Nursing homes across Madison County, Mississippi, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
The Madison Health And Rehab runs 60 beds under for-profit LLC ownership, and its nurse staffing sits about 20 percent above the national average, a real edge, though weekends drop roughly 23 percent below the home's own weekday coverage, so care thins out when families visit. Turnover is the bigger worry: 58.9 percent annually against a national 45.8 percent means aides and nurses cycle through often, and that churn can undercut even good staffing numbers. The inspection record shows 25 deficiencies, including one tied to abuse, with no harm-level findings and a survey as recent as January 2025.
The Nichols Center runs 60 certified beds in Madison under for-profit LLC ownership, and its 4.57 nurse hours per resident day sit about 18% above the national average of 3.86, real coverage on paper. But weekends run roughly 10% leaner than weekdays, and annual turnover of 49.3% tops the national 45.8%, so that staffing edge depends on a workforce that keeps cycling out. The current record shows 12 deficiencies, 4 at harm or jeopardy level and 2 abuse-related, with two fines totaling $18,259; the last inspection was March 2026. Strong staffing numbers, a thinner margin on safety.
Highland Home runs leaner than the typical U.S. nursing home on nurse staffing, 3.64 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops roughly 14% below its own weekday level. Staff turnover sits at 52.3%, noticeably above the 45.8% national figure, which matters because it's the same familiar faces that build trust with residents over time. The inspection record shows 18 deficiencies, three of them serious enough to put residents at risk of harm, though none involved abuse, and one fine of $10,033 has been assessed. Its last inspection was June 2024, so the picture is reasonably current.
Parkway Health & Rehab runs on more nursing hours than most homes, 4.27 per resident day, about 11% above the national average, but the weekend dip means coverage thins out when families tend to visit. The bigger issue is who's staying: annual turnover of 58.1% sits well above the 45.8% national figure, and 26 deficiencies on the current record include two at the harm level and three tied to abuse. Inspectors were last in on February 26, 2026, and the health inspection rating sits at 2 out of 5 while quality measures come in at 1. The single fine, $8,278, is modest for that volume of findings, which tells you the problems are persistent rather than catastrophic.
Madison County Nursing Home in Canton runs on county money, and its staffing is the strongest thing it has going: 4.34 nurse hours per resident day, roughly 12 percent above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 39.6 percent, better than the 45.8 percent national figure. But weekends run about 17 percent thinner than weekdays, and the care record is shakier than the payroll: a 2-out-of-5 inspection rating, 14 deficiencies including 2 at harm or jeopardy level and 3 tied to abuse, plus one $8,278 fine. The most recent inspection was April 30, 2026. Good coverage, uneven follow-through, worth asking about weekend shifts and those abuse findings directly.