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Nursing HomeMedicaid Investigative

The Nichols Center

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

1308 Highway 51 North, Madison, MS 3911060 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 14 Google reviews

5
4
3
2
1
The Nichols Center Nursing Home in Madison, MS — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • High staff turnover (54%)
  • High RN turnover (60%)

Below average in MS · Below recommended RN staffing · Above recommended total nurse staffing · Below chain average · $7,901 in fines

Source: Medicare data

What this means for your family

While the facility appears clean and the intake process is professional, the recurring reports of staff neglect and poor responsiveness are deeply concerning. Before choosing this facility, we strongly recommend requesting a detailed staffing plan and asking how they ensure consistent patient monitoring, especially during off-hours.

Google Reviews

Google Reviews

14 reviews analyzed
The Nichols Center receives highly polarized feedback, with recent reviews lacking descriptive text and older reviews highlighting severe concerns regarding neglect and poor staff attitude. Families have reported significant issues with patient care, including failure to assist with basic positioning and hygiene, as well as dangerous lapses in medical oversight.

Quality Themes

Tap a score for details
FoodN/AStaff2.0Clean7.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Clean facility environment
  • Occasional helpful nursing staff
  • Efficient administrative intake process

Concerns

  • Staff negligence and lack of responsiveness to basic patient needs (mentioned by 4 reviewers)
  • Chronic understaffing leading to poor patient care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.0'15(1)5.04.0'19(1)1.05.0'22(1)1.04.5'24(4)5.0'25(1)

Distribution

5
5
4
3
3
0
2
1
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on staffing levels, could you explain how you ensure consistent, hands-on care for residents throughout the evening and weekend shifts?
  • 2I noticed some feedback regarding responsiveness to resident needs; what is your specific protocol for ensuring call lights are answered promptly and requests are followed through?
  • 3With your current CMS health inspection rating, what specific steps is the leadership team taking to address those identified areas of improvement and ensure higher standards of care moving forward?
  • 4Medication management is a top priority for our family; could you walk us through your process for tracking and administering daily medications to prevent errors?
  • 5Since you have a smaller capacity of 60 residents, how does this intimate setting allow your staff to provide more personalized attention to daily activities and social engagement?
  • 6How do you keep families informed and involved if there is a change in a resident's health status or a medical emergency?

Personalized based on this facility's data


Key Review Excerpts

The nurses, for the most part were great. The CNA’s were lazy & the social worker is the pits!

Family member · 2023☆☆☆☆

They said all the time they where under staffed and to busy to help but most time they where standing around nurse station gossiping and leaving patience unattended.

Family member · 2015★★☆☆☆

I would visit her through her bedroom window due to Covid, and she would always be slumped over in the most uncomfortable looking positions.

Granddaughter · 2021☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
4.73hrs
OK
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility37.7%
Worse than Avg
Here
37.7%
US
15.3%
MS
21.4%
Madison
14.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MS
1.6%
Madison
22.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility34.4%
Worse than Avg
Here
34.4%
US
14.4%
MS
20.8%
Madison
15.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MS
95.6%
Madison
90.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
15.4%
MS
22.1%
Madison
16.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MS
97.0%
Madison
91.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
79.7%
MS
84.6%
Madison
68.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
MS
88.5%
Madison
76.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
MS
2.7%
Madison
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (6.7)
6 complaint-triggered
$7,901 in fines

Multiple families have filed complaints leading to federal citations, raising concerns about safety supervision, resident protection, and care planning at this facility. The most recurring issues involve care planning deficiencies and accident prevention, with some problems persisting across multiple surveys including a recent 2025 citation for accident hazards that was previously cited in 2024. While the facility corrects violations when cited, the pattern of repeated issues and family complaints warrants careful consideration during your visit.

Mar 26, 2026Routine
3
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.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Nov 25, 2025Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

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

Oct 22, 2025Complaint
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

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

Mar 14, 2024Routine
6
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.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0758MinorCorrected

Pharmacy Service Deficiencies

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.

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.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0758MinorCorrected

Pharmacy Service Deficiencies

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.

Jan 10, 2024Complaint
3
0600Moderate

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.

0656Moderate

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.

0689Moderate

Quality of Life and Care Deficiencies

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

Dec 18, 2023Complaint
1
0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Federal Penalties

Fine

Oct 22, 2025

$15,935

Payment Denial

Oct 22, 2025

25-day denial

Fine

Dec 18, 2023

$7,901

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Nichols Center

Organization Type

for profit

Chain Affiliation

Chain Name

Briar Hill Management

Chain Size

6 facilities nationwide

Chain avg rating: 2.8/5 · Rank 4 of 6

Ownership & Management

Owners

Philippe, Lynn

Owner

Rotolo, David

Owner

Rotolo, Robert

Owner

Key personnel

Trustmark National Bank5% or Greater Mortgage InterestTrustmark National Bank5% or Greater Security InterestBriar Hill Management, LLCManagerTrustmark National BankManagerBurlison, SandyManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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