Madison County, Mississippi · Nursing home
The Nichols Center
3 of 5 overall from CMS
1308 Highway 51 North, Madison, MS 39110
At a glance
- Overall rating 3 of 5 Above the state average of 2.7
- Nurse time per resident, per day 4.57 hours Above the state average of 4.18
- Nursing staff who left in a year 49.3% Above the state average of 45.7%
- Health citations, last 3 inspection cycles 12 4 at the harm level or above
- Fines in 3 years $18,259 2 fines
- Certified beds in use 91.0% of 60 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Nichols Center is a 60-bed nursing home in Madison, Mississippi (Madison County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.57 nurse staffing hours per resident per day, above the Mississippi average of 4.18. CMS lists 2 fines totaling $18,259 in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 54.6
- Certified since
- 2003 (23 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Briar Hill Management (6 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Nichols Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $18,259 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 49.3%, above the Mississippi average of 45.7%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 4.10 hours per resident on weekends against 4.57 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Mississippi average 2.7
- Health inspections 3 of 5 Mississippi average 2.8
- Staffing 4 of 5 Mississippi average 3.8
- Quality measures 2 of 5 Mississippi average 2.2
The vertical line marks the Mississippi average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.57 h Mississippi average 4.18
- Nurse aides 2.77 h Mississippi average 2.43
- Licensed practical nurses 1.07 h Mississippi average 1.11
- Registered nurses 0.73 h Mississippi average 0.64
- All staff, weekends 4.10 h Mississippi average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Mississippi average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover49.3%
- Mississippi average45.7%
- Registered nurse turnover61.5%
- Mississippi average38.5%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Mississippi and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Mississippi | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 33.3% | 20.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 13.3% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 40.2% | 19.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.9% | 23.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 97.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.1% | 6.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 22.8% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 3.31 | 2.43 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.48 | 2.86 | 1.78 |
Short-stay residents
| Measure | This home | Mississippi | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 88.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 2.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.3% | 84.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.4% | 27.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 12 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 6 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 22, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 26, 2026 | 4 | 1 |
| Mar 14, 2024 | 3 | 0 |
| Dec 1, 2022 | 5 | 0 |
Mississippi homes averaged 6.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (12)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 13, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 6, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 8, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2024)
Show 7 more
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2024)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Apr 15, 2024)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Dec 21, 2023)
-
GActual harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Past Non-Compliance (Dec 21, 2023)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Dec 21, 2023)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 26, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 6, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 22, 2025 | Fine | $10,358 |
| Oct 22, 2025 | Payment Denial | 25 days |
| Dec 18, 2023 | Fine | $7,901 |
Mississippi homes averaged 1.1 fines and $17,231 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Mississippi
- Size158 of 201 by certified beds
- Mississippi average residents per day73.7
- ChainBriar Hill Management
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Madison County5
Common questions
What is the CMS star rating for The Nichols Center?
The Nichols Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 2.
How many beds does The Nichols Center have?
The Nichols Center has 60 certified beds. It averages 54.6 residents per day, about 91.0% of its certified beds.
How much nursing care do residents get at The Nichols Center?
The home reports 4.57 hours of nurse staffing per resident per day, including 0.73 hours from registered nurses. The Mississippi average is 4.18 hours and 0.64 hours from registered nurses.
Has The Nichols Center been fined?
Yes. CMS lists 2 fines totaling $18,259 in the past three years. It also lists 1 payment denial.
Does The Nichols Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 The Madison Health and Rehab 60beds 96.3%in use 4.62nurse hours a day
- 2 of 5 Highland Home 120beds 90.8%in use 3.64nurse hours a day
- 1 of 5 Parkway Health & Rehab LLC 87beds 89.9%in use 4.27nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Madison County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 255304. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.