care at The Nichols Center
Nursing Home
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.
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.
31 visits/inspections
36 visits/inspections triggered by complaints
5 routine inspections
4 other visits
2 life safety inspections
Results
7 with issues
24 without issues
Show Inspection Reports
Latest inspection
Date
December 10, 2025
Follow Up43 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Mississippi average: 45 deficiencies
Health Inspection History
Inspections
Total health inspections
5
Mississippi average 4.4
Last Health inspection on Oct 2025
Total health citations
12
Mississippi average 16.9
Citations per inspection
2.4
Mississippi average 3.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 12 citations resulted from standard inspections; and 4 of 12 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
4
4
264% worse than Mississippi averageMississippi average: 1.1
0 critical citations
4 serious citations
8 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 14, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 14, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
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 Madison County The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
Filter by care type
The Nichols 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).
Madison
60
94.3%
+15%
5.12
+11%
1
12
2.4
4
56
6
Burns, Sharon
$10.0M
$3.3M
33.3%
255304
Places of interest near The Nichols Center
1.7 miles from city center
1308 Highway 51 North, Madison, MS 39110
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
106
Employees
85
Contractors
21
Staff to resident ratio
2.00:1
18% better than Mississippi averageMississippi average ratio: 1.69:1
Avg staff/day
39
Average shift
7.8 hours
0% compared with Mississippi averageMississippi average: 8 hours
Total staff hours (quarter)
27,758
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
12.4%
3,454 contractor hours this quarter
Speech Language Pathologist: 7
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Physical Therapy Aide: 2
Staff by category
| Certified Nursing Assistant | 48 | 0 | 48 | 12,817 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,260 | 91 | 100% | 7.7 |
| Registered Nurse | 12 | 0 | 12 | 2,269 | 91 | 100% | 8 |
| Speech Language Pathologist | 0 | 7 | 7 | 1,329 | 85 | 93% | 9.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,042 | 64 | 70% | 8.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 997 | 90 | 99% | 7.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 889 | 76 | 84% | 9 |
| Qualified Social Worker | 0 | 3 | 3 | 525 | 64 | 70% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 524 | 64 | 70% | 8.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 522 | 63 | 69% | 7.8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 471 | 57 | 63% | 8.3 |
| RN Director of Nursing | 1 | 0 | 1 | 405 | 52 | 57% | 7.8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 190 | 55 | 60% | 3.2 |
48 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
7 Speech Language Pathologist
% of Days
93%
2 Clinical Nurse Specialist
% of Days
70%
2 Other Dietary Services Staff
% of Days
99%
2 Physical Therapy Aide
% of Days
84%
3 Qualified Social Worker
% of Days
70%
1 Mental Health Service Worker
% of Days
70%
3 Physical Therapy Assistant
% of Days
69%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
63%
1 RN Director of Nursing
% of Days
57%
6 Respiratory Therapy Technician
% of Days
60%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
53 residents
Residents by payment source
Medicare
21 residents (39.6%)
Medicaid
27 residents (50.9%)
Private pay or other
5 residents (9.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, 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.
13.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
6% worse than Mississippi averageMississippi average: 12.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
In line with Mississippi averageMississippi average: 22.3
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
19.8%
Percent of long-stay residents whose need for help with daily activities has increased
19.8%
6% better than Mississippi averageMississippi average: 21.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.7%
Percent of long-stay residents whose ability to move independently worsened
29.7%
21% worse 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
15.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
27% better than Mississippi averageMississippi average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
32% better than Mississippi averageMississippi average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.9%
Percent of long-stay high risk residents with pressure ulcers
6.9%
In line with Mississippi averageMississippi average: 7.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
70% better than Mississippi averageMississippi average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.1%
Percent of long-stay residents who lose too much weight
7.1%
15% worse than Mississippi averageMississippi average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Mississippi averageMississippi average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.2%
Percent of long-stay residents who received an antipsychotic medication
28.2%
33% worse than Mississippi averageMississippi average: 21.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Mississippi averageMississippi average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Mississippi averageMississippi average: 97.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
4.27
Number of hospitalizations per 1,000 long-stay resident days.
4.27
75% worse than Mississippi averageMississippi average: 2.44
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.41
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.41
18% worse than Mississippi averageMississippi average: 2.88
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
12% better than Mississippi averageMississippi average: 87.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
78% better than Mississippi averageMississippi average: 2.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
14% better than Mississippi averageMississippi average: 84.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
25% worse than Mississippi averageMississippi average: 27.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
In line with Mississippi averageMississippi average: 15.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
103% worse than Mississippi averageMississippi average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
22% better than Mississippi averageMississippi average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
53.5%
Rate of successful return to home or community from a skilled nursing facility.
53.5%
6% 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.
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
$8K
80% lower than Mississippi averageMississippi average: $39K
Number of fines
1
50% fewer fines than Mississippi averageMississippi average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
340% more payment denials than Mississippi averageMississippi average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$8K
Mississippi average
$39K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 22, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 22, 2025
26 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2023
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Nichols Center based on CMS SNF Cost Reports.
Occupancy Rate
94.3%
↑ 7.1pp vs 2022
Net Income
-$410,871
↑ ~$8K vs 2022
Total Payroll
$4,559,652
↑ ~$345K vs 2022
Profit Margin
-4.1%
↑ 0.9pp vs 2022
Loading trend charts...
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