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Midlands Health & Rehabilitation Center

All states › South Carolina › Columbia › Midlands Health & Rehabilitation Center

1007 N King St Columbia, SC 29223 · Richland County

(803) 699-4111

All 12 nursing homes in Columbia, SC (10 take Medicaid)

Accepts Medicare Accepts Medicaid 88 certified beds For profit

CMS certification number 425287 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Midlands Health & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Midlands Health & Rehabilitation Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the South Carolina average of 3.1. Inspectors issued 20 citations in the last three years. CMS imposed 2 penalties, including $51,803 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.61 hours per resident per day at Midlands Health & Rehabilitation Center, about the same as the South Carolina median of 3.59 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 3.06 hours, 15% below its all-week average. Ask how weekends are staffed. 54.3% of nursing staff left within a year (South Carolina median 45.7%).

Nursing care per resident per day 3.61 hours
About the South Carolina median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.06 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 54.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 80% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds88
Residents per day 82 About 93% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1988
Part of a chainFundamental Healthcare
Legal business nameTHI OF SOUTH CAROLINA AT COLUMBIA, LLC

Paying for care at Midlands Health & Rehabilitation Center: Medicare and Medicaid

Midlands Health & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 11, 2025 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 20 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 20 citations at Midlands Health & Rehabilitation Center across 4 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 8, 2024 (complaint inspection). The most common areas cited were quality of life and care (6) and resident rights (5). The most serious was cited under the CMS rule to "keep all essential equipment working safely" (tag F0908, level J, April 8, 2024).

September 11, 2025 · 7 citations · includes complaint inspection

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 30, 2025)

EEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Complaint inspection · Deficient, Provider has date of correction (Sep 30, 2025)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Sep 30, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 30, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Sep 30, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 30, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 30, 2025)

August 28, 2024 · 4 citations

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 18, 2024)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Nov 18, 2024)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Nov 18, 2024)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Nov 18, 2024)

April 8, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

JKeep all essential equipment working safely.

Immediate jeopardy · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2024)

September 28, 2022 · 8 citations

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Oct 14, 2022)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 14, 2022)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Oct 14, 2022)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Dec 23, 2022)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Oct 14, 2022)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Oct 14, 2022)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Oct 14, 2022)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Oct 14, 2022)

Questions to ask on a tour of Midlands Health & Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on April 8, 2024 under the rule on environmental. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $51,803 in fines.

DateTypeAmount or length
Aug 28, 2024 Fine $35,913
Apr 8, 2024 Fine $15,890

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 1/5 5/5
August 2026 2/5 2/5 1/5 5/5
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Location

Hospitals near Midlands Health & Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

PruittHealth- Columbia Columbia · 0.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 144 beds · Medicaid
Forest Acres Post Acute Columbia · 0.8 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 132 beds · Medicaid
C M Tucker Jr Nursing Care Center Fewell and Stone Columbia · 1.9 mi away ★★★☆☆ Inspection 2/5 · Staffing 4/5 252 beds · Medicaid
C M Tucker Jr Nursing Care Center Roddey Pavilion Columbia · 1.9 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 308 beds · Medicaid
White Oak Manor - Columbia Columbia · 2.0 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 120 beds · Medicaid

More nursing homes near Midlands Health & Rehabilitation Center ›   All nursing homes in Columbia ›

Compare Midlands Health & Rehabilitation Center with the 3 closest homes side by side ›

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Other Fundamental Healthcare nursing homes in South Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 66 Fundamental Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-carolina/columbia/midlands-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.