Davis Health And Wellness Center At Cambridge Vill
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Minimum Data Set (MDS) admission assessment dated [DATE REDACTED] revealed Resident #2 had severe cognitive impairment and required partial to moderate assistance for transfers. Resident #2 was coded for a fall prior to admission and one fall without injury since admission to the facility. The MDS admission assessment further noted the care area assessment (CAA) for falls was triggered for a care plan to be initiated.Review of Resident #2's care plan initiated on 9/17/25 revealed no care plan was in place for fall risk.The nursing progress note dated 9/18/25 at 8:04 am revealed Resident #2 was found on the floor in room with no apparent injury.The nursing progress note dated 10/02/25 at 3:30 pm revealed Resident #2 had a witnessed fall with no injury noted.The nursing progress note dated 10/03/25 at 7:00 pm revealed Resident #2 had a witnessed fall in room with no injury noted.A telephone interview was conducted with the MDS Nurse on 10/08/25 at 12:26 pm who confirmed Resident #2 did not have a care plan for fall risk in place.
She stated she would normally have developed the fall risk care plan when she completed the MDS and care area assessment, but she must have missed it. An interview was conducted with the Interim Director of Nursing (DON) on 10/08/25 at 12:21 pm, who revealed the IDT team had a weekly meeting at which time each resident was discussed and the goal was to ensure that the care plan reflected what was discussed for each resident. The Interim DON stated the care plan should have been updated during the weekly IDT meeting by the MDS Nurse, but she stated the MDS Nurse was not present for the weekly IDT meetings to ensure the care plans reflected the needs of the resident.During an interview on 10/08/25 at 1:00 pm with
the Administrator she revealed the MDS Nurse was responsible to develop the fall risk care plan for Resident #2.
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Davis Health and Wellness Center at Cambridge Vill in Wilmington, 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 Wilmington, 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 Davis Health and Wellness Center at Cambridge Vill or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.