The Nichols Center
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Nichols Center

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Calculator: See prices in your area
The Nichols Center accepts Medicaid, Medicare, and private pay.

Inspection History

In Mississippi, the State Department of Health, Bureau of Health Facilities Licensure conducts unannounced surveys to monitor facility compliance with health, safety, and resident rights laws.

Since 2019 · 7 years of data 43 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Mississippi state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Mississippi state average
Overall vs. MS average 0 Worse No metrics in this bucket. 2 Better Metrics better than Mississippi average:
• Total deficiencies (4% below)
• Deficiencies per year (5% below)
Latest Inspection December 10, 2025 Follow Up

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

This FacilityMS Averagevs. MS Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4345 This facility has 4% fewer total deficiencies than a typical Mississippi nursing home (43 vs. MS avg 45).↓ 4% better
Deficiencies per year Info Average deficiencies per year since 2019. 6.16.4 This facility has 5% fewer deficiencies per year than a typical Mississippi nursing home (6.1 vs. MS avg 6.4).↓ 5% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The December 10, 2025 follow-up survey found the facility corrected all deficiencies from October and November complaint surveys and restored compliance with Medicare, Medicaid, and state licensure effective December 6, 2025.
  • The November 25, 2025 complaint investigation substantiated failure to treat a resident with dignity and respect, resulting in termination of two CNAs for rude behavior and delayed assistance.
  • The October 22, 2025 complaint investigation found the facility failed to ensure resident safety during mechanical lift transfers, causing a fall with lumbar fracture and skin abrasion; involved staff were terminated.

Health Inspection History

Inspections since 2019
Total health inspections 5

Mississippi average 4.4


Last Health inspection on Oct 2025

Total health citations
12 Rank #33 / 120Health citations — State benchmarkedThis home is ranked 33rd out of 120 homes in Mississippi. Shows this facility's total health deficiency citations benchmarked to the Mississippi State average, with a ranking across all 120 MS facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Mississippi average 16.9

Citations per inspection
2.4 Rank #15 / 120Citations per inspection — State benchmarkedThis home is ranked 15th out of 120 homes in Mississippi. Shows average deficiency citations per CMS inspection for this facility versus the Mississippi mean across 120 facilities with citation data. Lower is better.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 7 years)
Critical health citations
0
100% better than Mississippi average

Mississippi average: 1


Serious health citations
4
264% worse than Mississippi average

Mississippi average: 1.1

0 critical citations Mississippi average: 1

4 serious citations Mississippi average: 1.1

8 moderate citations Mississippi average: 14.6

0 minor citations Mississippi average: 0.3
Citations history (last 7 years)
Quality of Care serious citation Oct 22, 2025
Corrected

Pharmacy moderate citation Mar 14, 2024
Corrected

Care Planning moderate citation Mar 14, 2024
Corrected

Care Planning moderate citation Mar 14, 2024
Corrected

Staffing Data

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

Total staff 94
Employees 81
Contractors 13
Staff to resident ratio 1.77 : 1
9% more staff per resident than Mississippi average
Mississippi average ratio: 1.63 : 1 Mississippi average ratio: 1.63 : 1See full Mississippi ranking
Avg staff/day 41
Average shift 7.9 hours
0% compared with Mississippi average
Mississippi average: 8 hours Mississippi average shift: 8 hoursSee full Mississippi ranking
Total staff hours (quarter) 29,650

Nursing staff breakdown

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

Manages medical care and health needs.

RN Staff Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 15 LPN Staff are full-time employees. No contractors work on this role. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 46 CNA Staff are full-time employees. No contractors work on this role. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

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

Total hours from contractors

11.6%

3,426 contractor hours this quarter

Speech Language Pathologist: 3 Qualified Social Worker: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4604614,44792100%7.8
Licensed Practical Nurse150156,20792100%7.6
Registered Nurse110111,78392100%8.2
Other Dietary Services Staff2021,0088693%7.4
Clinical Nurse Specialist2029906672%8.3
Physical Therapy Aide0229257885%8.8
Speech Language Pathologist0337197177%9.8
Respiratory Therapy Technician0336956773%10.1
Qualified Social Worker0335887177%8.2
Nurse Practitioner1015496874%8.1
Mental Health Service Worker1015076166%8.3
Physical Therapy Assistant0224995661%8.5
Administrator1014806065%8
RN Director of Nursing2022543437%7.3
46 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 100%
2 Other Dietary Services Staff
% of Days 93%
2 Clinical Nurse Specialist
% of Days 72%
2 Physical Therapy Aide
% of Days 85%
3 Speech Language Pathologist
% of Days 77%
3 Respiratory Therapy Technician
% of Days 73%
3 Qualified Social Worker
% of Days 77%
1 Nurse Practitioner
% of Days 74%
1 Mental Health Service Worker
% of Days 66%
2 Physical Therapy Assistant
% of Days 61%
1 Administrator
% of Days 65%
2 RN Director of Nursing
% of Days 37%

Penalties and fines

Includes penalties issued in 2023-2025

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $8K Rank #90 / 121Federal fines — State benchmarkedThis home is ranked 90th out of 121 homes in Mississippi. Shows this facility's cumulative CMS federal fine dollars versus the Mississippi average among facilities with fines, and where it ranks among 121 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
80% lower than Mississippi average

