Attentive, compassionate care from nursing staff and aides
Clean, well-maintained rooms and facility
Small-scale setting with personalized attention
Private rooms
Helpful staff and family updates in some care experiences
Physical therapy and rehabilitation services
Resident activities, including bingo
Substantial meals served at favorable temperatures and portions
Breakfast and seafood options enjoyed by residents
Cons
Inconsistent staffing levels and staff preparedness
Uneven responsiveness and courtesy in resident care
Delays in repositioning and personal-care assistance
Limited family updates on rehabilitation progress and care changes
Unclear written discharge planning and home-care coordination
Inconsistent rehabilitation follow-through
Concerns about medication-effect review and adjustment
Concerns about clinical monitoring, hydration oversight, and timely family notification
Summary of reviews
Experiences at The Nichols Center vary substantially. Some families describe attentive, compassionate care, professional staff, and a comfortable stay, including through rehabilitation and long-term care. Others describe inconsistent responsiveness, staff who seemed overextended or insufficiently prepared, and delays in assistance with personal care or repositioning. One family also raised concerns about medication effects. Taken together, the accounts suggest that care quality and staff engagement may differ across residents and care situations.
Rehabilitation and communication are mixed areas. Families mention physical therapy and rehabilitation services, but one reported that treatment was not completed before a transfer, while another wanted more regular updates on rehabilitation progress. A family also described discharge responsibilities as insufficiently documented in writing and said home-care arrangements required clarification. These accounts point to opportunities for clearer progress updates and more structured discharge planning.
Dining and activities received some positive comments. One family described meals as substantial, well-portioned, and served at a good temperature; residents also expressed preferences for breakfast and seafood. Bingo and other activities were available, though participation could be affected by medication-related concerns. The facility was described as clean and well kept, with private rooms and a small-scale setting that one family felt supported more personal attention. A visitor also observed staff being helpful and safety protocols being followed.
Serious individual accounts raise concerns about clinical monitoring, escalation, hydration oversight, and communication with families during acute decline. One family described end-of-life care concerns following a resident's death, including questions about monitoring and fluid administration; another raised concerns following a resident's death in the context of a hospital transfer for serious medical conditions. These accounts are not independently verified, but they warrant careful discussion with the facility about monitoring practices, escalation procedures, family notification, and how clinical changes are documented. Overall, prospective families may wish to ask about staffing coverage, staff training, rehabilitation goals, medication review, and written discharge processes.
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Medicare Ratings
3·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
The Nichols Center is located at 1308 US-51, Madison, MS, 39110.
About The Nichols Center
The Nichols Center is a senior living and nursing care community located in Madison, Mississippi, offering a range of care services to older adults. As a resident-focused provider, The Nichols Center specializes in both short-term rehabilitation and long-term skilled nursing care. The community is designed to foster a supportive and welcoming atmosphere, providing residents with comfortable accommodations and round-the-clock assistance from professional staff. The facility boasts a variety of private rooms and maintains a reputation for cleanliness and attentiveness to resident needs. Residents have access to numerous amenities that contribute to a homelike and nurturing environment.
At The Nichols Center, personalized care is a priority. Residents benefit from individualized attention and support tailored to their health requirements, whether they need temporary rehabilitation after a hospital stay or ongoing skilled nursing care. The staff at the center are dedicated to ensuring residents feel comfortable and at ease, taking the time to monitor each individual's health and well-being. Beyond the standard medical services, The Nichols Center encourages participation in daily activities, including organized games and social engagements. This approach is designed to promote not only physical health but also a sense of belonging and enjoyment among residents.
The dining experience at The Nichols Center emphasizes both quality and variety, ensuring that meals are substantial and satisfy diverse tastes. The culinary team provides freshly prepared options, served at appropriate temperatures and in ample portions, taking into account both nutrition and enjoyment. Attention is given to the dietary needs and preferences of each resident, making mealtimes a highlight of the day.
