Midlands Health & Rehabilitation Center
1007 N King St · Columbia, SC · 29223 · 8036994111
88 certified beds For profit - Corporation Chain: Fundamental Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $51,803 |
Inspection citations (20 in the current record)
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Potential for harm · D September 11, 2025
Ensure each resident receives an accurate assessment.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
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.
Corrected September 30, 2025 · Pharmacy Service
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Potential for harm · E September 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · D September 11, 2025
Provide and implement an infection prevention and control program.
Corrected September 30, 2025 · Infection Control
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Potential for harm · D September 11, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · E September 11, 2025 · found via complaint
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected September 30, 2025 · Infection Control
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Potential for harm · D August 28, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D August 28, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D August 28, 2024
Provide activities to meet all resident's needs.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · E August 28, 2024
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.
Corrected November 18, 2024 · Pharmacy Service
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Immediate jeopardy · J April 8, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected April 9, 2024 · Environmental
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Potential for harm · D September 28, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 14, 2022 · Resident Rights
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Potential for harm · D September 28, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected December 23, 2022 · Resident Rights
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Potential for harm · D September 28, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · E September 28, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 14, 2022 · Quality of Life and Care
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Potential for harm · D September 28, 2022
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.
Corrected October 14, 2022 · Quality of Life and Care
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Potential for harm · E September 28, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 14, 2022 · Quality of Life and Care
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Potential for harm · D September 28, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected October 14, 2022 · Quality of Life and Care
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Potential for harm · D September 28, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 14, 2022 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2024 | Fine | $35,913 |
| April 8, 2024 | Fine | $15,890 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 425287 · certified since August 8, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.