Davidson Health & Rehab Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm
was interviewed on 8/28/25 at 11:20 AM and stated if a resident needed cues to eat, they should be placed closer to the NAs in the dining room who were there to assist residents with eating. She stated a resident should not have to wait to eat their meals while others were assisted.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Davidson Health & Rehab Center
4748 Old Salisbury Road Lexington, NC 27295
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0583
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
laundry and with cleaning rooms. The Environmental Services Director then stated the staff that were available would work together and do the best they could. He indicated he did not notify management or corporate for assistance because he didn't think it would change anything. An interview was conducted on 08/28/25 at 2:45 PM with the Administrator. She stated she expected any room that needed repairs to be reported to the Maintenance Director so the repairs would be addressed and that resident rooms should be kept in good repair and clean. She indicated she was unaware some rooms had been missed during cleaning due to environmental service department call outs.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Davidson Health & Rehab Center
4748 Old Salisbury Road Lexington, NC 27295
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0585
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
events of 6/29/25. On 8/25/25 at 12:40 PM, an interview occurred with a family member who was called about the incident after it happened. The family member reported that she has had good communication and rapport with staff during Resident #74's stay at the facility and staff treat Resident #74 well and she was satisfied with the care that she received. The family member indicated she was made aware of the incident that happened between Resident #74 and NA #1 a couple of months ago right after it happened and she was satisfied with the facilities response to the incident. Family member reported no additional concerns. On 8/28/2025 at 1:59 PM, an additional interview occurred with a family member. Family member reported that initially she was concerned when they called but once facility staff explained in detail what happened then she felt better. The family member reported that she felt like the facility handled the situation appropriately by terminating the employee and making a report to the authorities. The family member stated
she was not nervous about Resident #74's care at the facility and felt that staff provided good care to Resident #74. On 8/27/25 at 8:07 AM, an interview occurred with DON. The DON reported that the NA #1 called her crying and stated that she had to tell her something she had done. The DON indicated that per NA #1's statement, Resident #74 was going into another resident's room and NA #1 went to get her out. NA #1 reported that Resident #74 was fighting her, and she smacked her on the hand. DON reported that NA #1 was a good NA and had never done anything like that before. The DON stated she explained to NA #1 that it was not acceptable and that NA #1 was not to go back into the building. DON reported that she called Nurse #1 on duty and asked her to go and take NA #1's statement in person so that it could be reported and Nurse #1 also called the family to notify them regarding the incident. the interview further revealed Nurse #1 also did a head to toe of the resident and did a complete sweep of the unit to check the other residents. DON reported that there were no other concerns reported. On 8/28/2025 at 11:42 AM, an
interview occurred with the Administrator. The Administrator reported she was notified by NA #2 who witnessed the situation regarding the allegation of abuse. The Administrator stated that this was reported immediately, and NA #1 was removed from the facility. The Administrator revealed that NA#1 was immediately suspended and then her employment was terminated. The Administrator reported that the police department was notified, and an investigation was initiated. The Administrator stated she was able to view video footage at the time that revealed that Resident #74 had just been taken to the nurse's station when she became combative towards NA #1 which is when NA #1 was then seen smacking the resident's hand down. The Administrator stated that NA #1 was a good employee, however, they do not tolerate any type of abuse towards a resident. The Administrator reported that there have been no further staff to resident abuse concerns since this incident on 6/29/25.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Davidson Health & Rehab Center
4748 Old Salisbury Road Lexington, NC 27295
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0646
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0646 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0656
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0658
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0693
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0695
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0757
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0761
