Nursing HomeInspections

Midlands Health & Rehabilitation Center

Nursing home in Columbia, SC

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
1007 N King St, Columbia, SC 29223
Phone
(803) 699-4111
Listed under
For-profit
Medicare CCN
425287
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
88
Average residents per day
82
Ownership
For-profit, corporation
Legal business name
Thi of South Carolina at Columbia, LLC
Chain
Fundamental Healthcare (66 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 8, 1988
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 425287. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2022 to Sep 11, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 11, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Sep 11, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Sep 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Sep 11, 2025Educate 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…
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 28, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 28, 2024Notify 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 28, 2024Provide activities to meet all resident's needs.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 28, 2024Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Apr 8, 2024Keep all essential equipment working safely.
Environmental · complaint inspection
J
Immediate jeopardy, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $51,803 in the last three years.

Aug 28, 2024Fine: $35,913
Apr 8, 2024Fine: $15,890

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.61 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
3.06 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
80%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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