Midlands Health & Rehabilitation Center
1007 N King St, Columbia, SC 29223 · Richland County · 88 certified beds · avg 83 residents/day · certified since Aug 8, 1988
Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 8, 2024 · F-0908 · triggered by a complaint
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Why it matters: Broken essential equipment can directly endanger residents' health, comfort, and safety.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 9, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Apr 8, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Sep 28, 2022 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 28, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 28, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 28, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Sep 28, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 28, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 28, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 28, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | E |
| 2024 | 5 | 1 | J ▲ |
| 2025 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $51,803.
| Date | Type | Amount / length |
|---|---|---|
| Aug 28, 2024 | Fine | $35,913 |
| Apr 8, 2024 | Fine | $15,890 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.33 | 4.08 | 3.95 | bottom 19% in South Carolina; bottom 28% in the U.S. |
| Registered Nurse hours | 0.26 | 0.67 | 0.69 | bottom 5% in South Carolina; bottom 6% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.55 | 3.50 | bottom 15% in South Carolina; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.41 | 0.48 | bottom 31% in South Carolina; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 52.8 | 45.9 | 45.8 | bottom 31% in South Carolina; bottom 30% in the U.S. |
| RN turnover (%) | 80.0 | 42.1 | 42.9 | bottom 5% in South Carolina; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.50, RN 0.27, weekend 3.01. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Thi of South Carolina, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/30/2003 |
| Stanley, Mathew | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/04/2017 |
| Stanley, Mathew | Individual | Corporate Officer | NOT APPLICABLE | 12/04/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pruitthealth- Columbia | 0.8 mi | Columbia, SC | ★☆☆☆☆ | 1/5 | |
| Forest Acres Post Acute | 0.8 mi | Columbia, SC | ★☆☆☆☆ | 2/5 | |
| C M Tucker Jr Nursing Care Center Fewell and Stone | 1.9 mi | Columbia, SC | ★★☆☆☆ | 1/5 | abuse |
| C M Tucker Jr Nursing Care Center Roddey Pavilio | 1.9 mi | Columbia, SC | ★★☆☆☆ | 1/5 | |
| White Oak Manor - Columbia | 2.0 mi | Columbia, SC | ★★★★☆ | 3/5 | |
| Still Hopes Episcopal Retirement Community | 3.4 mi | West Columbia, SC | ★★★★★ | 5/5 | |
| Millennium Post Acute Rehabilitation | 5.7 mi | West Columbia, SC | ★★☆☆☆ | 2/5 | |
| Opus Post Acute Rehabilitation | 6.0 mi | West Columbia, SC | ★★★☆☆ | 3/5 | |
| NHC Healthcare - Parklane | 6.2 mi | Columbia, SC | ★★★★★ | 5/5 | |
| NHC Healthcare - Lexington | 6.7 mi | West Columbia, SC | ★★★★☆ | 3/5 | |
| Life Care Center of Columbia | 7.0 mi | Columbia, SC | ★★☆☆☆ | 2/5 | |
| Presbyterian Home of South Carolina-Columbia | 7.3 mi | Lexington, SC | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 425287.