Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MIDDLETON OAKS HEALTH AND REHABILITATION

WINONA, MS · 120 certified beds · Last Life Safety survey March 27, 2025

CMS Certification Number 255171 · first certified March 1994

Ownership

Operated by AVARDIS HEALTH · For profit - Corporation

  • New ownershipOwnership changed June 1, 2025 (change of ownership)from WINONA MANOR HEALTHCARE LLC
2
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within MS

2 citations — more than 66% of the 202 certified nursing homes in MS. Compared within MS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to October 2026. This facility’s last Life Safety survey was March 2025. Facilities in MS are typically surveyed 15–19 months after the last one (median 17), measured over 258 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 2 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MS, and nationally. Surveyors differ markedly between states, so the MS figure is the meaningful one.

This facility2MS median1National median11
Citations on file over three years, compared
MeasureCitations
This facility2
Median facility in MS1
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-1002023-0912025-03
Citations at each Life Safety survey
Survey dateCitations
October 7, 20211
September 28, 20230
March 27, 20251

Most-cited tags

Most-cited tags at this facility
K-03551K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12021-10-07
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-03-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 27, 2025 — 1 citation

Citations issued on March 27, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 24, 2025)

October 7, 2021 — 1 citation

Citations issued on October 7, 2021
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 15, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.