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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 28th out of 110 homes in Mississippi. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ■ Avg State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 13m per day | ▲ 12% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 53m per day | ▲ 16% State avg: 2h 29m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 40m per day | ▲ 4% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
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.
| 5m per day | ▲ 150% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 30m per day | ▲ 36% State avg: 22m per day · National avg: 29m per day |
Higher than the Mississippi average: 82.3%The Nichols Center is legally operated by NC Leasing, LLC, and administrated by Lisha Woodard.
In Mississippi, the State Department of Health, Bureau of Health Facilities Licensure conducts unannounced surveys to monitor facility compliance with health, safety, and resident rights laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Mississippi state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 43 | 45 | This facility has 4% fewer total deficiencies than a typical Mississippi nursing home (43 vs. MS avg 45).↓ 4% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 6.1 | 6.4 | This facility has 5% fewer deficiencies per year than a typical Mississippi nursing home (6.1 vs. MS avg 6.4).↓ 5% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMississippi 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 averageMississippi average: 1
264% worse than Mississippi averageMississippi average: 1.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% better than Mississippi average
0% compared with Mississippi average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo 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.
7.6 hoursNo 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.
7.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,426 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 14,447 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 15 | 0 | 15 | 6,207 | 92 | 100% | 7.6 |
| Registered Nurse | 11 | 0 | 11 | 1,783 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,008 | 86 | 93% | 7.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 990 | 66 | 72% | 8.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 925 | 78 | 85% | 8.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 719 | 71 | 77% | 9.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 695 | 67 | 73% | 10.1 |
| Qualified Social Worker | 0 | 3 | 3 | 588 | 71 | 77% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 549 | 68 | 74% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 507 | 61 | 66% | 8.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 499 | 56 | 61% | 8.5 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 254 | 34 | 37% | 7.3 |
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)
80% lower than Mississippi averageMississippi average: $39K
50% fewer fines than Mississippi averageMississippi 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 averageMississippi average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
6% worse than Mississippi averageMississippi average: 12.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
In line with Mississippi averageMississippi average: 22.3
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 averageMississippi average: 21.2%
Percent of long-stay residents whose ability to move independently worsened
29.7%
21% worse than Mississippi averageMississippi average: 24.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
27% better than Mississippi averageMississippi average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
32% better than Mississippi averageMississippi average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.9%
In line with Mississippi averageMississippi average: 7.1%
Percent of long-stay residents with a urinary tract infection
0.8%
70% better than Mississippi averageMississippi average: 2.6%
Percent of long-stay residents who lose too much weight
7.1%
15% worse than Mississippi averageMississippi average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Mississippi averageMississippi average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
28.2%
33% worse than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Mississippi averageMississippi average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Mississippi averageMississippi average: 97.0%
Number of hospitalizations per 1,000 long-stay resident days.
4.27
75% worse than Mississippi averageMississippi average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.41
18% worse than Mississippi averageMississippi average: 2.88
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
12% better than Mississippi averageMississippi average: 87.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
78% better than Mississippi averageMississippi average: 2.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
14% better than Mississippi averageMississippi average: 84.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.8%
25% worse than Mississippi averageMississippi average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
In line with Mississippi averageMississippi average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
103% worse than Mississippi averageMississippi average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
22% better than Mississippi averageMississippi average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.5%
6% better than Mississippi averageMississippi average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents 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.
Historical financial and operational data for The Nichols Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 106Payroll — State benchmarkedThis home is ranked 51st out of 106 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
On-site Medical Care and Health Services
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
The Nichols Center is located in Madison, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.
The legal owner and operator of The Nichols Center is NC Leasing, LLC.
The Nichols Center has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Nichols Center's occupancy is 100%.
Lisha Woodard is the administrator of The Nichols Center.
The Nichols Center has 60 beds.
The Nichols Center is located at 1308 Highway 51 North, Madison, MS 39110.
(601) 853-4343 will put you in contact with the team at The Nichols Center.
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