Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Midlands Health & Rehabilitation Center during CMS and state inspections, most recent first.
Four residents were not offered the COVID-19 vaccine booster, and there was no documentation of education or consent regarding the vaccine in their medical records. The facility's policy required tracking and documentation of vaccination status, but this was not completed due to staff turnover and lack of follow-through.
The facility did not notify the Ombudsman of the discharge of two residents who were transferred to a hospital for care that could not be provided at the facility. Although internal procedures assigned responsibility for notification to the Social Worker, the Ombudsman's office reported not receiving any transfer or discharge reports from the facility for several months.
The facility failed to remove expired medications from use, with expired drugs found in medication carts and rooms. Discontinued and discharged residents' medications were improperly stored, and personal snacks were found on a medication cart. These issues were confirmed by nursing staff and the ADON, highlighting non-compliance with the facility's medication disposal and storage policies.
A resident with multiple health conditions was transferred to the hospital for respiratory distress without proper notification to her or her representative. The facility's documentation lacked necessary details, such as the reason for the transfer, and there was no evidence that the resident or her representative received a copy of the transfer notice. Staff interviews revealed inconsistencies in the documentation process.
A facility failed to provide a resident or their representative with a timely copy of the Bed Hold Policy following a hospital discharge. The resident, admitted with severe medical conditions, was transferred to the hospital for respiratory distress. Despite the facility's policy requiring the policy to be given before or within 24 hours of hospitalization, there was no documentation confirming this was done.
A resident with severe cognitive impairment and multiple health conditions was not provided with an ongoing program of activities tailored to her interests and preferences. Observations showed the resident was consistently in bed without activities, despite a care plan indicating a need for one-to-one visits involving music and reading. Activity records revealed infrequent engagement, and the resident's preferences for gospel music and religious services were not accommodated.
A facility failed to ensure residents were free from electrical hazards, resulting in an Immediate Jeopardy situation. One resident, with diagnoses including depression and heart failure, and another resident, diagnosed with anxiety disorder and morbid obesity, were involved. A CNA overheard calls for help due to a smoking and sparking bed, leading to the evacuation of the residents. The Fire Department confirmed a damaged bed cord, though no fire occurred. Interviews revealed that staff observed sparks and smoke, and the Maintenance Director was unavailable for comment. The Administrator noted a lack of documentation on routine preventive maintenance for electric beds.
Failure to Offer and Document COVID-19 Vaccine Booster for Residents
Penalty
Summary
The facility failed to ensure that four residents were offered the COVID-19 vaccine booster, as required by both facility policy and CDC recommendations. Record reviews revealed that for these residents, either the COVID-19 vaccination status was listed as 'pending consent' without further documentation, or there was no information regarding immunization status in the medical record. Care plans for these residents indicated a risk for infections and a need for vaccinations, but there was no evidence that education about the COVID-19 vaccine or an offer to receive the booster was provided or documented. Interviews and policy reviews confirmed that the facility was responsible for tracking and documenting vaccination status, including providing education about the benefits and risks of the vaccine. The administrator acknowledged that frequent turnover in the infection preventionist role contributed to the failure to identify and offer COVID-19 immunizations or boosters to the affected residents. There was no documentation in the records of these residents indicating that they or their representatives had been informed or given the opportunity to consent to the vaccine.
Failure to Notify Ombudsman of Resident Discharges
Penalty
Summary
The facility failed to notify the Ombudsman of the discharge of two residents who were transferred to an acute care hospital. Review of facility policy indicated that written notice of transfer or discharge should include the name, address, and telephone number of the State Ombudsman, but the policy did not specify that the Ombudsman must be notified of the transfer or discharge itself. Record review showed that one resident was initially admitted with a need for care that could not be provided by the facility, and another resident had a primary diagnosis of chronic respiratory failure and also required care beyond the facility's capabilities. Notices of transfer or discharge were completed for both residents. Interviews with facility staff revealed that the process for notifying the Ombudsman involved the Social Worker running a monthly report of all transfers and discharges and sending notifications to the Ombudsman's office. However, the Ombudsman Program Assistant confirmed that no transfer or discharge reports had been received from the facility since March, despite the facility's internal process and staff responsibilities. The lack of documentation and confirmation of Ombudsman notification for the two residents' transfers resulted in the deficiency.
