Mississippi › Montgomery County › Winona
Middleton Oaks Health and Rehabilitation
627 Middleton Road, Winona, MS 38967
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Middleton Oaks Health and Rehabilitation serves Winona in Montgomery County, Mississippi and has taken Medicare and Medicaid residents since 1994.
CMS gives it 1 of 5 stars overall, below the Mississippi median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (16, 9, 2 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 22.5 per 100 beds, about the same as the state median of 19.2.
CMS lists 2 penalties in the period covered: fines totalling $11K.
Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), below the Mississippi median of 4.0; nursing staff turnover is 55.8%.
Compared with county, state and nation
| Measure | This facility | Montgomery Co. median | Mississippi median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 27 | 16 | 28.7 |
| Citations per 100 beds | 22.5 | 22.5 | 19.2 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 4.0 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 55.8% | 55.8% | 44.4% | 45.8% |
| Fines listed | $10,868 | $10,868 | $8,224 | — |
County and state figures are medians across facilities (1 in the county, 202 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Mississippi average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Mar 2025, 28 Sep 2023.
Severity mix: G ×4 D ×13 E ×6 F ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 21 Apr 2026 |
| 31 Mar 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | G | Complaint investigation | 21 Apr 2026 |
| 18 Sep 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 18 Aug 2025 |
| 18 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Oct 2025 |
| 27 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 Apr 2025 |
| 27 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Apr 2025 |
| 18 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Nov 2023 |
| 28 Sep 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 3 Nov 2023 |
| 7 Oct 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Nov 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Mar 2025 | Fine | $5,434 | |
| 27 Mar 2025 | Fine | $5,434 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Mississippi average. Turnover: nursing staff 55.8%, RNs 55.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Mississippi median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.7% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 1.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.2% | 18.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | 6.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.9% | 20.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 627 Middleton Road Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Winona Parentco LLC | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| Art and Soul Holdco LLC | 5% or greater indirect ownership interest | 100% | 05/01/2025 |
| Fc Encore Winona LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Fc Encore Winona LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/18/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Middleton Oaks Health and Rehabilitation been cited for?
27 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Mississippi median is 16 per facility.
Has Middleton Oaks Health and Rehabilitation been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Middleton Oaks Health and Rehabilitation compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Mississippi median of 4.0 and a national average of 3.9.
Who operates Middleton Oaks Health and Rehabilitation?
It is part of the Avardis Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Winona Parentco LLC, Art and Soul Holdco LLC and SNF Mgr LLC. Individual owners and managers are not listed on this site.
When was Middleton Oaks Health and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 31 Mar 2026; the most recent standard health survey was 27 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.