Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
94
81 employees · 13 contractors · 41 on an average day The Nichols Center
Nursing Home · Madison, MS
ALM Inspection Grade
B
ALM's inspection grade is 85 / 100, a B — 2 points above the Mississippi average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 85 / 100, a B — 2 points above the Mississippi average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
Community photos aren’t available yet.
To request photos, use the contact form below.
The Nichols Center
Nursing Home · Madison, MS
ALM Inspection Grade
B
ALM's inspection grade is 85 / 100, a B — 2 points above the Mississippi average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 85 / 100, a B — 2 points above the Mississippi average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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 Nichols Center accepts Medicaid, Medicare, and private pay.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 17th out of 113 nursing homes we track 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.
5h 43m
This nursing home is ranked 17th out of 113 nursing homes we track 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.
5h 43mStandout metric: RN, weekends is +97% above Mississippi average
0 of 5 metrics below Mississippi average
Daily care time per resident, by role
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 8.2-hour shifts
59m
↑ 56% · MS 38mThis facility: 59m per resident per day, 56% above the Mississippi average of 38m (among Mississippi facilities reporting a recent figure).
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 8.2-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 7.6-hour shifts
1h 9m
↑ 7% · MS 1h 5mThis facility: 1h 9m per resident per day, 7% above the Mississippi average of 1h 5m (among Mississippi facilities reporting a recent figure).
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 7.6-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 46 are the facility's own employees; no agency contractors work in this role.
46 staff · 7.8-hour shifts
3h 34m
↑ 44% · MS 2h 29mThis facility: 3h 34m per resident per day, 44% above the Mississippi average of 2h 29m (among Mississippi facilities reporting a recent figure).
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. All 46 are the facility's own employees; no agency contractors work in this role.
46 staff · 7.8-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
10m
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.
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 46m
↑ 36% · MS 3h 31mThis facility: 4h 46m per resident per day, 36% above the Mississippi average of 3h 31m (among Mississippi facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
43m
↑ 97% · MS 22mThis facility: 43m per resident per day, 97% above the Mississippi average of 22m (among Mississippi facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
94
81 employees · 13 contractors · 41 on an average day
94 total staff / 52 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.81 : 1
↑ 13% · MS 1.60This facility: 1.81 staff per resident, 13% above the Mississippi average of 1.60 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
94 staff ÷ 52 residents
See full Mississippi ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↓ 1% · MS 8 hThis facility: 7.9 h, 1% below the Mississippi average of 8 h (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
29,650 staff hours this quarter
See full Mississippi ranking →88.4% of staff hours were worked by the facility's own employees
Mississippi average: 89.5% · Contractors this quarter: Speech Language Pathologist (3), Qualified Social Worker (3), Respiratory Therapy Technician (3), Physical Therapy Aide (2), Physical Therapy Assistant (2)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #67 / 124Bed count — State benchmarked This nursing home is ranked 67th out of 124 nursing homes we track in Mississippi for bed count. Shows this facility's certified or reported bed count compared to other Mississippi facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #67 / 124Bed count — State benchmarked This nursing home is ranked 67th out of 124 nursing homes we track in Mississippi for bed count. Shows this facility's certified or reported bed count compared to other Mississippi facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #116 / 122Walk Score — State benchmarked This nursing home is ranked 116th out of 122 nursing homes we track in Mississippi for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Mississippi facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #116 / 122Walk Score — State benchmarked This nursing home is ranked 116th out of 122 nursing homes we track in Mississippi for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Mississippi facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
6
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #49 / 116Occupancy rate — State benchmarked This nursing home is ranked 49th out of 116 nursing homes we track in Mississippi for occupancy. Shows this facility's occupancy rate versus the Mississippi average, with its Statewide rank out of 116. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #49 / 116Occupancy rate — State benchmarked This nursing home is ranked 49th out of 116 nursing homes we track in Mississippi for occupancy. Shows this facility's occupancy rate versus the Mississippi average, with its Statewide rank out of 116. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
88.3%
This home usually has limited availability
Based on 53 residents and 60 beds. Source: state inspection report (Jun 2026)
Similar to the Mississippi average: 86.7%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
69
days
About This Community
Facility TypeNursing Home
CountyMadison
The Nichols Center is legally operated by NC Leasing, LLC, and administered by Lisha Woodard.