The Nichols Center also understands the importance of family involvement and clear communication in the care process. The staff prioritize keeping families informed and engaged throughout each resident’s stay, providing updates on care and ensuring that any concerns are addressed promptly. In addition to healthcare and hospitality, the center offers resources for transition planning, including guidance for families as they navigate the logistics of returning home or settling into long-term residence. The warm and professional environment at The Nichols Center reflects a commitment to high-quality senior care, supportive living, and peace of mind for residents and their families.
People often ask...
The Nichols Center offers assisted living, memory care, and skilled nursing.
The full address for this community is 1308 US-51, Madison, MS 39110.
No, The Nichols Center does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.
License number
nh-255304
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
71
Reports
32
Citations
42
Complaints
7
Years
01 Jun 2026Complaint
01 Jun 2026Complaint
Investigated three complaints and found no deficiencies cited. Census was 53 of 60 beds.
01 Jun 2026Complaint
01 Jun 2026Complaint
Found no deficiencies after investigating three complaints.
01 Apr 2026Revisit
01 Apr 2026Revisit
Concluded compliance with emergency preparedness requirements; no deficiencies cited.
01 Apr 2026Revisit
01 Apr 2026Revisit
Identified deficiencies from a Life Safety Code survey kept the organization out of compliance.
01 Apr 2026Revisit
01 Apr 2026Revisit
Found Life Safety Code deficiencies from a March 25, 2026 survey left the operation out of compliance. A desk review noted compliance with standards in effect as of 4/13/26.
01 Mar 2026Inspection
01 Mar 2026Inspection
Identified deficiencies in developing and updating a comprehensive care plan for a resident with a stage II pressure ulcer and in providing psychiatric services for a resident on an antipsychotic.
42 CFR 483.21(b)(1) and 42 CFR 483.21(b)(3)Comprehensive Care Plans
42 CFR 483.21(b)(3)Professional Standards of Care
01 Mar 2026Inspection
01 Mar 2026Inspection
Observed corridor doors did not latch to resist smoke in several rooms; admin acknowledged the issue and maintenance confirmed the observations.
NFPA 101, 19.3.6.3Corridor doors
01 Mar 2026Inspection
01 Mar 2026Inspection
Investigated and found that psychiatric services were not provided for a resident on an antipsychotic medication, with no documented follow-up or policy guiding when psychiatric evaluations are required.
45.21.6Mental and psycho-social
01 Dec 2025Revisit
01 Dec 2025Revisit
Concluded compliance with Medicare/Medicaid participation after a follow-up visit related to a prior complaint and recommended restoring compliant status effective 12/06/25.
01 Dec 2025Revisit
01 Dec 2025Revisit
Verified continued compliance after a follow-up visit; no deficiencies were cited.
01 Dec 2025Revisit
01 Dec 2025Revisit
Verified that deficiencies cited previously were corrected by 11/08/2025. However, the facility remained out of compliance until 12/06/2025.
01 Dec 2025Revisit
01 Dec 2025Revisit
Verified that prior deficiencies were corrected and that Medicare/Medicaid participation requirements were met as of the follow-up.
01 Nov 2025Complaint
01 Nov 2025Complaint
Investigated the complaint and found a violation of residents' rights due to staff not treating a resident with dignity and respect, with corroborating evidence of delays and inappropriate conduct.
Resident rights (Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm)Residents' Rights
01 Nov 2025Complaint
01 Nov 2025Complaint
Investigated complaints found that a resident's rights were not protected and staff failed to treat the resident with dignity and respect.
CFR 483.10Resident Rights
01 Oct 2025Complaint
01 Oct 2025Complaint
Found unsafe lift transfer practices led to a resident fall when an inappropriate sling was used and not inspected prior to transfer.
45.21.8Accidents
01 Oct 2025Complaint
01 Oct 2025Complaint
Investigated and found improper sling selection and insufficient inspection during a mechanical lift transfer, resulting in injury.
CFR 483.25(d)Accidents
01 May 2025Complaint
01 May 2025Complaint
Investigated complaints and found no deficiencies cited.
01 May 2025Complaint
01 May 2025Complaint
Found no deficiencies after investigations; standards of operation were met.
01 Feb 2025Complaint
01 Feb 2025Complaint
Found no deficiencies.
01 Feb 2025Complaint
01 Feb 2025Complaint
Found no deficiencies after reviewing complaints and investigations. The agency determined compliance with applicable standards across areas such as care, assessment, safety, infection control, staffing, environment, and daily activities.
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated a complaint of verbal abuse and found no deficiencies.
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated a verbal abuse allegation and found no deficiencies. The census was 60 residents and licensed for 60 beds.
01 Apr 2024Revisit
01 Apr 2024Revisit
Found no deficiencies. Confirmed compliance with the minimum standards.
01 Apr 2024Revisit
01 Apr 2024Revisit
Determined that compliance was restored and sustained after the corrective actions were implemented.
01 Mar 2024Complaint
01 Mar 2024Complaint
Cited deficiencies for participation requirements after a survey and complaint investigation.
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01 Mar 2024Inspection
01 Mar 2024Inspection
Investigated and identified deficiencies in care planning and monitoring for psychotropic medications, including lack of side effect/behavior monitoring and inappropriate PRN use.
CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
CFR 483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
01 Mar 2024Inspection
01 Mar 2024Inspection
Found no deficiencies. The agency determined compliance with the minimum standards during the licensing inspection conducted March 11-14, 2024.
01 Mar 2024Inspection
01 Mar 2024Inspection
Found no deficiencies. Compliance with the Life Safety Code provisions was confirmed.
01 Mar 2024Inspection
01 Mar 2024Inspection
Found no deficiencies related to emergency preparedness.
01 Jan 2024Complaint
01 Jan 2024Complaint
Investigated a complaint about neglect related to lift transfers and a resident fall; found deficiencies in abuse/neglect protection, comprehensive care planning, and supervision for lift use.
CFR 483.12(a)(1)Free from Abuse and Neglect
CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
01 Jan 2024Complaint
01 Jan 2024Complaint
Investigated a complaint alleging neglect due to unsafe use of a total lift during transfers, which led to a resident fall and injuries. Found failures to protect residents' rights and to prevent accidents due to inadequate staffing/supervision during lift transfers.
45.17.2Residents' Rights
45.21.8Accidents
01 Jan 2024Revisit
01 Jan 2024Revisit
Concluded the site was back in compliance after a desk review.
01 Jan 2024Revisit
01 Jan 2024Revisit
Found no deficiencies after reviewing information related to the complaint.
01 Dec 2023Complaint
01 Dec 2023Complaint
Investigated a complaint alleging misappropriation of resident property; found a licensed nurse diverted blue liquid morphine from the narcotics box, leading to disciplinary actions and multiple investigations.
483.12Free from Misappropriation/Exploitation
01 Dec 2023Complaint
01 Dec 2023Complaint
Investigated a complaint of misappropriation of resident property and found staff diversion involving a blue liquid narcotic during medication administration.
45.17.2Residents' Rights
01 Dec 2023Complaint
01 Dec 2023Complaint
Found no deficiencies.
01 Dec 2023Complaint
01 Dec 2023Complaint
Determined no deficiencies were found after a complaint investigation.
01 Jul 2023Complaint
01 Jul 2023Complaint
Found no deficiencies and determined compliance with Medicare/Medicaid participation.
01 Jul 2023Complaint
01 Jul 2023Complaint
Confirmed no deficiencies cited during the complaint review.
01 Mar 2023Complaint
01 Mar 2023Complaint
Determined that the entity was in compliance with licensure requirements and staffing standards. No deficiencies were cited.
01 Jan 2023Revisit
01 Jan 2023Revisit
Concluded no deficiencies were found after a desk review confirming compliance with standards.
01 Jan 2023Revisit
01 Jan 2023Revisit
Determined that compliance was restored after review and recommended placing the facility back in compliance.
01 Dec 2022Inspection
01 Dec 2022Inspection
Found deficiencies in oxygen administration and equipment management for several residents, including unlabeled tubing and missing orders.
CFR 483.25(i)Respiratory/Tracheostomy Care and Suctioning
01 Dec 2022Inspection
01 Dec 2022Inspection
Found no deficiencies. The agency determined compliance with applicable standards.
01 Nov 2022Inspection
01 Nov 2022Inspection
Found no deficiencies in emergency preparedness. All applicable requirements were met.
01 Nov 2022Inspection
01 Nov 2022Inspection
Found no deficiencies related to life safety code.
01 Aug 2022Complaint
01 Aug 2022Complaint
Found no deficiencies after investigating an allegation of abuse/neglect.
01 Aug 2022Complaint
01 Aug 2022Complaint
Found no deficiencies. Determined substantial compliance.
01 Jun 2022Complaint
01 Jun 2022Complaint
Investigated a complaint alleging safety concerns, grooming issues, residents left wet, and medications not given as ordered; determined compliance with Medicare/Medicaid participation.
01 Jun 2022Complaint
01 Jun 2022Complaint
Investigated a complaint and found no deficiencies.
01 Jul 2021Complaint
01 Jul 2021Complaint
Found no deficiencies identified. The agency determined compliance with Medicare and Medicaid participation requirements.
01 Jul 2021Complaint
01 Jul 2021Complaint
Investigated complaints and found no deficiencies.
01 Jul 2021Complaint
01 Jul 2021Complaint
Investigated a complaint and found no deficiencies related to visitation, access rights, or treatment with dignity and respect.
01 Jun 2021Complaint
01 Jun 2021Complaint
Determined no deficiencies were found during a complaint investigation.
01 Jun 2021Complaint
01 Jun 2021Complaint
Investigated complaints and found no evidence to support them; no deficiencies were cited.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies in infection control practices during a COVID-19 focused survey.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies related to emergency preparedness during a focused survey.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies related to infection control during a focused COVID-19 review and reported compliance with infection control practices.
01 Nov 2020Complaint
01 Nov 2020Complaint
Confirmed compliance with infection control requirements after a COVID-19 focused infection control survey; no deficiencies were cited in the complaint investigation.
01 Nov 2020Complaint
01 Nov 2020Complaint
Verified compliance with infection control requirements during a focused COVID-19 survey.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found compliance with infection control regulations and that CMS and CDC COVID-19 practices were implemented.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found no deficiencies. The survey determined compliance with emergency preparedness requirements.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found no deficiencies. The review indicated compliance with infection control requirements and COVID-19 practices.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found no deficiencies related to emergency preparedness in the COVID-19 focused review. Compliance with applicable preparedness requirements was confirmed.
01 May 2020Infection Control
01 May 2020Infection Control
Verified compliance with infection control regulations and COVID-19 preparedness measures. Found no deficiencies.
01 May 2020Infection Control
01 May 2020Infection Control
Verified compliance with infection control requirements during a COVID-19 focused review.
01 Dec 2019Complaint
01 Dec 2019Complaint
Investigated a misappropriation allegation and cited deficiencies related to Medicare/Medicaid participation.
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01 Dec 2019Complaint
01 Dec 2019Complaint
Identified noncompliance with state licensure regulations for the aged or infirm and cited a state statute during the survey.
M815State licensure regulations for the aged or infirm
01 Dec 2019Inspection
01 Dec 2019Inspection
Cited deficiencies in care planning, including missing or incomplete medication-related care plans; nutrition care planning; medication administration; and food safety practices.
CFR 483.21(b)(1)Care Plan Development/Implementation (Comprehensive Care Plans)
CFR 483.21(b)(2)Care Plan Timing and Revision
CFR 483.21(b)(3)Services Provided Meet Professional Standards (Inhaler Use)
Investigated a food safety issue and found improper sanitation and storage of foods, including unlabeled or undated items in the refrigerator, freezer, and pantry.
Mirador Living is not affiliated with the owner or operator(s) of The Nichols Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Nichols Center directly. There is no cost for this service. We are compensated by the community you select.
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