Federal inspection record · CMS data as of October 1, 2026
Davidson Health & Rehab Center
4748 Old Salisbury Road, Lexington, NC · (336) 956-1132
- Cited for abuse (CMS abuse icon)
- Certified beds
- 100
- Residents per day
- 94
- Ownership
- For-Profit
- Chain
- Saber Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 7, 1970
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among North Carolina homes
Davidson Health & Rehab Center carries 134 inspection points. That is fewer than 8% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
43 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
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G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide safe, appropriate pain management for a resident who requires such services.
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J
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.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning10E
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- B
Ensure each resident receives an accurate assessment.
Resident Rights7D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Pharmacy Service5E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary5E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care5D
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Nursing and Physician Services2D
- C
Post nurse staffing information every day.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2025-08-28
19 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-07-25
20 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-06-29
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 39 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 75% of nursing staff and 78% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$54,389 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-26 | Fine | $31,746 |
| 2024-10-16 | Fine | $9,318 |
| 2024-07-25 | Fine | $13,325 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 94.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 97.7% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.8 pts worse | 19.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 6.9% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 19.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts better | 8.7% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better | 13.5% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6 pts better | 9.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts worse | 4.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts better | 13.6% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 3.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts worse | 78.4% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.8 pts better | 6.9% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.9 pts better | 92.0% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better | 20.5% | 22.2% | 23.4% |
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Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Citrin Cooperman Advisors LLC | Adp Of The SNF · Organization | 0% | 110 facilities |
| Hopping, Alyce | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hopping, Alyce | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nicoluzakis, Gregory | Corporate Officer · Individual | 0% | 121 facilities |
| Nicoluzakis, Gregory | Adp Of The SNF · Individual | 0% | 121 facilities |
| Ohi Asset (Nc) Lexington, LP | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Ohi Asset (Nc) Lexington, LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Rader, Ashley | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rader, Ashley | Adp Of The SNF · Individual | 0% | 2 facilities |
| Saber Governance LLC | Adp Of The SNF · Organization | 0% | 120 facilities |
| Saber Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Sheldon, Scott | Adp Of The SNF · Individual | 0% | 2 facilities |
| Shg Boa LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Shg Management LLC | Operational/Managerial Control · Organization | 0% | 104 facilities |
| Shg Management LLC | Adp Of The SNF · Organization | 0% | 104 facilities |
| Shg Mt, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Tcf National Bank | Adp Of The SNF · Organization | 0% | 28 facilities |
| Volpe, Benjamin | Corporate Director · Individual | 0% | 121 facilities |
| Volpe, Benjamin | Corporate Officer · Individual | 0% | 121 facilities |
| Volpe, Benjamin | Adp Of The SNF · Individual | 0% | 121 facilities |
| Walker & Associates Pc | Adp Of The SNF · Organization | 0% | 47 facilities |
| Weisberg, William | Corporate Director · Individual | 0% | 123 facilities |
| Weisberg, William | Corporate Officer · Individual | 0% | 123 facilities |
| Weisberg, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 123 facilities |
| Weisberg, William | Adp Of The SNF · Individual | 0% | 123 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3D
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Smoke1D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Pine Acres Center for Nursing and Rehabilitation
Lexington, NC · Alliance Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 19 min
- Fines
- $122,460
-
Lexington Health Care Center
Lexington, NC · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
- Fines
- $29,055
-
Abbotts Creek Center
Lexington, NC · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0