F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
drops should have been discarded when they expired.5. The Medication Room for Lillian's was reviewed on [DATE REDACTED] at 1:50 PM with Nurse #2. The current temperature of the refrigerator was observed at 38 F.The Temperature Log for Refrigerator- Fahrenheit instructions (version 8/13) included: Take action if temp is out of range -too warm (above 46 F) (degrees Fahrenheit) or too cold (below 35 F).1. Label exposed vaccine do not use, and store it under proper conditions as quickly as possible. Do not discard vaccines unless directed to by your state/local health department and/or the manufacturer(s).2. Record the out-of-range temps and the room temp in the Action area on the bottom of the log. 3. Notify your vaccine coordinator, or all the immunization program at your state or local health department for guidance. 4. Document the action taken on the attached Vaccine Storage Troubleshooting Record. The refrigerator temperature logs were reviewed and revealed the following low temperatures documented and initialed by staff on the [DATE REDACTED] log:[DATE REDACTED]: 8 AM 34 [DATE REDACTED]: 7 AM 33 / 7PM 34 [DATE REDACTED]: 7:20 AM 31 / 3:50 PM 30 [DATE REDACTED]: 8 AM 32 /5 PM 33 [DATE REDACTED]: 8 AM 34 /5 PM 32 [DATE REDACTED]: 9 AM 34 /6 PM 33 [DATE REDACTED]: 8 AM 33 /5 PM 34 [DATE REDACTED]: 7 AM 34 / 7 PM 33 [DATE REDACTED]: 7 AM 32 / 7 PM 33 [DATE REDACTED]: 7:50 AM 34 / 4:15 PM 32 [DATE REDACTED]: 7 PM 34 [DATE REDACTED]: 7 AM 32 / 7PM 33 [DATE REDACTED]: 7 AM 34 / 7 PM 33 [DATE REDACTED]: 7 AM 34 / 7 PM 34 [DATE REDACTED]: 7 AM 32 / 7 PM 31 [DATE REDACTED]: 7:20 AM 33 /6:50 PM 32 [DATE REDACTED]: 7:05 AM 34 / 6:00 PM 34 [DATE REDACTED]: 9 AM 34 / 5 PM 33 [DATE REDACTED]: 9 AM 32 / 5 PM 32 [DATE REDACTED]: 76:55 AM 33 / 5:20 PM 32 [DATE REDACTED]: 7 AM 32 / 7 PM 31 [DATE REDACTED]: 7 AM 33 / 7 PM 34 [DATE REDACTED]: 7 AM 32 / 6:30 PM 34 There was no documentation of the action taken on the temperature log. Medications were observed in the refrigerator in the refrigerator in the medication room for Lillian's on [DATE REDACTED]. On [DATE REDACTED] at 2:00 PM an interview with Nurse #2 was conducted during the medication room observation. She stated
she had checked the refrigerator temperature at the beginning of the shift and adjusted it and would check
the temperature again later and make sure it was in range. An interview was conducted on [DATE REDACTED] at 2:46 PM with the Director of Nursing (DON). She stated she expected the nurses to mark medications when they're opened and discard them when they expired. She stated she would expect the nurse to adjust the temperature of the refrigerator if it were out of range and then notify the nurse manager of the concern.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Davidson Health & Rehab Center
4748 Old Salisbury Road Lexington, NC 27295
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0812
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Based on observations and staff interviews, the facility failed to label, date, and seal food items left open to air and stored for use in 1 of 1 walk-in refrigerator and failed to label and remove expired food items stored for use 1 of 1 walk-in freezer. These practices had the potential to affect food served to residents.The findings included: Accompanied by the Dietary Manager, an observation was made of the walk-in refrigerator on 8/25/25 at 9:32 AM. The following items were stored in the refrigerator: -One undated box of turkey sausage that was open and partially used with the remaining contents unwrapped and exposed to air. -One undated package of Danishes open and partially used with the remaining contents unwrapped and exposed to air. An observation of the walk-in freezer revealed the following stored item:-One large plastic, zippered storage bag containing unlabeled and uncooked ground meat dated 7/7/25. The Dietary Manager was interviewed on 8/25/25 during the kitchen tour at 9:32 AM. He stated food should be wrapped once it's opened and labeled with the contents and date it was opened. He indicated food should be used or discarded within seven days after opening. The Dietary Manager stated he did not work over the past weekend, and he did not have an opportunity to check the refrigerator and freezer Monday morning due to printing meal tickets for the breakfast service. On 8/25/25 at 12:35 PM the Administrator was interviewed and stated foods should be labeled with their contents and opened dates and stored in the refrigerator and freezer correctly.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0842
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0883
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
F-Tag F0887
Federal health inspectors cited Davidson Health & Rehab Center in Lexington, NC for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of Davidson Health & Rehab Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Davidson Health & Rehab Center in Lexington, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Lexington, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Davidson Health & Rehab Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.