HomeMississippiMontgomery CountyMIDDLETON OAKS HEALTH AND REHABILITATION
C
Below Standard

MIDDLETON OAKS HEALTH AND REHABILITATION

627 MIDDLETON ROAD · WINONA, MS 38967

6622831260 · For profit - Corporation

120 beds93.2 residents124 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MIDDLETON OAKS HEALTH AND REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.3113 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5731 HPRD, below the recommended 0.75. It is 0.58 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.01% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3113 HPRD — needs 0.17 more hours per resident per day.
⚠️RN staffing (0.5731 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3113hrs/resident/day 0.58
CMS benchmark: 3.48
RN HPRD
0.5731hrs/resident/day 0.11
Recommended: 0.75
Weekend Drop-off
19.01%
3.4993 weekday → 2.8339 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8629hrs/resident/day
Direct care aides
LPN HPRD
0.8752hrs/resident/day
Licensed practical nurses
Consistency
0.3765std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Montgomery County Average+0.00 HPRD
3.31
03.31 HPRD
vs. Mississippi State Average-0.90 HPRD
4.21
03.31 HPRD
vs. National Average-0.58 HPRD
3.90
03.31 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MIDDLETON OAKS HEALTH AND REHABILITATION
WINONA · This facility
C
3.31130.5731☆☆☆☆
VAIDEN COMMUNITY LIVING CENTER
VAIDEN
10.7 mi
C
3.47830.7492★★★☆☆
GRENADA LIVING CENTER
GRENADA
19.5 mi
D
3.6420.3994★★★☆☆
GRENADA REHABILITATION AND HEALTHCARE CENTER
GRENADA
19.5 mi
C
3.630.4943☆☆☆☆
GOLDEN AGE NURSING HOME
GREENWOOD
23.1 mi
A
5.10260.7834★★★★
CRYSTAL REHABILITATION AND HEALTHCARE CENTER
GREENWOOD
24.3 mi
B
3.94420.7926☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
32
Total Deficiencies
$5,434
Fines Assessed
Sep 18, 2025Health
2 deficiencies cited
Mar 27, 2025Health
12 deficiencies cited· Includes actual harm
Oct 18, 2023Health
1 deficiency cited
Sep 28, 2023Health
9 deficiencies cited
Jul 20, 2023Health
6 deficiencies cited
Jun 15, 2023Health
1 deficiency cited
Oct 7, 2021Health
1 deficiency cited

Penalty History

Mar 27, 2025Fine
$5,434
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.