Mississippi average: $39K

Number of fines 1
50% fewer fines than Mississippi average

Mississippi average: 2.0

Payment Denials Info 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

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.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 18, 2023
$8K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.2
6% worse than Mississippi average

Mississippi average: 12.4

Functional decline score Info 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

Long-stay resident measures
Significantly below average Mississippi avg: 2.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.8%
6% better than Mississippi average

Mississippi average: 21.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.7%
21% worse than Mississippi average

Mississippi average: 24.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.6%
27% better than Mississippi average

Mississippi average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.2%
32% better than Mississippi average

Mississippi average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.9%
In line with Mississippi average

Mississippi average: 7.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
70% better than Mississippi average

Mississippi average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.1%
15% worse than Mississippi average

Mississippi average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Mississippi average

Mississippi average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.2%
33% worse than Mississippi average

Mississippi average: 21.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Mississippi average

Mississippi average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Mississippi average

Mississippi average: 97.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 4.27
75% worse than Mississippi average

Mississippi average: 2.44

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.41
18% worse than Mississippi average

Mississippi average: 2.88

Short-stay resident measures
Average Mississippi avg: 1.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
12% better than Mississippi average

Mississippi average: 87.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.5%
78% better than Mississippi average

Mississippi average: 2.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
14% better than Mississippi average

Mississippi average: 84.6%

Re-hospitalized after SNF stay Info 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%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.9%
In line with Mississippi average

Mississippi average: 15.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.6%
103% worse than Mississippi average

Mississippi average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 65.4%
22% better than Mississippi average

Mississippi average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.5%
6% better than Mississippi average

Mississippi average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 53
Medicare
21
39.6% of residents
Medicaid
27
50.9% of residents
Private pay or other
5
9.4% of residents
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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$463.4K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.8M Rank #46 / 113Revenue — State benchmarkedThis home is ranked 46th out of 113 homes in Mississippi. Shows this facility's annual revenue compared to the Mississippi average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$463.4K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$52.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #53 / 113Payroll — State benchmarkedThis home is ranked 53rd out of 113 homes in Mississippi. Shows total annual staff payroll benchmarked to the Mississippi average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.8M 49% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #69 / 113Payroll % — State benchmarkedThis home is ranked 69th out of 113 homes in Mississippi. Shows payroll as a percentage of revenue versus the Mississippi average. Well-run Mississippi facilities typically land around 51–70% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Mississippi that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.3M

What does this home offer?

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
265 total

Coverage residents most often arrive under.

Medicare 60%
Private pay 40%
Medicaid 1%
Discharges
322 total

Coverage residents most often leave under.

Medicare 62%
Private pay 35%
Medicaid 3%

Places of interest near The Nichols Center

Address 1.7 miles from city center Info 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

Address

Financial Assistance for
Nursing Home in Mississippi

The Nichols Center is located in Madison, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.

Get Financial aid guidance

Elderly and Disabled Waiver

Mississippi Medicaid E&D Waiver

Age 65+ or disabled
General Mississippi resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
MS

Higher asset limit; rural focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Meals ($6/meal)

Mississippi Caregiver Respite Program

MS NFCSP Respite

Age Caregiver of someone 60+
General Mississippi resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
MS

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Assisted Living (AL) Waiver

Mississippi Assisted Living Waiver

Age 65+ or disabled
General Mississippi resident, Medicaid-eligible, NFLOC, living in approved AL facility.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT required.
Asset Limits $4,000 (individual), $6,000 (couple).
MS

Only for AL facilities with waiver contracts; small program size.

Benefits
Personal care Meals Medication management Respite Transportation within AL facility

Independent Living (IL) Waiver

Mississippi Independent Living Waiver

Age 16+ (65+ for seniors)
General Mississippi resident, Medicaid-eligible, NFLOC but capable of self-direction.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT required.
Asset Limits $4,000 (individual), $6,000 (couple).
MS

Self-directed care; limited to in-home settings.

Benefits
Personal care (4-6 hours/day) Respite (~200 hours/year) Home mods Assistive tech Transition services

Medicare Savings Program (MSP)

Mississippi Medicare Savings Program

Age 65+ or disabled
General Mississippi resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MS

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Mississippi Homemaker Program

Mississippi Homemaker Program (via Area Agencies on Aging)

Age 60+
General Mississippi resident, not Medicaid-eligible, needs assistance with daily living.
Income Limits (2025) ~$1,063/month (100% FPL, individual); prioritizes low-income.
Asset Limits Not strictly assessed; need-based focus.
MS

10 AAAs; waitlist possible due to funding caps.

Benefits
Homemaker services (2-4 hours/day, e.g., cleaning, meal prep) Respite (~2 days/year) Transportation Meals

VA Aid and Attendance (A&A) and Housebound Benefits

Mississippi VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Mississippi resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MS

High veteran population in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about The Nichols Center

Who is the owner of The Nichols Center?

The Nichols Center is legally operated by NC Leasing, LLC, and administered by Lisha Woodard.

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.

What is the occupancy rate at The Nichols Center?

The Nichols Center's occupancy is 97%.

Does The Nichols Center operate as a for-profit or non-profit?

The Nichols Center is registered as a for-profit in MS.

Who is the administrator of The Nichols Center?

Lisha Woodard is the administrator of The Nichols Center.

How many beds does The Nichols Center have?

The Nichols Center has 60 beds.

What is the address of The Nichols Center?

The Nichols Center is located at 1308 Highway 51 North, Madison, MS 39110.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance