Wilmington, NC

Davis Health and Wellness Center at Cambridge Vill

3-star overall rating with 3-star inspections with $5,244 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

83 Cavalier Drive STE 200, Wilmington, NC

(910) 679-8300

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

20

Certified beds

Average residents

17

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2015-06-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.05

Registered nurse staffing

LPN hours / resident day

0.64

Licensed practical nurse staffing

Aide hours / resident day

2.04

Nurse aide staffing

Weekend hours

2.93

Weekend nurse staffing

RN turnover

100%

Annual RN turnover

Total nurse turnover

75%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.5%
8.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.6%
3.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 18.2%
4.8%
13.4 pts worse
11.4%
6.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 13.7%
0.9%
12.8 pts worse
1.0%
12.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 12.5%
2.6%
9.9 pts worse
1.7%
10.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.0%
6.0%
1 pts better
5.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.0%
79.9%
12.1 pts better
81.7%
10.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.5%
13.2%
5.7 pts better
12.0%
4.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.5%
0.8 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.7%
78.1%
11.6 pts better
79.7%
10 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.0%
22.9%
6.9 pts better
23.9%
7.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

2 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

6 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-07-27 · Fire 2022-07-27

11 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-01-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-04

F · Potential for more than minimal harm 2025-01-24

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-02-07

F · Potential for more than minimal harm 2023-11-30

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-01-03

F · Potential for more than minimal harm 2023-11-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-03

E · Potential for more than minimal harm 2023-11-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-01-03

F · Potential for more than minimal harm 2022-07-27

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2022-08-19

E · Potential for more than minimal harm 2022-07-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-08-19

E · Potential for more than minimal harm 2022-07-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-08-19

E · Potential for more than minimal harm 2022-07-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-08-19

D · Potential for more than minimal harm 2022-07-27

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-08-19

D · Potential for more than minimal harm 2022-07-27

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-08-19

D · Potential for more than minimal harm 2022-07-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-08-19

D · Potential for more than minimal harm 2022-07-27

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-08-19

D · Potential for more than minimal harm 2022-07-27

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2022-08-19

B · Minimal harm 2022-07-27

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2022-08-19

B · Minimal harm 2022-07-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-08-19

Penalties and ownership

What sits behind the stars

$5,244 2023-05-30

Fine

Fine · fine $5,244

Fine

Ownership

Biehl, Joanna

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-23
Caquias Gonzalez, Eileen

Operational/Managerial Control · Individual

0% 3 facilities 2008-07-01
Clements, Mary

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-16
Cornelia Nixon Davis, Inc.

Operational/Managerial Control · Organization

0% 2 facilities 2015-05-06
Long, Charles

Operational/Managerial Control · Individual

0% 2 facilities 2015-05-06
Long, Charles

Corporate Officer · Individual

0% 2 facilities 2003-07-01
Mcadams Welsh, Melissa

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-13
Unidine Corporation

Operational/Managerial Control · Organization

0% 6 facilities 2023-05-01

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