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
3 of 5 overall
THE NICHOLS CENTER (MADISON, MS) has a 3 out of 5 star overall rating. Staffing is above the federal benchmark at 4.71 hours per resident per day versus 4.1, but quality measures are lower at 2 stars, and the home has a recent federal penalty with $15,935 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.713 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $15,935recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.713.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 1.26
- Nurse aides
- 2.81
- Weekend nursing
- 4.26
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 64%
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
25%20%Improving
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
10.5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3%15.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%45.2%Worsening
Residents whose ability to walk got worse
—37.7%—
Long-stay residents on antianxiety or sleep medication
26.5%23.5%Improving
Short-stay residents newly given an antipsychotic
1.1%1.1%No change
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
21.4%23.4%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
97.7%100%Improving
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 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 · $23,836 in total fines · 1 payment denial.
- 25 days
Medicare/Medicaid payment denial
Oct 22, 2025
- $15,935
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 · 3.3 stars avg
- Occupancy
- 55.9 residents on an average day (93% 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.