PlainNursing
CMS Nursing Home Compare · August 2026

Midlands Health & Rehabilitation Center

1007 N King St, Columbia, SC 29223 · All homes in Columbia

Midlands Health & Rehabilitation Center, a 88-bed for profit - corporation nursing facility in Columbia, SC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #135 of 186 rated homes in SC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8036994111

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2 / 5
Below average · CMS overall · nat'l 3.0
#135 of 186
In-state rank among rated SC homes
3.50
Below average · nurse hrs/day · nat'l 3.86
20
Inspection findings · 1 serious

The verdict

Midlands Health & Rehabilitation Center, a 88-bed for profit - corporation nursing facility in Columbia, SC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #135 of 186 rated homes in SC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#135 of 186
In-state rank among rated SC homes
3.50
Nurse hrs/resident-day · national 3.86
20
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 187 SC nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
425287
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
88
Residents
83
In Hospital
No
County
Richland
Last Inspection
Sep 11, 2025

Staffing Data

How the 3.50 total nursing hours per resident-day are staffed:

RN Hours
0.27 (nat'l avg: 0.69)
LPN Hours
1.28
CNA Hours
1.95
Total Nursing Hours
3.50 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
52.8%
RN Turnover
80.0%

What the CMS Record Reveals About Midlands Health & Rehabilitation Center

According to CMS Nursing Home Compare, Midlands Health & Rehabilitation Center ranks #135 of 186 rated nursing homes in SC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Midlands Health & Rehabilitation Center operates 88 certified beds in Columbia, SC with approximately 83 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 1★ · quality 5★).

The inspection file contains 20 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $52K against this provider. Per resident day, this facility reports 3.50 total nursing hours (national average 3.86) and 0.27 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Midlands Health & Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 52.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 30, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 30, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0628

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

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2025

E - Pattern - Minimal harm Sep 11, 2025 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Sep 30, 2025

E - Pattern - Minimal harm Sep 11, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 30, 2025

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 18, 2024

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Nov 18, 2024

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0623

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

Category: Resident Rights Deficiencies

Corrected: Nov 18, 2024

E - Pattern - Minimal harm Aug 28, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 18, 2024

J - Isolated - Jeopardy Apr 8, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Apr 9, 2024

D - Isolated - Minimal harm Sep 28, 2022 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 14, 2022

D - Isolated - Minimal harm Sep 28, 2022 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2022

D - Isolated - Minimal harm Sep 28, 2022 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2022

D - Isolated - Minimal harm Sep 28, 2022 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2022

D - Isolated - Minimal harm Sep 28, 2022 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Dec 23, 2022

D - Isolated - Minimal harm Sep 28, 2022 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Oct 14, 2022

E - Pattern - Minimal harm Sep 28, 2022 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2022

E - Pattern - Minimal harm Sep 28, 2022 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 11.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 65.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 50.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 67.2% No

Penalty History 2 penalties totaling $52K

Date Type Amount
Aug 28, 2024 Fine $36K
Apr 8, 2024 Fine $16K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Midlands Health & Rehabilitation Center, both outside SC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Midlands Health & Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The SC registry aggregates state averages and the highest-rated homes in this cohort. View SC registry
  • Peer homes near 88 beds show how CMS stars vary at a similar scale in SC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Midlands Health & Rehabilitation Center?
Midlands Health & Rehabilitation Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (5★).
Where does Midlands Health & Rehabilitation Center rank among nursing homes in SC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Midlands Health & Rehabilitation Center ranks 135th among 186 rated nursing homes in SC (#135 of 186). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Midlands Health & Rehabilitation Center?
Midlands Health & Rehabilitation Center reports 3.50 total nursing hours per resident day (national average: 3.86). RN hours are 0.27 per resident day (national average: 0.69). Nursing staff turnover is 52.8%.
How many beds does Midlands Health & Rehabilitation Center have?
Midlands Health & Rehabilitation Center has 88 certified beds with approximately 83 residents. The facility is located at 1007 N King St, Columbia, SC 29223.
Does Midlands Health & Rehabilitation Center have any deficiencies on record?
Yes, Midlands Health & Rehabilitation Center has 20 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Midlands Health & Rehabilitation Center received any fines or penalties?
Yes, Midlands Health & Rehabilitation Center has received 2 penalties totaling $52K.
Who owns Midlands Health & Rehabilitation Center?
Midlands Health & Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Midlands Health & Rehabilitation Center last inspected?
The most recent health inspection for Midlands Health & Rehabilitation Center was on Sep 11, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Midlands Health & Rehabilitation Center?
Midlands Health & Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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