Federal inspection record · CMS data as of October 1, 2026

The Nichols Center

1308 Highway 51 North, Madison, MS · (601) 853-4343

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
53
Ownership
For-Profit
Chain
Briar Hill Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 15, 2003

1

How this home got 3 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Mississippi.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Mississippi homes

The Nichols Center carries 43 inspection points. That is fewer than 45% of Mississippi's 199 rated homes.

5★4★3★2★1★+6 homes above 196.505102550100inspection points → fewer is better on the leftThis home · 43 pts · 3★

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

12 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 22, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 8, 2025

  2. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 10, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 21, 2023

  3. G

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 10, 2024 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected December 21, 2023

  4. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 10, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 21, 2023

Everything else, by area of care

Resident Assessment and Care Planning4D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 26, 2026 · Standard · F656 · Corrected April 13, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 26, 2026 · Standard · F658 · Corrected April 13, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 14, 2024 · Standard · F656 · Corrected April 15, 2024

  4. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 14, 2024 · Standard · F658 · Corrected April 15, 2024

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 25, 2025 · Complaint · F550 · Corrected December 6, 2025

Pharmacy Service1D
  1. 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.

    March 14, 2024 · Standard · F758 · Corrected April 15, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    December 18, 2023 · Complaint · F602 · Corrected January 26, 2024

Quality of Life and Care1E
  1. E

    Provide safe and appropriate respiratory care for a resident when needed.

    December 1, 2022 · Standard · F695 · Corrected January 6, 2023

Inspection history

  1. 2026-03-26

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  2. 2024-03-14

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2022-12-01

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 42 min of nursing staff time a day, 49 min of it from a registered nurse.

This home

4 h 42 min

Mississippi average

4 h 12 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% 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

$18,259 in federal fines on record over the past three years.

DatePenaltyAmount
2025-10-22Fine$10,358
2025-10-22Payment Denial · 25 day denial$0
2023-12-18Fine$7,901

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.2 pts worse3.52.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better1.82.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better100.0%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better100.0%97.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse3.5%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms1.6 pts better0.0%1.6%13.5%
Percentage of long-stay residents who lose too much weight8.5 pts worse14.8%6.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better21.8%23.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.5 pts better20.3%21.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened21.5 pts worse39.8%18.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased12.2 pts worse32.5%20.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better1.0%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.8 pts better0.7%2.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.7 pts worse24.6%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better3.9%6.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts better99.8%89.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better12.8%15.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better0.9%2.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.7 pts better95.7%85.0%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts better25.9%27.1%23.4%

·

Who owns and runs it

36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Briar Hill Management, LLCOperational/Managerial Control · Organization0%6 facilities
Briar Hill Management, LLCAdp Of The SNF · Organization0%6 facilities
Burlison, SandyOperational/Managerial Control · Individual0%6 facilities
Burlison, SandyAdp Of The SNF · Individual0%6 facilities
Burns, SharonOperational/Managerial Control · Individual0%6 facilities
Burns, SharonAdp Of The SNF · Individual0%6 facilities
Estes, TimothyAdp Of The SNF · Individual0%16 facilities
Green, DonnaOperational/Managerial Control · Individual0%6 facilities
Green, DonnaAdp Of The SNF · Individual0%6 facilities
Hooppaw, NicolaiOperational/Managerial Control · Individual0%2 facilities
Hooppaw, NicolaiAdp Of The SNF · Individual0%2 facilities
King, CurtisOperational/Managerial Control · Individual0%6 facilities
King, CurtisAdp Of The SNF · Individual0%6 facilities
Lee, JasonOperational/Managerial Control · Individual0%2 facilities
Lee, JasonAdp Of The SNF · Individual0%2 facilities
Muha, AshleyOperational/Managerial Control · Individual0%6 facilities
Muha, AshleyAdp Of The SNF · Individual0%6 facilities
Nc, LLCAdp Of The SNF · Organization0%1 facilities
Omnicare LLCAdp Of The SNF · Organization0%43 facilities
Philippe, LynnDirect Ownership Interest · Individual0%6 facilities
Philippe, LynnAdp Of The SNF · Individual0%6 facilities
Rotolo, DavidDirect Ownership Interest · Individual0%6 facilities
Rotolo, DavidOperational/Managerial Control · Individual0%6 facilities
Rotolo, DavidAdp Of The SNF · Individual0%6 facilities
Rotolo, RobertDirect Ownership Interest · Individual0%6 facilities
Rotolo, RobertOperational/Managerial Control · Individual0%6 facilities
Rotolo, RobertAdp Of The SNF · Individual0%6 facilities
Rubertino, FrosiniAdp Of The SNF · Individual0%6 facilities
Trustmark National Bank5% Or Greater Mortgage Interest · Organization0%17 facilities
Trustmark National Bank5% Or Greater Security Interest · Organization0%17 facilities
Trustmark National BankOperational/Managerial Control · Organization0%17 facilities
Trustmark National BankAdp Of The SNF · Organization0%17 facilities
White, DeborahOperational/Managerial Control · Individual0%6 facilities
White, DeborahAdp Of The SNF · Individual0%6 facilities
Whitlow, CarrieOperational/Managerial Control · Individual0%6 facilities
Whitlow, CarrieAdp Of The SNF · Individual0%6 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke1D
  1. D

    Install corridor and hallway doors that block smoke.

    March 26, 2026 · K363 · Corrected April 14, 2026

·

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