Mississippi ›Madison

The Nichols Center

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1308 Highway 51 North, Madison, MS 39110 (opens Google Maps) · Madison County · (601) 853-4343· 60 certified beds · avg 55 residents/day · certified since Dec 15, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: BRIAR HILL MANAGEMENT (6 facilities, chain avg rating 3.2★)

3/5
Health inspection rating (on-site)
inspected Mar 26, 2026
4
Serious findings on record
most recent Oct 22, 2025
$18,259
Fines, last 3 years
5.53
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Nov 8, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 21, 2023 (Past Non-Compliance)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 21, 2023 (Past Non-Compliance)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 21, 2023 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. F-0656

  2. D · Potential for more than minimal harm, isolated

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658

  3. D · Potential for more than minimal harm, isolated

    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 F-0550

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Mar 26, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Nov 25, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0550
Oct 22, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 14, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Mar 14, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 14, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0758
Jan 10, 2024▲ G · Actual harm, isolatedThe 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 · F-0600
Jan 10, 2024▲ G · Actual harm, isolatedThe 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 · F-0656
Jan 10, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Dec 18, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0602
Dec 1, 2022E · Potential for more than minimal harm, patternThe 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. · F-0695

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 1
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 3
2025
All citations: 2
Serious citations (G–L): 1
2026
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202210E
202310D
202463G ▲
202521G ▲
202620D

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)

How to file a complaint about care →

2 fines totaling $18,259, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Oct 22, 2025Fine$10,358
Oct 22, 2025Payment Denial25 days from Nov 11, 2025
Dec 18, 2023Fine$7,901

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMississippi averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.53
Mississippi average: 4.88
U.S. average: 3.95
Registered Nurse hours
This facility: 0.88
Mississippi average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.96
Mississippi average: 4.09
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMississippi avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.534.883.95top 21% in Mississippi; top 7% in the U.S.
Registered Nurse hours0.880.740.69top 21% in Mississippi; top 22% in the U.S.
Weekend total nurse staffing4.964.093.50top 12% in Mississippi; top 7% in the U.S.
Weekend RN hours (not acuity-adjusted)0.600.380.48top 9% in Mississippi; top 23% in the U.S.
Total nursing staff turnover (%)49.345.745.8bottom 39% in Mississippi; bottom 39% in the U.S.
RN turnover (%)61.538.442.9bottom 13% in Mississippi; bottom 20% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.57 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Nichols Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Philippe, LynnIndividualDirect Ownership InterestNOT APPLICABLE01/28/2008
Rotolo, DavidIndividualDirect Ownership InterestNOT APPLICABLE01/28/2008
Rotolo, RobertIndividualDirect Ownership InterestNOT APPLICABLE01/28/2008
Briar Hill Management, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE09/03/2003
Briar Hill Management, LLCOrganizationADP of the SNFNOT APPLICABLE05/02/2025
Burlison, SandyIndividualOperational/Managerial ControlNOT APPLICABLE02/25/2019
Burlison, SandyIndividualADP of the SNFNOT APPLICABLE02/25/2019
Burns, SharonIndividualOperational/Managerial ControlNOT APPLICABLE01/28/2008
Burns, SharonIndividualADP of the SNFNOT APPLICABLE01/28/2008
Duncan, KristiIndividualOperational/Managerial ControlNOT APPLICABLE03/04/2004
Duncan, KristiIndividualADP of the SNFNOT APPLICABLE03/04/2024
Estes, TimothyIndividualADP of the SNFNOT APPLICABLE11/11/2008
Green, DonnaIndividualOperational/Managerial ControlNOT APPLICABLE05/04/2010
Green, DonnaIndividualADP of the SNFNOT APPLICABLE05/04/2010
King, CurtisIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2016
King, CurtisIndividualADP of the SNFNOT APPLICABLE09/01/2016
Muha, AshleyIndividualOperational/Managerial ControlNOT APPLICABLE10/04/2010
Muha, AshleyIndividualADP of the SNFNOT APPLICABLE10/04/2010
NC, LLCOrganizationADP of the SNFNOT APPLICABLE01/28/2008
Omnicare LLCOrganizationADP of the SNFNOT APPLICABLE05/01/2017

Showing 20 of 36 parties CMS has on file for this facility; 16 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Briar Hill Management — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 36 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 22 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
The Madison Health and Rehab1.8 miMadison, MS★★☆☆☆2/5
Highland Home5.5 miRidgeland, MS★★☆☆☆2/5
Parkway Health & Rehab LLC6.8 miCanton, MS★☆☆☆☆2/5
Community Place9.3 miBrandon, MS★★★★★4/5
Manhattan Community Care Center9.7 miJackson, MS★☆☆☆☆1/5
Pine Forest Health and Rehabilitation9.7 miJackson, MS★☆☆☆☆1/5abuse
Madison Co NH10.2 miCanton, MS★★☆☆☆2/5abuse
Alyce G Clarke Center for Medically Fragile Childr10.3 miJackson, MS—/5
Lakeland Community Care Center10.8 miJackson, MS★★☆☆☆2/5
Magnolia Senior Care, LLC12.0 miJackson, MS★★★★☆3/5
Compere NH INC13.0 miJackson, MS★★★★☆4/5
Brandon Court13.9 miBrandon, MS★★★★☆4/5

Compare this facility with the 3 closest →

All facilities in Madison →

Facility data as of CMS processing date 2026-08-01. CCN 255304.

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