The Nichols Center
1308 Highway 51 North, Madison, MS 39110 · Madison County · 60 certified beds · avg 55 residents/day · certified since Dec 15, 2003
Part of chain: BRIAR HILL MANAGEMENT (6 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Oct 22, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Nov 8, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 10, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Dec 21, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jan 10, 2024 · 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: Dec 21, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jan 10, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Dec 21, 2023 (Past Non-Compliance)
All citations in the current public record (12)
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 26, 2026 | 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. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 25, 2025 | 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. · from a complaint |
| Oct 22, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 14, 2024 | 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. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 10, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 10, 2024 | ▲ 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 |
| Jan 10, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 18, 2023 | 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 |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | E |
| 2023 | 1 | 0 | D |
| 2024 | 6 | 3 | G ▲ |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 2 | 0 | D |
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 $18,259, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Oct 22, 2025 | Fine | $10,358 |
| Oct 22, 2025 | Payment Denial | 25 days from Nov 11, 2025 |
| Dec 18, 2023 | Fine | $7,901 |
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) | 5.53 | 4.88 | 3.95 | top 21% in Mississippi; top 7% in the U.S. |
| Registered Nurse hours | 0.88 | 0.74 | 0.69 | top 21% in Mississippi; top 22% in the U.S. |
| Weekend total nurse staffing | 4.96 | 4.09 | 3.50 | top 12% in Mississippi; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.38 | 0.48 | top 9% in Mississippi; top 23% in the U.S. |
| Total nursing staff turnover (%) | 49.3 | 45.7 | 45.8 | bottom 39% in Mississippi; bottom 39% in the U.S. |
| RN turnover (%) | 61.5 | 38.4 | 42.9 | bottom 13% in Mississippi; bottom 20% 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 4.57, RN 0.73, weekend 4.10. Staffing rating: 4/5.
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: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Philippe, Lynn | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/28/2008 |
| Rotolo, David | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/28/2008 |
| Rotolo, Robert | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/28/2008 |
| Briar Hill Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/03/2003 |
| Briar Hill Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2025 |
| Burlison, Sandy | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/25/2019 |
| Burlison, Sandy | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2019 |
| Burns, Sharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/28/2008 |
| Burns, Sharon | Individual | ADP of the SNF | NOT APPLICABLE | 01/28/2008 |
| Duncan, Kristi | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/04/2004 |
| Duncan, Kristi | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Estes, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 11/11/2008 |
| Green, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2010 |
| Green, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 05/04/2010 |
| King, Curtis | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2016 |
| King, Curtis | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2016 |
| Muha, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2010 |
| Muha, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 10/04/2010 |
| NC, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/28/2008 |
| Omnicare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| The Madison Health and Rehab | 1.8 mi | Madison, MS | ★★☆☆☆ | 2/5 | |
| Highland Home | 5.5 mi | Ridgeland, MS | ★★☆☆☆ | 2/5 | |
| Parkway Health & Rehab LLC | 6.8 mi | Canton, MS | ★☆☆☆☆ | 2/5 | |
| Community Place | 9.3 mi | Brandon, MS | ★★★★★ | 4/5 | |
| Manhattan Community Care Center | 9.7 mi | Jackson, MS | ★☆☆☆☆ | 1/5 | |
| Pine Forest Health and Rehabilitation | 9.7 mi | Jackson, MS | ★☆☆☆☆ | 1/5 | abuse |
| Madison Co NH | 10.2 mi | Canton, MS | ★★☆☆☆ | 2/5 | abuse |
| Alyce G Clarke Center for Medically Fragile Childr | 10.3 mi | Jackson, MS | —/5 | ||
| Lakeland Community Care Center | 10.8 mi | Jackson, MS | ★★☆☆☆ | 2/5 | |
| Magnolia Senior Care, LLC | 12.0 mi | Jackson, MS | ★★★★☆ | 3/5 | |
| Compere NH INC | 13.0 mi | Jackson, MS | ★★★★☆ | 4/5 | |
| Brandon Court | 13.9 mi | Brandon, MS | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 255304.