CCN 255171 · Montgomery County, Mississippi
Middleton Oaks Health and Rehabilitation
627 Middleton Road, Winona, MS 38967
Middleton Oaks Health and Rehabilitation is a 120-bed for-profit nursing home in Winona, Mississippi, first certified for Medicare or Medicaid in 1994. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 95.6 residents a day, about 80% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 120
- Average residents per day
- 95.6 (79.7% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- 627 Middleton Road Opco LLC
- Certified since
- Mar 1, 1994
- Chain or affiliated group
- Avardis Health (38 facilities, chain average 2.0 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Mississippi median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 51 at 1, 48 at 2, 37 at 3, 30 at 4, 33 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.17 | 3.99 | 3.68 |
| RN hours per resident per day | 0.53 | 0.57 | 0.58 |
| Weekend nurse hours per resident per day | 2.81 | ||
| Nursing staff turnover | 55.8% | 44.4% | 44.9% |
| Occupancy (residents / beds) | 79.7% | 87.6% | 85.7% |
| Fines reported by CMS | 2 totaling $10,868 | ||
| Health deficiencies, latest standard survey | 16 (Mar 27, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Middleton Oaks Health and Rehabilitation does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Winona Parentco LLCOrganization | Direct Ownership Interest | 100% | 05/01/2025 |
| Art and Soul Holdco LLCOrganization | Indirect Ownership Interest | 100% | 05/01/2025 |
| Fc Encore Winona LLCOrganization | Security Interest | n/a | 05/01/2025 |
| SNF Mgr LLCOrganization | Operational / Managerial Control | n/a | 05/01/2025 |
| Hoback, TiffanyIndividual | Operational / Managerial Control | n/a | 05/01/2025 |
| Jones, TequillaIndividual | Operational / Managerial Control | n/a | 05/01/2025 |
| Matthews, JonathanIndividual | Operational / Managerial Control | n/a | 06/01/2025 |
| Peeples, MercedesIndividual | Operational / Managerial Control | n/a | 05/01/2025 |
| Rushing, StevenIndividual | Operational / Managerial Control | n/a | 06/01/2025 |
| Thomas, JohnIndividual | Operational / Managerial Control | n/a | 05/01/2025 |
In its Medicare enrollment record, the facility reported a real estate investment trust owner: Fc Encore Winona LLC. Those flags are self-reported to CMS and many PE and REIT ties go unflagged.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jun 1, 2025 | 627 Middleton Road Opco LLC | Winona Manor Healthcare LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.