I was very pleased with my time at Nichols - private, very clean rooms in a small, well-kept facility. The staff were attentive, professional and made us feel at home and like family, kept us informed, and followed safety protocols. Meals were good, therapy was comprehensive, and activities like Bingo were engaging. I'd recommend Nichols for caring, intimate senior care.
Loved one of resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.35·(20)
Overall rating
5
4
3
2
1
Care
2.9
Staff
3.2
Meals
4.3
Amenities
3.7
Value
1.3
Pros
Attentive and caring nursing staff
Engaging activity program (e.g., bingo)
On-site physical and occupational therapy services
Clean, well-maintained rooms
Private-room availability
Palatable and varied meal options
Small, intimate facility atmosphere
Assistance with admissions and intake
Cons
Inconsistent frontline caregiver responsiveness
Variable staff professionalism and training
Gaps in clinical monitoring and care coordination
Inconsistent medication-administration timing
Inadequate family communication and discharge documentation
Housekeeping and sanitation inconsistencies
Handling and tracking resident belongings
Emphasis on billing/insurance over individualized rehabilitation goals
Insufficient staffing levels relative to resident needs
Summary of reviews
The Nichols Center reviews present a mixed picture. Many families and residents praise the facility's small, intimate environment, clean rooms, and engaging social activities. On the positive side, reviewers frequently mention caring nursing staff, available rehabilitation services, private-room options, and reasonably good food choices; several noted specific dishes and generally adequate meal quantity and temperature. The activity program and some therapy offerings were described as meaningful supports for recovery and quality of life.
At the same time, there are recurring operational concerns that prospective families should weigh. Several reviews describe inconsistent responsiveness from frontline caregivers and variability in staff professionalism and training. These issues manifest as delays in attending to resident needs, inconsistent timing of medications, and uneven progress reporting from therapy staff. A number of families identified gaps in clinical monitoring and care coordination for higher-acuity needs; this includes concerns about how changes in condition and end-of-life issues are communicated to families.
Facility environment and services receive both positive and critical comments. Cleanliness and room upkeep are often cited as strengths, yet a subset of reviewers noted housekeeping and sanitation inconsistencies. Dining is generally viewed favorably for quality and portioning, while therapy and rehab services are available and effective for some residents. Activity programming—Bingo and similar events—was described as engaging and supportive of resident well-being.
Management and administrative practices are another area of divergence. Admissions assistance and some administrative responsiveness were appreciated, but other reviewers described an operational emphasis on billing and insurance considerations over individualized rehabilitation plans. Communication gaps include limited or unclear written discharge planning and variable family updates. Additional recurring themes include concerns about personal-property handling and the perception of understaffing, which reviewers linked to reduced responsiveness and uneven care. Prospective residents and their families may want to assess current staffing ratios, written discharge procedures, clinical-monitoring protocols, and billing transparency during a tour or intake conversation to clarify how the facility addresses these patterns.
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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
69
Reports
32
Citations
40
Complaints
7
Years
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 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
Concluded compliance with emergency preparedness requirements; no deficiencies cited.
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 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 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 continued compliance after a follow-up visit; no deficiencies were cited.
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 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
Investigated and found improper sling selection and insufficient inspection during a mechanical lift transfer, resulting in injury.
CFR 483.25(d)Accidents
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 May 2025Complaint
01 May 2025Complaint
Found no deficiencies after investigations; standards of operation were met.
01 May 2025Complaint
01 May 2025Complaint
Investigated complaints and found no deficiencies cited.
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 Feb 2025Complaint
01 Feb 2025Complaint
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 Jun 2024Complaint
01 Jun 2024Complaint
Investigated a complaint of verbal abuse and found no deficiencies.
01 Apr 2024Revisit
01 Apr 2024Revisit
Determined that compliance was restored and sustained after the corrective actions were implemented.
01 Apr 2024Revisit
01 Apr 2024Revisit
Found no deficiencies. Confirmed compliance with the minimum standards.
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 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 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 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
Determined no deficiencies were found after a complaint investigation.
01 Dec 2023Complaint
01 Dec 2023Complaint
Found no deficiencies.
01 Jul 2023Complaint
01 Jul 2023Complaint
Confirmed no deficiencies cited during the complaint review.
01 Jul 2023Complaint
01 Jul 2023Complaint
Found no deficiencies and determined compliance with Medicare/Medicaid participation.
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 and found no deficiencies.
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 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 a complaint and found no deficiencies related to visitation, access rights, or treatment with dignity and respect.
01 Jul 2021Complaint
01 Jul 2021Complaint
Investigated complaints and found no deficiencies.
01 Jun 2021Complaint
01 Jun 2021Complaint
Investigated complaints and found no evidence to support them; no deficiencies were cited.
01 Jun 2021Complaint
01 Jun 2021Complaint
Determined no deficiencies were found during a complaint investigation.
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 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies related to emergency preparedness during a focused survey.
01 Nov 2020Complaint
01 Nov 2020Complaint
Verified compliance with infection control requirements during a focused COVID-19 survey.
01 Nov 2020Infection Control
01 Nov 2020Infection Control
Found no deficiencies in infection control practices during a COVID-19 focused survey.
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 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 related to emergency preparedness in the COVID-19 focused review. Compliance with applicable preparedness requirements was confirmed.
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 compliance with infection control regulations and that CMS and CDC COVID-19 practices were implemented.
01 May 2020Infection Control
01 May 2020Infection Control
Verified compliance with infection control requirements during a COVID-19 focused review.
01 May 2020Infection Control
01 May 2020Infection Control
Verified compliance with infection control regulations and COVID-19 preparedness measures. Found no deficiencies.
01 Dec 2019Complaint
01 Dec 2019Complaint
Investigated a misappropriation allegation and cited deficiencies related to Medicare/Medicaid participation.
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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)
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
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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