DPH Enforcement Orders Against Midlands Facilities, 2025-2026

What the monthly reports are

Each month DPH's Healthcare Quality office publishes a PDF listing the administrative orders and consent orders it executed against licensed facilities. Each entry names the facility and its legal operator, summarizes the inspections and violations behind the order, states the penalty and lists the corrective actions required. The reports are on DPH's Healthcare Quality Enforcement Actions page.

A consent order means the operator agreed to the penalty and fixes without a contested hearing. An administrative order is imposed by DPH. Both are public.

Midlands facilities named since January 2025

These are the CRCFs and nursing homes in our six counties that we matched to an order in the reports:

Source: DPH Healthcare Quality Enforcement Actions, January 2025 to September 2026. Matching is by facility name; each facility page summarizes the order.

Reading an order in context

An order tells you DPH found problems serious enough to escalate, at a particular time, under a particular operator. It does not tell you what the building is like today. Some orders follow a single serious incident; others follow repeated failures across several inspections.

Read the summary for the violations cited, the dates of the inspections, and the corrective actions required. Then ask the administrator what changed, who monitors it, and whether DPH has been back since.

What the reports leave out

Most deficiencies DPH finds never reach an order. They end with a written plan of correction signed by the administrator, and you will only see them in the inspection report itself. South Carolina does not post CRCF inspection reports online, but Regulation 60-84 makes them public on written request.

For nursing homes, CMS publishes every deficiency on Care Compare, along with federal fines, so the state orders are only part of the record.

How to use this on a search

Do not rule a building out on an old order alone, and do not rule one in because it has none. Use the order, if there is one, to shape your questions; use the inspection report to see the everyday record; and use your own visits to see the people.

Our facility pages bring the license record, any order and, for nursing homes, the CMS data together in one place.

How the penalty schedule works

Regulation 60-84 sorts CRCF violations into three classes. Class I violations present an imminent danger or a substantial chance of death or serious harm; Class II harm residents' health, safety or well-being; Class III are everything else. Penalties climb with repeat violations within 36 months, from a few hundred dollars for a first Class III violation to $5,000 for serious or repeated ones.

The schedule explains why a single order may carry a large penalty: it can bundle several violations found across more than one inspection. When you read an order, look for the class of each violation and whether the same problem recurs.

What families can do with the information

If an order names a building you are considering, ask the administrator directly about it. A good answer names the problem, explains what changed, and offers evidence such as a later clean inspection. A defensive answer, or one that blames former staff without describing new safeguards, tells you something too.

If you see a problem in a Midlands facility today, file a complaint with DPH Healthcare Quality at 1-800-922-6735 or through its online portal, and contact the regional long-term care ombudsman.

Keep your own notes as well: dates, names, what you saw and whom you told. A complaint backed by specifics is far easier for DPH to investigate, and the same notes help the ombudsman if the issue becomes a dispute over care or discharge.