nursing home in Winona, MS
Middleton Oaks Health and Rehabilitation
627 Middleton Road, Winona, MS 38967 · (662) 283-1260
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Middleton Oaks Health and Rehabilitation at a glance
Middleton Oaks Health and Rehabilitation is a 120-bed for-profit nursing home in Winona, Mississippi (Montgomery County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Mississippi average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (March 27, 2025) found 16 health citations. The Mississippi average is 6.9.
Federal regulators fined it 2 times in the past three years, totaling $10,868.
Nursing staff turnover is 55.8% per year (state average 45.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avardis Health
- Medicare-certified since
- March 1, 1994
- Resident/family council
- Both
- County
- Montgomery County
- CMS Certification Number
- 255171
Ratings
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.8 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.2 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.17 hrs | 4.18 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.53 hrs | 0.64 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.70 hrs | 2.43 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.81 hrs | 3.50 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.8% | 45.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55% | 38.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 139 | 61.2 | 80.6 | Worse |
Penalties
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,868 | $17,231 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 87 | 107 | |
| Average residents per day | 96 | 74 | 86 | |
| Occupancy | 79.7% | 85.7% | 80.9% |
Long-stay residents
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 3.1% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 8.3% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 41.9% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 1.4% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 12.7% | 20.5% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.2% | 19.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.4% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.1% | 1.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.7% | 23.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 7.8% | 20.7% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.9% | 97% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Mississippi avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.7% | 2.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 82.5% | 84.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 88.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 31, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | G Actual harm, isolated | Corrected April 21, 2026 |
| March 31, 2026 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected April 21, 2026 |
| September 18, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected October 17, 2025 |
| September 18, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected August 18, 2025 |
| March 27, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 24, 2025 |
| March 27, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 24, 2025 |
| March 27, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | G Actual harm, isolated | Corrected April 24, 2025 |
| March 27, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected April 24, 2025 |
| March 27, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 24, 2025 |
| March 27, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected April 24, 2025 |
| March 27, 2025 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | E Potential harm, pattern | Corrected April 24, 2025 |
| March 27, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 24, 2025 |
| March 27, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 24, 2025 |
| March 27, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 24, 2025 |
| March 27, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 24, 2025 |
| March 27, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 24, 2025 |
| March 27, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 24, 2025 |
| October 18, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 22, 2023 |
| September 28, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected November 3, 2023 |
| September 28, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | C No harm, widespread | Corrected November 3, 2023 |
| October 7, 2021 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected November 15, 2021 |
| October 7, 2021 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 15, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $5,434 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 27, 2025 | Fine | $5,434 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WINONA PARENTCO LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| ART AND SOUL HOLDCO LLC Organization | 5% or greater indirect ownership interest | 100% | 05/01/2025 |
| FC ENCORE WINONA LLC Organization | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| FC ENCORE WINONA LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| MATTHEWS, JONATHAN Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| PEEPLES, MERCEDES Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| RUSHING, STEVEN Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| SNF MGR LLC Organization | adp of the snf | NOT APPLICABLE | 04/18/2025 |
| THOMAS, JOHN Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| THOMAS, JOHN Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| MATTHEWS, JONATHAN Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| PEEPLES, MERCEDES Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| RUSHING, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| SNF MGR LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| THOMAS, JOHN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
Other nursing homes near Middleton Oaks Health and Rehabilitation
Vaiden Community Living Center
868 Mulberry Street, Vaiden, MS 39176 · 10.7 mi
For-profit · 60 beds · Part of Community Eldercare Services
★★★★★3Average- ★★★★★3Average
Grenada Rehabilitation and Healthcare Center
1966 Hill Drive, Grenada, MS 38901 · 19.5 mi
For-profit · 95 beds · Part of Nexion Health
- Abuse citation
★★★★★1Much below average- ★★★★★4Above average
Riverview Nursing & Rehabilitation Center
1600 West Claiborne Avenue Extended, Greenwood, MS 38930 · 24.3 mi
Non-profit · 91 beds
★★★★★2Below averageCrystal Rehabilitation and Healthcare Center
902 Sgt John A Pittman Drive, Greenwood, MS 38930 · 24.3 mi
For-profit · 100 beds · Part of Nexion Health
★★★★★1Much below average
Frequently asked questions
What is Middleton Oaks Health and Rehabilitation's rating?
Middleton Oaks Health and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Mississippi nursing homes is 2.7 stars.
How many inspection citations did Middleton Oaks Health and Rehabilitation receive?
Its most recent standard health inspection found 16 citations, compared with a Mississippi average of 6.9. Every citation is listed on this page with its severity.
Does Middleton Oaks Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Middleton Oaks Health and Rehabilitation?
It is for profit - corporation and part of Avardis Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Middleton Oaks Health and Rehabilitation and how do I contact it?
Middleton Oaks Health and Rehabilitation is at 627 Middleton Road, Winona, MS 38967. Phone: (662) 283-1260.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.