Millennium Post Acute Rehab: Nutrition Order Failure - SC
That is the core finding from a March 12 inspection at Millennium Post Acute Rehabilitation on Sunset Boulevard in West Columbia, where federal inspectors documented that a resident identified in the report as R75 went without a physician-ordered supplement called Mighty Shakes because of a breakdown in communication between the facility's registered dietitian and its dietary manager.
The resident was losing weight. The medical provider responded by ordering Mighty Shakes. According to the facility's registered dietitian, the process was supposed to work like this: she made a clinical recommendation, the provider wrote an order, and she sent a report to the dietary manager alongside that order. The dietary manager would then supply the shakes from the kitchen.
That process did not work.
When inspectors interviewed the dietary manager on March 11, she confirmed that she had never received an order from the nurses for R75. Not the report. Not the order. Nothing that would have prompted her to supply the shakes.
The registered dietitian, interviewed the following morning, said the dietary manager had simply missed her communication.
Two people responsible for the same resident's nutritional care, and neither one knew the other's understanding of the situation had completely diverged. The physician's order sat somewhere between them, unexecuted.
The inspection classified the violation at the lowest level of harm, noting minimal harm or potential for actual harm, with few residents affected. That classification is worth taking seriously and also worth not overstating. A man was losing weight. His care team recognized the problem and created a clinical response. That response failed at the handoff point between the dietitian's office and the kitchen, which is the exact point where it needed to succeed.
Millennium Post Acute Rehabilitation is a post-acute and rehabilitation facility, meaning a significant portion of its residents are recovering from illness, surgery, or injury. Weight loss in that population is not a minor inconvenience. It slows healing, weakens the immune response, and can turn a recoverable condition into something worse. Supplemental nutrition products like Mighty Shakes exist precisely because getting enough calories into a patient who is losing ground matters.
The dietary manager's account and the registered dietitian's account do not fully reconcile. The dietitian described a process in which she sent both a report and the order to the dietary manager. The dietary manager said she never received an order from the nurses. Whether the communication was sent to the wrong person, sent and overlooked, or never successfully transmitted, the inspection report does not resolve. What it documents is the outcome: R75 did not receive what his physician had ordered.
Inspectors completed the survey on March 12, 2025. The facility's plan of correction is not included in the inspection narrative. Residents and family members seeking information about how the facility addressed the finding are directed to contact Millennium Post Acute Rehabilitation or the South Carolina state survey agency directly.
R75 is identified in the report only by number. His age, how long he had been losing weight before the order was written, and how long the shakes went unsupplied are not stated in the inspection record. What the record shows is a physician who saw a problem and acted, a dietitian who says she followed the process, a dietary manager who says she never received what the process was supposed to deliver, and a resident whose nutritional supplement order fell into the gap between them.
Whether he ever received the shakes, 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.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
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.
The resident was losing weight.
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.