The Nichols Center

    1308 US-51, Madison, MS 39110
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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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

    3.38·(21)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.2
    • Meals

      4.3
    • Amenities

      3.7
    • Value

      1.3

    Pros

    • 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 numbernh-255304
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    71

    Reports

    32

    Citations

    42

    Complaints

    7

    Years

    01 Jun 2026Complaint
    Investigated three complaints and found no deficiencies cited. Census was 53 of 60 beds.
    01 Jun 2026Complaint
    Found no deficiencies after investigating three complaints.
    01 Apr 2026Revisit
    Concluded compliance with emergency preparedness requirements; no deficiencies cited.
    01 Apr 2026Revisit
    Identified deficiencies from a Life Safety Code survey kept the organization out of compliance.
    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
    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
    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
    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
    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
    Verified continued compliance after a follow-up visit; no deficiencies were cited.
    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
    Verified that prior deficiencies were corrected and that Medicare/Medicaid participation requirements were met as of the follow-up.
    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
    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
    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
    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
    Investigated complaints and found no deficiencies cited.
    01 May 2025Complaint
    Found no deficiencies after investigations; standards of operation were met.
    01 Feb 2025Complaint
    Found no deficiencies.
    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
    Investigated a complaint of verbal abuse and found no deficiencies.
    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
    Found no deficiencies. Confirmed compliance with the minimum standards.
    01 Apr 2024Revisit
    Determined that compliance was restored and sustained after the corrective actions were implemented.
    01 Mar 2024Complaint
    Cited deficiencies for participation requirements after a survey and complaint investigation.
    • —
    • —
    • —
    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
    Found no deficiencies. The agency determined compliance with the minimum standards during the licensing inspection conducted March 11-14, 2024.
    01 Mar 2024Inspection
    Found no deficiencies. Compliance with the Life Safety Code provisions was confirmed.
    01 Mar 2024Inspection
    Found no deficiencies related to emergency preparedness.
    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
    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
    Concluded the site was back in compliance after a desk review.
    01 Jan 2024Revisit
    Found no deficiencies after reviewing information related to the complaint.
    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
    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
    Found no deficiencies.
    01 Dec 2023Complaint
    Determined no deficiencies were found after a complaint investigation.
    01 Jul 2023Complaint
    Found no deficiencies and determined compliance with Medicare/Medicaid participation.
    01 Jul 2023Complaint
    Confirmed no deficiencies cited during the complaint review.
    01 Mar 2023Complaint
    Determined that the entity was in compliance with licensure requirements and staffing standards. No deficiencies were cited.
    01 Jan 2023Revisit
    Concluded no deficiencies were found after a desk review confirming compliance with standards.
    01 Jan 2023Revisit
    Determined that compliance was restored after review and recommended placing the facility back in compliance.
    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
    Found no deficiencies. The agency determined compliance with applicable standards.
    01 Nov 2022Inspection
    Found no deficiencies in emergency preparedness. All applicable requirements were met.
    01 Nov 2022Inspection
    Found no deficiencies related to life safety code.
    01 Aug 2022Complaint
    Found no deficiencies after investigating an allegation of abuse/neglect.
    01 Aug 2022Complaint
    Found no deficiencies. Determined substantial compliance.
    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
    Investigated a complaint and found no deficiencies.
    01 Jul 2021Complaint
    Found no deficiencies identified. The agency determined compliance with Medicare and Medicaid participation requirements.
    01 Jul 2021Complaint
    Investigated complaints and found no deficiencies.
    01 Jul 2021Complaint
    Investigated a complaint and found no deficiencies related to visitation, access rights, or treatment with dignity and respect.
    01 Jun 2021Complaint
    Determined no deficiencies were found during a complaint investigation.
    01 Jun 2021Complaint
    Investigated complaints and found no evidence to support them; no deficiencies were cited.
    01 Nov 2020Infection Control
    Found no deficiencies in infection control practices during a COVID-19 focused survey.
    01 Nov 2020Infection Control
    Found no deficiencies related to emergency preparedness during a focused survey.
    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
    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
    Verified compliance with infection control requirements during a focused COVID-19 survey.
    01 Jul 2020Infection Control
    Found compliance with infection control regulations and that CMS and CDC COVID-19 practices were implemented.
    01 Jul 2020Infection Control
    Found no deficiencies. The survey determined compliance with emergency preparedness requirements.
    01 Jul 2020Infection Control
    Found no deficiencies. The review indicated compliance with infection control requirements and COVID-19 practices.
    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
    Verified compliance with infection control regulations and COVID-19 preparedness measures. Found no deficiencies.
    01 May 2020Infection Control
    Verified compliance with infection control requirements during a COVID-19 focused review.
    01 Dec 2019Complaint
    Investigated a misappropriation allegation and cited deficiencies related to Medicare/Medicaid participation.
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    • —
    • —
    • —
    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
    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)
    • CFR 483.60(i)Food Procurement, Store/Prepare/Serve-Sanitary
    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.
    • 45.29.1 Safe Food Handling ProceduresSafe Food Handling Procedures
    01 Apr 2019Complaint
    Found no deficiencies.

    Disclaimer

    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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