All states › Mississippi › Winona › Middleton Oaks Health and Rehabilitation
627 Middleton Road Winona, MS 38967 · Montgomery County
CMS certification number 255171 · See this home on Medicare Care Compare
Is Middleton Oaks Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Middleton Oaks Health and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Mississippi average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.34 hours per resident per day at Middleton Oaks Health and Rehabilitation, below the Mississippi median of 4.00 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 2.96 hours, 11% below its all-week average. 57.5% of nursing staff left within a year (Mississippi median 44.1%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Middleton Oaks Health and Rehabilitation: Medicare and Medicaid
Middleton Oaks Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Mississippi's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 27, 2025 and found 12 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 27 citations at Middleton Oaks Health and Rehabilitation across 6 inspection dates, 5 of them from complaint investigations. 4 were at the actual-harm level (G–I), most recently on March 31, 2026. The most common areas cited were resident rights (7) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level G, March 31, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
March 31, 2026 · 2 citations · includes complaint inspection
GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
GProvide 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.
September 18, 2025 · 2 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 27, 2025 · 12 citations, includes actual harm
GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure 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.
EProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DReasonably accommodate the needs and preferences of each resident.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 18, 2023 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
September 28, 2023 · 9 citations
EHonor 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure 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.
DProvide and implement an infection prevention and control program.
CEnsure residents have reasonable access to and privacy in their use of communication methods.
October 7, 2021 · 1 citation
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Middleton Oaks Health and Rehabilitation
- Inspectors cited the home at the actual-harm level on March 31, 2026 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 18, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 57.5% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $26,053 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 31, 2026 | Fine | $15,185 |
| Mar 27, 2025 | Fine | $5,434 |
| Mar 27, 2025 | Fine | $5,434 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
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Location
Hospitals near Middleton Oaks Health and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.3 mi
Tyler Holmes Memorial Hospital CAH WinonaEmergency roomMedian ER visit 1h 45m for patients treated and sent home
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19.5 mi
University of Mississippi Medical Center- Grenada GrenadaEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 1h 54m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Avardis Health nursing homes in Mississippi
- Hilltop Manor Health and Rehabilitation Center · Union · 4 stars
- Starkville Manor Health Care and Rehabilitation Center · Starkville · 3 stars
- Grand Trace Health and Rehabilitation · Natchez · 1 stars
- Courtyard Health and Rehabilitation · McComb · 1 stars
- The Oaks Rehabilitation and Healthcare Center · Meridian · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Avardis Health nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.