The nursing home failed to keep essential equipment working safely. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: J
Nursing home report
Midlands Health & Rehabilitation Center
Columbia, SC · Medicare-certified · 88 beds
Needs attention
For-profitChain member
2 of 5 overall
Midlands Health & Rehabilitation Center in Columbia, SC has a 2-star overall rating, with a 2-star health inspection rating and a 1-star staffing rating despite a 5-star quality measures rating. Reported staffing is 3.48 hours per resident per day, below the 4.1 federal benchmark, and the facility had $35,913 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4832 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $35,913recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4832.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.34
- Nurse aides
- 1.95
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.5%Improving
Residents with a fall causing major injury
0.3%Steady
Residents with pressure ulcers (bedsores)
12.5%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.6%Worsening
Residents whose ability to walk got worse
9.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.8%Steady
Short-stay residents newly given an antipsychotic
0.8%Worsening
Residents with a long-term catheter
0.3%Improving
Residents with new or worsening incontinence
11.2%Improving
Residents with depressive symptoms
4.8%Worsening
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
56.6%Improving
Short-stay residents given the seasonal flu vaccine
67.2%Steady
Short-stay residents given the pneumonia vaccine
42.2%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $35,913 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $51,803 in total fines.
- $35,913
Federal fine
Aug 28, 2024
- $15,890
Federal fine
Apr 8, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of FUNDAMENTAL HEALTHCARE · 69 homes · 2.4 stars avg
- Occupancy
- 84.4 residents on an average day (96% of 88 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.