Millennium Post Acute Rehab: Falsified Nutrition Records - SC
Federal inspectors visited the facility in March and observed the resident, identified in records as Resident 75, at lunch on March 10 and again at breakfast the following morning. No Mighty Shake appeared on either tray. The resident told inspectors he was supposed to have one. He was right. A physician had ordered it back on January 23.
The medical record said otherwise. The Medication Administration Record, which nurses use to document whether a resident received a prescribed treatment, showed the shake had been delivered with every single meal since the order was written, covering January, February, and into March. Weeks of documented compliance. None of it accurate.
When a licensed practical nurse identified in the report as LPN1 was shown her own entries from March 10 and 11, she acknowledged the gap between what she had charted and what had actually happened. She explained that her process was to ask a certified nursing aide whether the resident had consumed the shake, then record that information in the medical record. She told inspectors she needed to actually verify that the resident drank the shake.
A second nurse, LPN8, described the same practice. She said the shakes came from the kitchen, and that she would ask an aide whether the resident drank it before documenting the result.
Neither nurse appeared to have been checking whether the shake was on the tray at all, let alone whether it was consumed.
The Director of Nursing, interviewed on the final day of the inspection, said the facility stressed accurate documentation with all clinical staff. She denied that all nurses were documenting fraudulently. The problem, she said, was with LPN1.
That framing, one nurse, one lapse, sits uneasily against what the inspection actually found. The MAR entries covered roughly six weeks of meals, three per day, across two months and into a third. The record was not missing entries. It was full of them, each one indicating the resident had received something he had not.
Inspectors classified the violation as having the potential for minimal harm or potential for actual harm, the lower end of the federal harm scale. But the gap between a documented nutritional supplement and one that never arrives is not merely a paperwork problem. Mighty Shakes are ordered because a physician determined a resident needed additional nutrition. Resident 75 told inspectors himself that he knew he was supposed to receive them. He had been going without, and his chart showed no sign of it.
The facility's own policy, in place since 2016, states that physician orders shall be obtained prior to the initiation of any medication or treatment and that the accuracy of those orders must be maintained. It says nothing about what happens when the orders are accurate but the care behind them is not.
The inspection covered 22 residents. Resident 75 was the one whose records inspectors flagged. How long he went without the supplement his physician ordered, and what effect that had on his nutrition, the report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Millennium Post Acute Rehabilitation from 2025-03-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: November 8, 2026 · Our methodology
Millennium Post Acute Rehabilitation in West Columbia, SC was cited for violations during a health inspection on March 12, 2025.
No Mighty Shake appeared on either tray.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.