49/100

MIDDLETON OAKS HEALTH AND REHABILITATION Inspection Report, Violations & Safety Grade (WINONA, Mississippi)

627 MIDDLETON ROAD, WINONA, Mississippi 38967

Phone: 6622831260

CMS Overall:1/5

Overview & Bed Count

Certified Beds

120

Avg Residents/Day

93.5

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Montgomery

Sprinkler Systems

Yes

Special Focus

None

Abuse Citation

CMS Star Ratings

Overall1/5

Health1/5

Staffing3/5

Quality2/5

Nurse Staffing Check

Metric	This Facility	Mississippi Avg	Difference
RN Hours per Resident per Day	0.63	0.63	+0.00
Total Nurse Hours per Resident per Day	3.34	4.20	-0.86
CMS Staffing Rating	3/5	3.8/5	-
Nursing Staff Turnover	57.5%	44.4%	-

Health Citation History

27 health citations on record

Date	Category	Description	Severity
2026-03-31	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	G – Actual Harm
2026-03-31	Quality of Life and Care Deficiencies	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 – Actual Harm
2025-09-18	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D – Moderate Harm Potential
2025-09-18	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2025-03-27	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	G – Actual Harm
2025-03-27	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G – Actual Harm
2025-03-27	Nursing and Physician Services Deficiencies	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 – Moderate Harm Potential
2025-03-27	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2025-03-27	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E – Moderate Harm Potential
2025-03-27	Resident Rights Deficiencies	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 – Moderate Harm Potential
2025-03-27	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2025-03-27	Pharmacy Service Deficiencies	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 – Moderate Harm Potential
2025-03-27	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	E – Moderate Harm Potential
2025-03-27	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2025-03-27	Quality of Life and Care Deficiencies	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 – Moderate Harm Potential
2025-03-27	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2023-10-18	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2023-09-28	Resident Rights Deficiencies	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 – Moderate Harm Potential
2023-09-28	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2023-09-28	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	D – Moderate Harm Potential
2023-09-28	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2023-09-28	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2023-09-28	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2023-09-28	Pharmacy Service Deficiencies	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 – Moderate Harm Potential
2023-09-28	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-09-28	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	C – Minimal Harm Potential
2021-10-07	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential

Fire Safety Citation History

2 fire safety citations on record

Date	Category	Description	Severity
2025-03-27	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2021-10-07	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential

Total Penalties & Fines

$26,053

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-03-31	Fine	$15,185	-
2025-03-27	Fine	$5,434	-
2025-03-27	Fine	$5,434	-

Verified Helpline

Care & Coverage Review

Researching facilities in WINONA, Mississippi? Speak with a licensed specialist to review your Medicare or health insurance benefits at no cost.

📞 Call (866) 227-7595
Medicare & Benefits Review
(Ages 64.5+)📞 Call (866) 228-4856
Health Insurance Helpline
(Ages 26–64)

Free, confidential consultation. We may receive referral compensation.

Verified Helpline

Care & Coverage Review

Researching facilities in WINONA, Mississippi? Speak with a licensed specialist to review your Medicare or health insurance benefits at no cost.

📞 Call (866) 227-7595
Medicare & Benefits Review
(Ages 64.5+)📞 Call (866) 228-4856
Health Insurance Helpline
(Ages 26–64)

Free, confidential consultation. We may receive referral compensation.