Home / Mississippi / Madison
The Nichols Center
1308 Highway 51 North, Madison, MS 39110 · Madison County · (601) 853-4343
60 certified beds, about 55 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 255304 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 2 health deficiencies (the Mississippi average is 6.8, the national average 9.2).
Of 12 health citations since December 2022, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $18,259 in the last three years; the largest was $10,358, and the latest is dated October 22, 2025.
Nurses and nurse aides worked 4.57 hours per resident per day, against 4.18 across Mississippi and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
49.3% of nursing staff left within the year CMS measured (Mississippi average 45.7%).
CMS links it to Briar Hill Management, an affiliated group of 6 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
112/22
112/23
301/24
303/24
110/25
111/25
203/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
March 26, 2026Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to develop and implement a comprehensive, person-centered care plan to address a stage two pressure ulcer for one (1) of (1) residents reviewed for care planning. Resident #38. Findings Include:Record review of the facility's Care Plan policy updated 2/20/20 revealed Each resident will have a person-centered plan of care to identify problems, needs, and strengths that will identify how the interdisciplinary team will provide care .7. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to provide psychiatric services in accordance with professional standards of practice for one (1) of three (3) residents reviewed for unnecessary medications, Resident #53. Findings Include: Record review of the facility policy Behavioral Health Services dated 4/01/18 revealed, It is the policy of this facility that all residents receive care and services to assist him or her to reach and maintain the highest level of mental and psychosocial functioning. Record review of the Progress Notes dated 2/3/26 through 3/12/26 revealed no psychiatric follow up notes were available and a behavior was marked YES on the progress notes indicating behaviors had been present. [...]
November 25, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, staff and responsible party (RP) interview and facility policy review, the facility failed to ensure a resident was treated with dignity and respect for one (1) of four (4) residents reviewed for resident rights. Resident #1.
October 22, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure resident safety during mechanical lift transfers by failing to assess and use the appropriate sling, and by failing to inspect the sling for signs of wear or damage prior to use for one (1) of three (3) residents reviewed for accidents and hazards (Resident #1).
March 14, 2024Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interviews, record review, and facility policy review, the facility failed to implement a care plan for monitoring for side effects and behavior monitoring with the use of psychotropic medications for (1) one of 16 resident care plans reviewed.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, record review, and policy review the facility failed to provide services or care that accepted standards of quality dictate should have been provided when staff administered an as needed (prn) antipsychotic medication every 12 hours scheduled for (1) one of (9) nine residents whose medication regimen was reviewed. (Resident #104)
- D 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.
Inspectors wroteBased on staff interview, record review, and policy review the facility failed to ensure residents were free from unnecessary drug use as evidenced by no targeted behavior or side effect monitoring for the use of psychotropic medications (Resident #38) and administered an as needed (PRN) antipsychotic medication with no documented targeted behaviors (Resident #104) for two (2) of five (5) residents reviewed for unnecessary medication use.
January 10, 2024Complaint inspection · 3 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff and resident interviews, record review and facility policy review, the facility failed to protect the resident's right to be free from neglect when a resident was transferred utilizing a total lift without two (2) staff members resulting in the lift overturning and the resident falling to the floor. The resident sustained skin tears and a hematoma to her scalp and required transfer to the emergency department. This was for one (1) of seven (7) residents sampled. Resident #1.
- G Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review, policy procedure review and interviews, the facility failed to implement a comprehensive person-centered care plan for one (1) of seven (7) residents sampled, Resident #1, as evidenced by on 12/6/23, Certified Nurse Aide (CNA) #1 failed to follow the Resident Care Summary and ADL's (activities of daily living) Care Plan for Resident #1 when she attempted to transfer Resident #1 using the total lift without the assistance of another staff member.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, interview and facility policy/procedure review, the facility failed to ensure an environment that is free from accident hazards and provide the necessary supervision to prevent injury for one (1) of seven (7) sampled residents, Resident #1.
December 18, 2023Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interviews, record/video surveillance review, personnel record review, and facility policy review, the facility failed to prevent diversion of controlled substances by a nurse for one (1) of four (4) residents reviewed, Resident #1.
December 1, 2022Standard inspection · 1 citation
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff and resident interview, record review and facility policy review the facility failed to date oxygen, nebulizer tubing, and humidifier bottles and place oxygen signage on the doors for three (3) of 14 residents reviewed for oxygen administration. Resident #2, Resident #100, and Resident #149 and no physician order for oxygen for two (2) of three (3) residents.
Fire safety inspections
1 fire safety citation on file: 1 on March 26, 2026.
