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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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 22nd out of 100 homes in Mississippi.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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38m per day | ■ Avg State avg: 38m per day · National avg: 41m per day |
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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.
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1h 13m per day | ▲ 12% State avg: 1h 5m per day · National avg: 52m per day |
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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.
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2h 53m per day | ▲ 16% State avg: 2h 29m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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3h 40m per day | ▲ 4% State avg: 3h 31m per day · National avg: 3h 26m per day |
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Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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5m per day | ▲ 150% State avg: 2m per day · National avg: 4m per day |
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RN (Weekend)
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.
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30m per day | ▲ 36% State avg: 22m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
60% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #45 / 101Payroll — state benchmarkedThis home is ranked 45th out of 101 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Mississippi average: 82.3%
The Nichols Center is legally operated by NC Leasing, LLC, and administrated by Lisha Woodard.
Accept Medicaid: Yes
On-site Medical Care and Health Services
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Mississippi average: 45 deficiencies
The most recent inspection on December 10, 2025, found the facility in compliance after follow-up visits related to prior complaint surveys, although the facility had been out of compliance with Medicare, Medicaid, and state licensure requirements until early December 2025. Earlier inspections showed several deficiencies primarily involving resident safety during mechanical lift transfers, failure to ensure resident dignity and respect, and issues with psychotropic medication monitoring and care planning. Notable substantiated complaints included resident falls due to improper lift use causing injury, mistreatment by staff resulting in terminations, and diversion of controlled substances by a nurse who was arrested. Enforcement actions included staff terminations and corrective measures such as retraining and increased monitoring; fines or license suspensions were not listed in the available reports. The facility’s record shows improvement with recent inspections confirming compliance following corrective actions addressing prior deficiencies.
Mississippi average 4.4
Last Health inspection on Oct 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.
8 of 12 citations resulted from standard inspections; and 4 of 12 resulted from complaint investigations.
100% better than Mississippi average
Mississippi average: 1
4
264% worse than Mississippi average
Mississippi average: 1.1
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 22, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 14, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 14, 2024
Corrected
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.
The Nichols Center is located in Madison, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.
1.7 miles from city center
Estimated distance in miles from Madison's city center to The Nichols Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
18% better than Mississippi average
Mississippi average ratio: 1.69:1
0% compared with Mississippi average
Mississippi average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
No contractors work on this role.
Total hours from contractors
3,454 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53
Residents meet regularly to discuss policies, care quality, 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.
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.
13.2
6% worse than Mississippi average
Mississippi average: 12.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
In line with Mississippi average
Mississippi 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
19.8%
6% better than Mississippi average
Mississippi average: 21.2%
Percent of long-stay residents whose ability to move independently worsened
29.7%
21% worse than Mississippi average
Mississippi average: 24.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
27% better than Mississippi average
Mississippi average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
32% better than Mississippi average
Mississippi average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.9%
In line with Mississippi average
Mississippi average: 7.1%
Percent of long-stay residents with a urinary tract infection
0.8%
70% better than Mississippi average
Mississippi average: 2.6%
Percent of long-stay residents who lose too much weight
7.1%
15% worse than Mississippi average
Mississippi average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Mississippi average
Mississippi average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
28.2%
33% worse than Mississippi average
Mississippi average: 21.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Mississippi average
Mississippi average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Mississippi average
Mississippi average: 97.0%
Number of hospitalizations per 1,000 long-stay resident days.
4.27
75% worse than Mississippi average
Mississippi average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.41
18% worse than Mississippi average
Mississippi 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
98.4%
12% better than Mississippi average
Mississippi average: 87.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
78% better than Mississippi average
Mississippi average: 2.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
14% better than Mississippi average
Mississippi average: 84.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
25% worse than Mississippi average
Mississippi average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
In line with Mississippi average
Mississippi average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
103% worse than Mississippi average
Mississippi average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
22% better than Mississippi average
Mississippi average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.5%
6% better than Mississippi average
Mississippi average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
80% lower than Mississippi average
Mississippi average: $39K
50% fewer fines than Mississippi average
Mississippi average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
340% more payment denials than Mississippi average
Mississippi 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.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 22, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2023
Last updated: Jan 2026
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| 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 | +22% | +11% | 1 | 12 | 2.4 | 4 | 56 | 6 | Burns, Sharon | $10.1M | $3.3M | 33.2% | 255304 |
Historical financial and operational data for The Nichols Center based on CMS SNF Cost Reports.
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