The Nichols Center
1308 Highway 51 North · Madison, MS · 39110 · 6018534343
60 certified beds For profit - Limited Liability company Chain: Briar Hill Management
Why this verdict
- Federal penalties on record: $10,358 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 4.26 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 2 · $18,259 |
Inspection citations (12 in the current record)
-
Potential for harm · D March 26, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D November 25, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 6, 2025 · Resident Rights
-
Actual harm · G October 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2025 · Quality of Life and Care
-
Potential for harm · D March 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024
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.
Corrected April 15, 2024 · Pharmacy Service
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Actual harm · G January 10, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 10, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 21, 2023 · Resident Assessment and Care Planning
-
Actual harm · G January 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 21, 2023 · Quality of Life and Care
-
Potential for harm · D December 18, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 1, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 6, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 22, 2025 | Fine | $10,358 |
| October 22, 2025 | Payment Denial | 25 days |
| December 18, 2023 | Fine | $7,901 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 255304 · certified since December 15, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.