The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
THE NICHOLS CENTER
MADISON, MS · Medicare-certified · 60 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
The Nichols Center in Madison, MS has an overall rating of 3 out of 5 stars, with stronger staffing (4 stars and 4.57 hours per resident/day versus the 4.1 federal benchmark) but weaker quality measures at 2 stars. It also has a recent federal penalty and $10,358 in fines over the last 24 months, with recent inspection concerns about accident hazards, care planning, and resident protection from abuse and neglect.
Facility ratings
Health inspections
Staffing
4.572 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $10,358recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.572.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 1.07
- Nurse aides
- 2.77
- Weekend nursing
- 4.10
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 62%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.6%18.2%Improving
Residents with a fall causing major injury
5.3%2.9%Improving
Residents with pressure ulcers (bedsores)
3.2%5.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.6%18.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.5%20%Improving
Residents whose ability to walk got worse
—40.2%—
Long-stay residents on antianxiety or sleep medication
26.3%23.5%Improving
Short-stay residents newly given an antipsychotic
1.3%1.2%No change
Residents with a long-term catheter
1.6%0%Improving
Residents with new or worsening incontinence
13.5%19.9%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.3%—
Short-stay residents given the pneumonia vaccine
99.1%99.1%No change
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $10,358 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $15,935 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $18,259 in total fines · 1 payment denial.
- 25 days
Medicare/Medicaid payment denial
Oct 22, 2025
- $10,358
Federal fine
Oct 22, 2025
- $7,901
Federal fine
Dec 18, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BRIAR HILL MANAGEMENT · 6 homes · 3.2 stars avg
- Occupancy
- 54.6 residents on an average day (91% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.