Ownership TypeProprietary
Resident Council
CMS Health Inspection History
ALM Inspection Grade
85 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
2 points above the Mississippi average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
45 severity-weighted points (12 deficiencies) · 8% lower than the typical CMS-certified MS facility (median: 49)
Enforcement
Concern
3 enforcement actions · 3× more than the typical CMS-certified MS facility (median: 1) · $18,259 in fines
Persistence
Strong
26 days to fix issues · faster than the typical CMS-certified MS facility (median: 33)
Total health inspections
7
↑ 49% · MS 4.7This facility: 7, 49% above the Mississippi average of 4.7 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
12
Rank #32 / 114Health citations — State benchmarked This nursing home is ranked 32nd out of 114 nursing homes we track in Mississippi for health citations. Shows this facility's total health deficiency citations benchmarked to the Mississippi State average, with a ranking across all 114 MS facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 34% · MS 18.1This facility: 12, 34% below the Mississippi average of 18.1 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.71
Rank #7 / 114Citations per inspection — State benchmarked This nursing home is ranked 7th out of 114 nursing homes we track in Mississippi for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Mississippi mean across 114 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 55% · MS 3.83This facility: 1.71, 55% below the Mississippi average of 3.83 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
12 of 12 citations corrected
Critical
J–L
0
↓ 100% · MS 0.9This facility: 0, 100% below the Mississippi average of 0.9 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
4
↑ 233% · MS 1.2This facility: 4, 233% above the Mississippi average of 1.2 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
8
↓ 49% · MS 15.7This facility: 8, 49% below the Mississippi average of 15.7 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MS 0.3This facility: 0, 100% below the Mississippi average of 0.3 (among Mississippi facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Mar 26, 2026 · 2 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 5 of 12 citations · 5 categories in total
Citations history
Most recent first
Mar 26, 2026
2 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Nov 25, 2025
1 citation
Resident Rights moderate citation
Corrected
Corrected
Oct 22, 2025
1 citation
Quality of Care serious citation
Corrected
Corrected
Mar 14, 2024
3 citations
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Jan 10, 2024
3 citations
Abuse/Neglect serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Care Planning serious citation
Corrected
Corrected
Dec 18, 2023
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Dec 01, 2022
1 citation
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 12 citations
Resident Assessment & Care Planning
5 deficiencies (42%)
Quality of Life & Care
3 deficiencies (25%)
Abuse, Neglect & Exploitation
2 deficiencies (17%)
Resident Rights
1 deficiency (8%)
Pharmacy Services
1 deficiency (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 12 citations resulted from standard inspections; and 6 of 12 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Aug 2026
3 penalties in the past 3 years
Latest: Oct 22, 2025 · $10,358 civil money penalty
Oct 22, 2025 · $10,358 civil money penalty
Dec 18, 2023 · $7,901 civil money penalty
Oct 22, 2025 · 25-day payment denial
Total fines
$18,259
↓ 46% · MS $34KThis facility: $18,259, 46% below the Mississippi average of $33,848. Average among the 110 Mississippi facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #86 / 115Federal fines — State benchmarked This nursing home is ranked 86th out of 115 nursing homes we track in Mississippi for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Mississippi average among facilities with fines, and where it ranks among 115 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↓ 2% · MS 2.05This facility: 2, 2% below the Mississippi average of 2.05. Average among the 110 Mississippi facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
25 days
↑ 400% · MS 0.2This facility: 1, 400% above the Mississippi average of 0.2. Average among the 110 Mississippi facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 22, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,358
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,358
Oct 22, 2025
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
25 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
25 days
Dec 18, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,901
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,901Fine amount comparison
This facility
$18,259
Mississippi average
$33,848
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Mississippi and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Mississippi average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 50% · MS 2.0This facility: 1.0, 50% below the MS average of 2.0 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 55% · MS 1.9This facility: 3.0, 55% above the MS average of 1.9 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
18.6
Score · lower is better
↑ 67% · MS 11.1This facility: 18.6, 67% above the MS average of 11.1 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
32.1
Score · lower is better
↑ 59% · MS 20.2This facility: 32.1, 59% above the MS average of 20.2 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 7 worse, 1 near MS average
8 short-stay measures: 3 better, 1 worse, 1 near MS average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
33.3%
↑ 62% · MS 20.5This facility: 33.3, 62% above the MS average of 20.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
33.3%
↑ 62% · MS 20.5This facility: 33.3, 62% above the MS average of 20.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
40.2%
↑ 105% · MS 19.6This facility: 40.2, 105% above the MS average of 19.6 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
40.2%
↑ 105% · MS 19.6This facility: 40.2, 105% above the MS average of 19.6 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
↑ 10% · MS 20.7This facility: 22.7, 10% above the MS average of 20.7 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
↑ 10% · MS 20.7This facility: 22.7, 10% above the MS average of 20.7 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MS 2.5This facility: 0.0, 100% below the MS average of 2.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · MS 2.5This facility: 0.0, 100% below the MS average of 2.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
↓ 11% · MS 3.1This facility: 2.8, 11% below the MS average of 3.1 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
