Middleton Oaks Health and Rehabilitation
627 Middleton Road, Winona, MS 38967 · Montgomery County · 120 certified beds · avg 96 residents/day · certified since Mar 1, 1994
Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 31, 2026 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 21, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 31, 2026 · F-0688 · triggered by a complaint
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 21, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 27, 2025 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 24, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 27, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 24, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 31, 2026 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Mar 31, 2026 | ▲ G · Actual harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 27, 2025 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 27, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 27, 2025 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Mar 27, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 18, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 28, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 28, 2023 | C · Minimal risk, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Oct 7, 2021 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (9 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | F |
| 2023 | 10 | 0 | E |
| 2025 | 14 | 2 | G ▲ |
| 2026 | 2 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $10,868.
| Date | Type | Amount / length |
|---|---|---|
| Mar 27, 2025 | Fine | $5,434 |
| Mar 27, 2025 | Fine | $5,434 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Mississippi avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.82 | 4.88 | 3.95 | bottom 7% in Mississippi; top 48% in the U.S. |
| Registered Nurse hours | 0.64 | 0.74 | 0.69 | bottom 47% in Mississippi; top 43% in the U.S. |
| Weekend total nurse staffing | 3.38 | 4.09 | 3.50 | bottom 12% in Mississippi; top 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.38 | 0.48 | top 26% in Mississippi; top 45% in the U.S. |
| Total nursing staff turnover (%) | 55.8 | 45.7 | 45.8 | bottom 21% in Mississippi; bottom 23% in the U.S. |
| RN turnover (%) | 55.0 | 38.4 | 42.9 | bottom 22% in Mississippi; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.53, weekend 2.81. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Art and Soul Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 05/01/2025 |
| Winona Parentco LLC | Organization | 5% or Greater Direct 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 | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Matthews, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Matthews, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Peeples, Mercedes | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Peeples, Mercedes | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Rushing, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Rushing, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| SNF Mgr LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Thomas, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Thomas, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Thomas, John | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Vaiden Community Living Center | 10.7 mi | Vaiden, MS | ★★★☆☆ | 3/5 | |
| Grenada Living Center | 19.5 mi | Grenada, MS | ★★★☆☆ | 4/5 | |
| Grenada Rehabilitation and Healthcare Center | 19.5 mi | Grenada, MS | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 255171.