Middleton Oaks Health and Rehabilitation
627 Middleton Road · Winona, MS · 38967 · 6622831260
120 certified beds For profit - Corporation Chain: Avardis Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $10,868 |
Inspection citations (34 in the current record)
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Actual harm · G March 31, 2026 · 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 April 21, 2026 · Resident Assessment and Care Planning
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Actual harm · G March 31, 2026 · found via complaint
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.
Corrected April 21, 2026 · Quality of Life and Care
-
Potential for harm · D September 18, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 17, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · E March 27, 2025
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.
Corrected April 24, 2025 · Resident Rights
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Potential for harm · E March 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · F March 27, 2025
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.
Corrected April 24, 2025 · Nursing and Physician Services
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Potential for harm · E March 27, 2025
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.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · F March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 24, 2025 · Infection Control
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Potential for harm · D October 18, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 28, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 3, 2023 · Resident Rights
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Potential for harm · D September 28, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 3, 2023 · Resident Rights
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Potential for harm · E September 28, 2023
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.
Corrected November 3, 2023 · Resident Rights
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Potential for harm · D September 28, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 3, 2023 · Quality of Life and Care
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Potential for harm · D September 28, 2023
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.
Corrected November 3, 2023 · Pharmacy Service
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Potential for harm · D September 28, 2023
Provide and implement an infection prevention and control program.
Corrected November 3, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 27, 2025 | Fine | $5,434 |
| March 27, 2025 | Fine | $5,434 |
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 255171 · certified since March 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.