Complaint Investigation

Davis Health And Wellness Center At Cambridge Vill

November 17, 2025 · Wilmington, NC · 83 Cavalier Drive Ste 200

Citations 1

CMS Rating 2/5

Beds 20

Provider ID 345568

Healthcare Facility

Davis Health And Wellness Center At Cambridge Vill

Wilmington, NC · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

Davis Health and Wellness Center at Cambridge Vill in Wilmington, NC — inspection on November 17, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0656

Resident Assessment and Care Planning Deficiencies

Potential for More Than Minimal Harm

Minimum Data Set (MDS) admission assessment dated [DATE] 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.

Facility ID:

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.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.