Every fire safety citation1 citation
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 22, 2025 | Fine | $10,358 |
| October 22, 2025 | Payment Denial | 25 days from November 11, 2025 |
| December 18, 2023 | Fine | $7,901 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Mississippi | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.57 | 4.18 | 3.86 |
| Registered nurses | 0.73 | 0.64 | 0.69 |
| All nursing staff on weekends | 4.10 | 3.50 | 3.42 |
| Nurse aides | 2.77 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 49.3% | 45.7% | 45.8% |
| Registered nurse turnover | 61.5% | 38.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.76 on weekdays and 4.10 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.38 in April to June 2025 to 4.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.57 | 0.73 | 4.76 | 4.10 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 4.71 | 0.65 | 4.89 | 4.26 | 0.0% | 0 of 92 | 56 |
| Jul to Sep 2025 | 4.73 | 0.63 | 4.96 | 4.13 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 4.38 | 0.74 | 4.66 | 3.67 | 0.0% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Mississippi, Jan to Mar 2026 | 4.09 | 0.60 | 4.35 | 3.44 | 6.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Mississippi | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.3 | 20.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 2.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 40.2 | 19.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 6.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.8 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 27.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.7 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.9 | 1.8 |
Owners and operators
Legal business name: NC LEASING, LLC. CMS links this home to Briar Hill Management, a group of 6 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Philippe, Lynn | Direct ownership interest | Individual | 01/28/2008 | |
| Rotolo, David | Direct ownership interest | Individual | 01/28/2008 | |
| Rotolo, Robert | Direct ownership interest | Individual | 01/28/2008 | |
| Trustmark National Bank | 5% or greater mortgage interest | Organization | 07/01/2011 | |
| Trustmark National Bank | 5% or greater security interest | Organization | 07/01/2011 | |
| Briar Hill Management, LLC | Operational/managerial control | Organization | 09/03/2003 | |
| Trustmark National Bank | Operational/managerial control | Organization | 07/01/2011 | |
| Burlison, Sandy | Operational/managerial control | Individual | 02/25/2019 | |
| Burns, Sharon | Operational/managerial control | Individual | 01/28/2008 | |
| Green, Donna | Operational/managerial control | Individual | 05/04/2010 | |
| Hooppaw, Nicolai | Operational/managerial control | Individual | 06/19/2026 | |
| King, Curtis | Operational/managerial control | Individual | 09/01/2016 | |
| Lee, Jason | Operational/managerial control | Individual | 04/13/2026 | |
| Muha, Ashley | Operational/managerial control | Individual | 10/04/2010 | |
| Rotolo, David | Operational/managerial control | Individual | 01/28/2008 | |
| Rotolo, Robert | Operational/managerial control | Individual | 01/28/2008 | |
| White, Deborah | Operational/managerial control | Individual | 05/12/2014 | |
| Whitlow, Carrie | Operational/managerial control | Individual | 09/05/2022 | |
| Briar Hill Management, LLC | Adp of the SNF | Organization | 05/02/2025 | |
| Nc, LLC | Adp of the SNF | Organization | 01/28/2008 | |
| Omnicare LLC | Adp of the SNF | Organization | 05/01/2017 | |
| Trustmark National Bank | Adp of the SNF | Organization | 04/02/2025 | |
| Burlison, Sandy | Adp of the SNF | Individual | 02/25/2019 | |
| Burns, Sharon | Adp of the SNF | Individual | 01/28/2008 | |
| Estes, Timothy | Adp of the SNF | Individual | 11/11/2008 | |
| Green, Donna | Adp of the SNF | Individual | 05/04/2010 | |
| Hooppaw, Nicolai | Adp of the SNF | Individual | 06/19/2026 | |
| King, Curtis | Adp of the SNF | Individual | 09/01/2016 | |
| Lee, Jason | Adp of the SNF | Individual | 04/13/2026 | |
| Muha, Ashley | Adp of the SNF | Individual | 10/04/2010 | |
| Philippe, Lynn | Adp of the SNF | Individual | 01/28/2008 | |
| Rotolo, David | Adp of the SNF | Individual | 01/28/2008 | |
| Rotolo, Robert | Adp of the SNF | Individual | 01/28/2008 | |
| Rubertino, Frosini | Adp of the SNF | Individual | 09/18/2017 | |
| White, Deborah | Adp of the SNF | Individual | 05/12/2014 | |
| Whitlow, Carrie | Adp of the SNF | Individual | 09/05/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 26, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on October 22, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 10, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 25, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- The Madison Health and Rehab Madison, 1.8 mi · 2 of 5 stars · 25 citations
- Highland Home Ridgeland, 5.5 mi · 2 of 5 stars · 18 citations
- Parkway Health & Rehab LLC Canton, 6.7 mi · 1 of 5 stars · 26 citations
- Community Place Brandon, 9.3 mi · 5 of 5 stars · 14 citations
- Manhattan Community Care Center Jackson, 9.7 mi · 1 of 5 stars · 32 citations
- Pine Forest Health and Rehabilitation Jackson, 9.7 mi · 1 of 5 stars · 43 citations
- Madison Co Nh Canton, 10.2 mi · 2 of 5 stars · 14 citations
- Alyce G Clarke Center for Medically Fragile Childr Jackson, 10.3 mi · not rated · 0 citations
Mississippi contacts for a concern about a nursing home
These are the official offices in Mississippi. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Mississippi State Department of Health, Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Mississippi Long-Term Care Ombudsman Program, MDHS Division of Aging and Adult Services, 1-888-844-0041. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: MSDH Nursing Home Search, where Mississippi publishes its own records on licensed homes.
Common questions
- What is The Nichols Center's Medicare star rating?
- CMS rates The Nichols Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Nichols Center get at its last inspection?
- 2 health deficiencies at the standard inspection on March 26, 2026. The Mississippi average is 6.8.
- Has The Nichols Center been fined?
- Yes. CMS lists 2 fines totaling $18,259 in the last three years.
- Does The Nichols Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Nichols Center?
- CMS lists 36 owners and managers, and links the home to Briar Hill Management. Legal business name: NC LEASING, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.