Expired Medications and Improper Storage Practices Identified
Penalty
Summary
The facility failed to ensure that expired medications were removed and not stored with other medications in use for residents. This was observed in three out of four medication carts and two out of two medication rooms. Specifically, expired medications such as Levetiracetam, Basaglar Kwik Pen, Lispro Kwik Pen, Geri Care Saline Nasal Spray, Lorazepam, Vancomycin, Fluconazole, Baclofen, and Symbicort inhaler were found in various locations within the facility. These expired medications were confirmed by the nursing staff and the Assistant Director of Nursing (ADON) and subsequently removed from storage. Additionally, the facility did not ensure that medications that were discontinued or belonged to discharged residents were not stored in the North Hall medication room. The cabinets in this room contained three shelves full of blister packs of such medications, which were not being monitored for the 60-day period required before they could be returned to the pharmacy. The ADON was unaware of who was responsible for monitoring these medications. Furthermore, personal snacks were improperly stored on the North Hall front medication cart, including an opened cherry coke and a pack of cheese Ritz crackers. These items were confirmed and removed by the nursing staff. The facility's policy on medication disposal and storage was not adhered to, leading to these deficiencies being identified during the survey.
Failure to Provide Proper Transfer Notification
Penalty
Summary
The facility failed to provide timely and appropriate notification to a resident and her responsible party regarding a transfer to the hospital. The resident, who was admitted with severe sepsis, Alzheimer's, dementia, schizophrenia, atrial fibrillation, diabetes mellitus, and hypertension, was transferred to the hospital for respiratory distress. However, there was no documentation in the medical record to confirm that the resident or her representative received written notice of the transfer, including the reason for the transfer, in a language they could understand. The facility's policy requires that written information be provided to the resident and their representative at the time of transfer, including the reason for the transfer, the effective date, and the location to which the resident will be transferred. Despite this, the forms provided by the facility lacked necessary details, such as the reason for the transfer, and there was no evidence that the resident or her representative received a copy. Interviews with the facility's staff, including the Administrator and a Registered Nurse, revealed inconsistencies in the documentation process, as no completed checklist was provided for the resident's discharge to the hospital.
Failure to Provide Timely Bed Hold Policy Notification
Penalty
Summary
The facility failed to provide a copy of the Bed Hold Policy to a resident or their representative in a timely manner following a discharge to the hospital. The resident, who was admitted with severe sepsis with septic shock, Alzheimer's, dementia, acute respiratory failure, and pneumonia, was transferred to the hospital for respiratory distress. The facility's policy requires that the Bed Hold Policy be given to the resident or their representative before the resident leaves for hospitalization or within 24 hours in the case of an emergency hospitalization. Upon review of the medical records, it was found that there was no documentation to confirm that the resident or their representative received the Bed Hold Policy during the hospitalization period. An interview with the Administrator revealed that although a copy of the policy was dated and included the resident representative's name, there was no evidence to ensure it was provided within the required timeframe. This oversight led to a deficiency in adhering to the facility's policy and state requirements for temporary leave bed-hold notifications.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to meet the interests and preferences of a resident, identified as R20, who was admitted with severe cognitive impairment and multiple health conditions, including muscle wasting and end-stage renal disease. Observations over several days revealed that R20 was consistently in bed without any activities being provided. Interviews with the resident's personal representative and the Activity Director confirmed that R20 was not engaged in activities, despite the resident's care plan indicating a need for one-to-one visits involving music and reading to support her emotional, intellectual, physical, and social needs. The activity attendance records for June, July, and August showed infrequent and inconsistent engagement, with R20 receiving minimal interaction and no group activities or social interactions. The Activity Director acknowledged that R20 could be moved to a geri chair and potentially participate in social activities, but this was not facilitated. Additionally, the resident's preference for gospel music and religious services was not accommodated, and there was a lack of documentation regarding the resident's response to activities or the duration of these interactions.
Electrical Hazard Leads to Immediate Jeopardy Situation
Penalty
Summary
The facility failed to ensure that Resident (R)1 and R2 were free from electrical hazards, leading to an Immediate Jeopardy situation. R1, admitted with diagnoses including depression, heart failure, and cognitive communication deficit, was at risk for respiratory complications. R2, diagnosed with anxiety disorder, absence of right leg below knee, and morbid obesity, was cognitively intact. A report indicated that CNA1 overheard R2 calling for help as the bed was smoking and sparking, prompting staff to evacuate the residents. The Fire Department confirmed a damaged cord from the bed, with no actual fire reported. During interviews, R2 described witnessing flames and zapping sounds, while RN1 reported seeing sparks and smoke coming from under R1's bed. CNA1 recalled moving both residents to safety upon seeing smoke in the room. The Maintenance Director was unavailable for interview, and the Administrator acknowledged a lack of documentation on routine preventive maintenance for electric beds.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth- Columbia | 0.8 mi | — | 0 | 0 |
| Forest Acres Post Acute | 0.8 mi | — | 0 | 0 |
| C M Tucker Jr Nursing Care Center Fewell And Stone | 1.9 mi | — | 1 | 1 |
| C M Tucker Jr Nursing Care Center Roddey Pavilio | 1.9 mi | — | 0 | 0 |
| White Oak Manor - Columbia | 2 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.