↓ 11% · MS 3.1This facility: 2.8, 11% below the MS average of 3.1 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 51% · MS 6.3This facility: 3.1, 51% below the MS average of 6.3 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 51% · MS 6.3This facility: 3.1, 51% below the MS average of 6.3 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
13.3%
↑ 114% · MS 6.2This facility: 13.3, 114% above the MS average of 6.2 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
13.3%
↑ 114% · MS 6.2This facility: 13.3, 114% above the MS average of 6.2 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MS 1.6This facility: 0.0, 100% below the MS average of 1.6 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MS 1.6This facility: 0.0, 100% below the MS average of 1.6 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
22.8%
↑ 5% · MS 21.7This facility: 22.8, 5% above the MS average of 21.7 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
22.8%
↑ 5% · MS 21.7This facility: 22.8, 5% above the MS average of 21.7 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · MS 95.4This facility: 100.0, 5% above the MS average of 95.4 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · MS 95.4This facility: 100.0, 5% above the MS average of 95.4 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · MS 97.0This facility: 100.0, 3% above the MS average of 97.0 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · MS 97.0This facility: 100.0, 3% above the MS average of 97.0 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
4.27
↑ 75% · MS 2.44This facility: 4.27, 75% above the MS average of 2.44 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
4.27
↑ 75% · MS 2.44This facility: 4.27, 75% above the MS average of 2.44 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.41
↑ 18% · MS 2.88This facility: 3.41, 18% above the MS average of 2.88 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.41
↑ 18% · MS 2.88This facility: 3.41, 18% above the MS average of 2.88 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
↑ 22% · US 53.7This facility: 65.4, 22% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
↑ 22% · US 53.7This facility: 65.4, 22% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
53.5%
↑ 6% · US 50.6This facility: 53.5, 6% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
53.5%
↑ 6% · US 50.6This facility: 53.5, 6% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
↑ 103% · US 0.8This facility: 1.6, 103% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
↑ 103% · US 0.8This facility: 1.6, 103% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 64% · MS 2.5This facility: 0.9, 64% below the MS average of 2.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 64% · MS 2.5This facility: 0.9, 64% below the MS average of 2.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
↑ 12% · MS 88.5This facility: 99.6, 12% above the MS average of 88.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
↑ 12% · MS 88.5This facility: 99.6, 12% above the MS average of 88.5 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
↑ 14% · MS 84.6This facility: 96.3, 14% above the MS average of 84.6 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
↑ 14% · MS 84.6This facility: 96.3, 14% above the MS average of 84.6 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
↑ 25% · MS 27.9This facility: 34.8, 25% above the MS average of 27.9 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
↑ 25% · MS 27.9This facility: 34.8, 25% above the MS average of 27.9 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
↓ 3% · MS 15.3This facility: 14.9, 3% below the MS average of 15.3 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
↓ 3% · MS 15.3This facility: 14.9, 3% below the MS average of 15.3 (among MS facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The Nichols Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 108 Mississippi nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−8.1% operating margin
−2.2 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Mississippi homes
50.0% payroll share of revenue
MS average 49.5%Rank #37 / 108Payroll % of net patient revenue — State benchmarked This nursing home is ranked 37th out of 108 nursing homes we track in Mississippi for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Mississippi average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $0.5M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Mississippi homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MS median | Compared with MS homesRank in MS | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $8.3M | +$0.5M | Trend 20172024 | MS median $8.2M | Rank in MS Rank #54 / 108Net patient revenue — State benchmarked This nursing home is ranked 54th out of 108 nursing homes we track in Mississippi for net patient revenue. Shows this facility's net patient revenue compared to the Mississippi average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 50% of homes | Above MS median Higher net patient revenue than 50% of MS homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.0M | +$0.7M | Trend 20172024 | MS median — | Rank in MS Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.7M | −$0.2M | Trend 20172024 | MS median — | Rank in MS Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −8.1% | −2.2 pts | Trend 20172024 | MS median — | Rank in MS Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | MS median — | Rank in MS Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.6M | −$0.2M | Trend — | MS median — | Rank in MS Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Mississippi homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MS median | Compared with MS homesRank in MS | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.1M | +$0.3M | Trend 20172024 | MS median $4.1M | Rank in MS Rank #50 / 108Payroll costs — State benchmarked This nursing home is ranked 50th out of 108 nursing homes we track in Mississippi for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Mississippi average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 54% of homes | Above MS median Higher payroll than 54% of MS homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 50.0% | +1.0 pts | Trend 20172024 | MS median 47.0% | Rank in MS Rank #37 / 108Payroll % of net patient revenue — State benchmarked This nursing home is ranked 37th out of 108 nursing homes we track in Mississippi for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Mississippi average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Mississippi that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 66% of homes | Near MS average The MS average is 49.5% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · MS benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Mississippi payroll average.
