Cycle 1
Health 2025-04-17 · Fire 2025-04-17
5 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Wilmington, NC
Davis Health Care Center
2-star overall rating with 2-star inspections with $96,849 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1011 Porters Neck Road, Wilmington, NC
(910) 686-7195
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
115
Certified beds
Average residents
97
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.21
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.10
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
4.68
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
492
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.88
Composite VBP score used to determine payment impact.
Payment multiplier
1.0218
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.19% · Performance 15.53% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
10
Baseline 4.08% · Performance 4.61% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
2.28
Baseline 49.67% · Performance 54.37% · Measure score 2.28 · Achievement 2.28 · Improvement 0
Adjusted total nurse staffing
5.27
Baseline 5.54 hours · Performance 4.58 hours · Measure score 5.27 · Achievement 5.27 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.12% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 369 · Observed rate 6.5% · Lower 95% interval 6.91% |
| Discharge to community | 68.54% |
50.57%
18 pts better
|
Better than the National Rate · Eligible stays 340 · Observed rate 68.82% · Lower 95% interval 64.55% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 93.46% |
95.27%
1.8 pts worse
|
Numerator 143 · Denominator 153 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 153 |
| Discharge self-care score | 23.44% |
53.69%
30.2 pts worse
|
Numerator 30 · Denominator 128 |
| Discharge mobility score | 28.91% |
50.94%
22 pts worse
|
Numerator 37 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 1.31% |
2.29%
1 pts better
|
Numerator 2 · Denominator 153 · Adjusted rate 1.86% |
| Healthcare-associated infections requiring hospitalization | 4.61% |
7.12%
2.5 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 0.6% · Lower 95% interval 2.53% |
| Staff COVID-19 vaccination coverage | 3.55% |
8.2%
4.6 pts worse
|
Numerator 5 · Denominator 141 |
| Staff flu vaccination coverage | 62.75% |
42%
20.8 pts better
|
Numerator 96 · Denominator 153 |
| Discharge function score | 33.59% |
56.45%
22.9 pts worse
|
Numerator 43 · Denominator 128 |
| Transfer of health information to provider | 97.92% |
95.95%
2 pts better
|
Numerator 47 · Denominator 48 |
| Transfer of health information to patient | 95.56% |
96.28%
0.7 pts worse
|
Numerator 86 · Denominator 90 |
| Resident COVID-19 vaccinations up to date | 48.72% |
25.2%
23.5 pts better
|
Numerator 38 · Denominator 78 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.8
1.2 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
91.5%
6.8 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 97.5% · Q3 98.6% · Q4 98.7% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.0% |
94.1%
0.1 pts worse
|
95.5%
1.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.6%
0.6 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.5% · Q3 5.7% · Q4 5.2% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
4.8%
3.7 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 2.7% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
7.2%
1.6 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 9.7% · Q3 3.4% · Q4 6.2% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.9% |
21.6%
5.3 pts worse
|
19.6%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 28.1% · Q3 27.1% · Q4 23.4% · 4Q avg 26.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.6% |
15.0%
5.6 pts worse
|
16.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 20.4% · Q3 23.1% · Q4 22.0% · 4Q avg 20.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.2% |
21.5%
5.7 pts worse
|
16.3%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 21.0% · Q4 32.2% · 4Q avg 27.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.1% |
16.8%
1.3 pts worse
|
14.9%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 10.5% · Q3 13.6% · Q4 21.0% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.9%
0.8 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.1% · Q3 1.0% · Q4 3.3% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.6%
1.5 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.4% · Q4 1.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.2% |
21.2%
5 pts better
|
19.8%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 15.5% · Q3 17.6% · Q4 14.4% · 4Q avg 16.2% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.0%
1.4 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.7% · Q3 5.5% · Q4 6.2% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4% |
79.9%
5.5 pts better
|
81.7%
3.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.4% · Q2 80.9% · Q3 79.8% · Q4 91.4% · 4Q avg 85.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.8% |
13.2%
2.6 pts worse
|
12.0%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 14.6% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.5%
0.1 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 2.0% · Q4 2.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.9% |
78.1%
6.2 pts worse
|
79.7%
7.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
22.9%
0.1 pts worse
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 19.3% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-08 · Fire 2024-02-08
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-09 · Fire 2022-08-09
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
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
2025-04-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-24
Inspection history
Recent health citations
J · Immediate jeopardy
2025-10-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-04-17
F809 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2025-05-07
E · Potential for more than minimal harm
2025-04-17
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-05-07
D · Potential for more than minimal harm
2025-04-17
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 2025-05-07
B · Minimal harm
2025-04-17
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-05-07
G · Actual harm
2024-02-08
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-26
E · Potential for more than minimal harm
2024-02-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-09
E · Potential for more than minimal harm
2024-02-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-02-09
D · Potential for more than minimal harm
2024-02-08
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 2024-02-22
D · Potential for more than minimal harm
2024-02-08
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 2024-02-12
B · Minimal harm
2024-02-08
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-02-27
B · Minimal harm
2024-02-08
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-02-27
J · Immediate jeopardy
2022-08-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-09
E · Potential for more than minimal harm
2022-08-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-23
Penalties and ownership
What sits behind the stars
$84,880
2025-10-20
Fine
Fine · fine $84,880
Fine
$8,824
2024-02-08
Fine
Fine · fine $8,824
Fine
$3,145
2023-05-30
Fine
Fine · fine $3,145
Fine
Ownership
Cornelia Nixon Davis, Inc.
5% Or Greater Direct Ownership Interest · Organization
Biehl, Joanna
Operational/Managerial Control · Individual
Clements, Mary
Operational/Managerial Control · Individual
Cornelia Nixon Davis, Inc.
Operational/Managerial Control · Organization
Long, Charles
Operational/Managerial Control · Individual
Long, Charles
Corporate Director · Individual
Mcadams Welsh, Melissa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Davis Health and Wellness Center at Cambridge Vill
Wilmington, NC
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
#2
Northchase Nursing and Rehabilitation Center
Wilmington, NC
2-star overall rating with 2-star inspections with $7,901 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Bradley Creek Health Center
Wilmington, NC
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
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