Davidson Health & Rehab: Vaccine Storage Failures - NC
Inspectors reviewing the facility's temperature logs found reading after reading below 35 degrees Fahrenheit, the threshold at which vaccines require immediate action. The logs showed temperatures as low as 30 degrees, recorded across morning and evening checks spanning more than three weeks. On one day, the 3:50 PM reading hit 30. On another, both the 7 AM and 7 PM readings came in at 31. The pattern repeated across the log with no interruption.
The protocol posted at the facility was explicit: temperatures below 35 degrees required labeling exposed vaccines as do-not-use, recording the out-of-range readings, notifying a vaccine coordinator, and documenting the action taken. None of that happened. The action section of the temperature log was blank.
Medications were observed stored in the same refrigerator.
When an inspector spoke with Nurse #2 during a medication room observation, the nurse said she had checked the temperature at the start of her shift, adjusted the refrigerator, and planned to check it again later. She did not describe having documented anything or having notified anyone.
The Director of Nursing, interviewed the same afternoon, said she expected nurses to adjust the refrigerator if temperatures were out of range and then notify the nurse manager. She said she expected medications to be marked when opened and discarded when expired. She did not indicate she had known about the weeks of below-range readings before the inspection.
CMS rated the violation as causing minimal harm or potential for actual harm, with some residents affected.
What the logs captured was a refrigerator running dangerously cold, shift after shift, checked and initialed by staff who saw the numbers and kept moving.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Davidson Health & Rehab Center from 2025-08-28 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Davidson Health & Rehab Center in Lexington, NC was cited for violations during a health inspection on August 28, 2025.
The logs showed temperatures as low as 30 degrees, recorded across morning and evening checks spanning more than three weeks.
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.