% of net patient revenue
Payroll share Operating margin MS payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.8M | $6.1M | $6.3M | $6.2M | $6.2M | $7.1M | $7.8M | $8.3M |
| Operating expenses | $5.5M | $5.6M | $6.1M | $6.3M | $6.4M | $7.6M | $8.3M | $9.0M |
| Net patient income | $0.3M | $0.5M | $0.2M | −$0.1M | −$0.2M | −$0.5M | −$0.5M | −$0.7M |
| Operating margin | 4.9% | 8.3% | 3.8% | −1.6% | −2.4% | −7.2% | −5.9% | −8.1% |
| Net income | $0.3M | $0.5M | $0.3M | $0.3M | $0.7M | −$0.4M | −$0.4M | −$0.6M |
| Payroll costs | $2.7M | $2.7M | $2.9M | $2.9M | $3.2M | $3.6M | $3.8M | $4.1M |
| Payroll share of revenue | 46.0% | 43.7% | 45.6% | 47.2% | 51.0% | 51.0% | 49.0% | 50.0% |
| Beds | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Gross revenue | $7.3M | $7.4M | $7.7M | $6.9M | $7.2M | $8.4M | $10.0M | $10.3M |
| Salaries | $2.3M | $2.3M | $2.5M | $2.5M | $2.7M | $3.1M | $3.3M | $3.7M |
| Wage-related costs | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.5M | $0.5M | $0.5M |
| Contract labor | — | — | — | — | — | $0.6M | $0.7M | $0.7M |
| Other operating costs | $2.8M | $2.9M | $3.2M | $3.3M | $3.2M | $4.0M | $4.5M | $4.8M |
| Net patient revenue per day | $285 | $292 | $306 | $321 | $334 | $369 | $379 | $401 |
| Cost per day | $271 | $268 | $295 | $327 | $342 | $396 | $402 | $434 |
| Average length of stay | 104.9 days | 106.7 days | 96.4 days | 120.5 days | 107.2 days | 76.4 days | 64.1 days | 69.3 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
262 admissions · FY2024
Residents admitted during the year.
Medicare
151 · 58%
Medicaid
4 · 2%
Private pay & other
107 · 41%
Resident snapshot
52 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
18 · 35%
Medicaid
26 · 50%
Private pay & other
8 · 15%
Leaving
298 discharges · FY2024
Residents discharged during the year.
Medicare
181 · 61%
Medicaid
10 · 3%
Private pay & other
107 · 36%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near The Nichols Center
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.
Calculate Travel Distance to The Nichols Center
Add your location
Financial Assistance for
Nursing Home in Mississippi
The Nichols Center is located in North Madison, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.
Know before you visit
Frequently Asked Questions about The Nichols Center
Quick answers from public records and the community's own listing.01 Who is the owner of The Nichols Center?
The Nichols Center is legally operated by NC Leasing, LLC, and administered by Lisha Woodard.
02 Is The Nichols Center in a walkable area?
The Nichols Center has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
03 What is the occupancy rate at The Nichols Center?
The Nichols Center's occupancy is 88.3%.
04 Are pets allowed at The Nichols Center?
No, The Nichols Center has a no-pet policy.
05 Does The Nichols Center operate as a for-profit or non-profit?
The Nichols Center is registered as a for-profit in MS.
06 Who is the administrator of The Nichols Center?
Lisha Woodard is the administrator of The Nichols Center.
07 What is the overall rating for The Nichols Center?
The Nichols Center received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Updated on
