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Nursing HomeMedicaid Investigative

Middleton Oaks Health and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

627 Middleton Road, Winona, MS 38967120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 4 Google reviews

Middleton Oaks Health and Rehabilitation Nursing Home in Winona, MS — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 6)
  • High staff turnover (57%)
  • High RN turnover (65%)

Bottom 25% in MS · Below recommended RN staffing · Worst in AVARDIS HEALTH chain · $10,868 in fines

Source: Medicare data

What this means for your family

While recent feedback suggests residents are being treated well, the lack of detailed reviews makes it difficult to verify the quality of care. We strongly recommend scheduling an in-person tour to observe staff interactions and facility cleanliness firsthand before making a decision.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
65%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility39.8%
Worse than Avg
Here
39.8%
US
15.4%
MS
22.1%
Montgomery
17.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.1%
Mixed vs Avgs
Here
6.1%
US
12.1%
MS
1.6%
Montgomery
23.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.3%
MS
21.4%
Montgomery
16.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
19.4%
MS
21.1%
Montgomery
20.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
14.4%
MS
20.8%
Montgomery
16.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
19.5%
MS
24.0%
Montgomery
17.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
81.8%
MS
88.5%
Montgomery
80.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.5%
Mixed vs Avgs
Here
82.5%
US
79.7%
MS
84.6%
Montgomery
82.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
MS
2.7%
Montgomery
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
2penalties
Well above state avg (6.7)
12 complaint-triggered
$10,868 in fines

This facility has a concerning pattern of family complaints that triggered 10 deficiencies over multiple years, including serious issues with abuse protection and incident reporting. Recurring problems span care planning, resident rights, and nursing competency, with many issues persisting across surveys from 2023 to 2025. While the facility reports corrections for each deficiency, the repeated nature of core care problems and ongoing complaint-driven investigations suggest families should carefully evaluate whether this facility can consistently provide safe, quality care.

Mar 31, 2026Complaint
2
0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0688ModerateCorrected

Quality of Life and Care Deficiencies

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.

Sep 18, 2025Complaint
2
0602Minor

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Mar 27, 2025Routine
13
0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0726ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550ModerateCorrected

Resident Rights Deficiencies

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

0584ModerateCorrected

Resident Rights Deficiencies

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.

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

0810ModerateCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Oct 18, 2023Complaint
1
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 28, 2023Routine
9
0584ModerateCorrected

Resident Rights Deficiencies

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.

0550MinorCorrected

Resident Rights Deficiencies

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

0565MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0576MinorCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Jul 20, 2023Complaint
6
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0726MinorCorrected

Nursing and Physician Services Deficiencies

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.

Federal Penalties

Fine

Mar 27, 2025

$5,434

Fine

Mar 27, 2025

$5,434

Ownership & Operations

Who Operates This Facility

Owner / Operator

Middleton Oaks Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

14 facilities nationwide

Chain avg rating: 2.1/5 · Rank 9 of 14 (Worst)

Ownership & Management

Owners

Winona Parentco LLC

Owner · Organization

100%

Art and Soul Holdco LLC

Owner (parent company) · Organization

100%

Key personnel

Fc Encore Winona LLC5% or Greater Security InterestHoback, TiffanyManaging Control - Governing BodyThomas, JohnManaging Control - Governing BodySnf Mgr LLCManagerHoback, TiffanyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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