Federal inspection record · CMS data as of October 1, 2026
Middleton Oaks Health And Rehabilitation
627 Middleton Road, Winona, MS · (662) 283-1260
- Certified beds
- 120
- Residents per day
- 94
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1994
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Mississippi homes
Middleton Oaks Health And Rehabilitation carries 135 inspection points. That is fewer than 7% of Mississippi's 199 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Mississippi: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–30 pts
- 3★ 30–47 pts
- 2★ 47–78.5 pts
- 1★ over 78.5 pts
Bars show every rated home in Mississippi by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights7E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Assessment and Care Planning4D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care3E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary2F
- E
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1F
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2025-03-27
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-09-28
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2021-10-07
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 20 min
Mississippi average
4 h 12 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 62% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$26,053 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-31 | Fine | $15,185 |
| 2025-03-27 | Fine | $5,434 |
| 2025-03-27 | Fine | $5,434 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 2.1 | 2.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 4.0 | 2.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 100.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 100.0% | 97.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.9 pts worse | 6.5% | 1.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 5.7% | 6.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts worse | 29.1% | 23.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.6 pts worse | 43.4% | 21.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.7 pts better | 9.6% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9 pts better | 11.3% | 20.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.4% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.3% | 2.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.3 pts better | 6.6% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts worse | 9.1% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11 pts better | 100.0% | 89.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 16.9% | 15.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 2.3% | 2.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15 pts better | 100.0% | 85.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts better | 20.5% | 27.1% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Art And Soul Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Winona Parentco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Fc Encore Winona LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Fc Encore Winona LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Matthews, Jonathan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Matthews, Jonathan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Peeples, Mercedes | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Peeples, Mercedes | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rushing, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rushing, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Thomas, John | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Thomas, John | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thomas, John | Adp Of The SNF · Individual | 0% | 18 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
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Other homes nearby
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Vaiden Community Living Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 20 min
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Grenada Living Center
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- Fines
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-
Grenada Rehabilitation And Healthcare Center
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- G
- Nursing / resident / day
- 4 h 8 min
- Fines
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