Davidson Health & Rehab Center
4748 Old Salisbury Road · Lexington, NC · 27295 · 3369561132
100 certified beds For profit - Corporation Chain: Saber Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $71,483 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$71,483 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 3 · $71,483 |
Inspection citations (43 in the current record)
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Actual harm · G February 26, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 17, 2026 · Resident Rights
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Actual harm · G February 26, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 17, 2026 · Quality of Life and Care
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Actual harm · G February 26, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
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.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected September 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
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.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 23, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 23, 2025 · Infection Control
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Potential for harm · D August 28, 2025
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.
Corrected September 23, 2025 · Infection Control
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Potential for harm · D August 28, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 28, 2025 · found via complaint
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.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 28, 2025 · found via complaint
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 September 23, 2025 · Pharmacy Service
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Potential for harm · E August 28, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2025 · Nutrition and Dietary
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Immediate jeopardy · J July 16, 2025 · found via complaint
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.
Corrected June 20, 2025 · Quality of Life and Care
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Actual harm · G October 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2024 · Quality of Life and Care
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Potential for harm · E July 25, 2024
Ensure each resident receives an accurate assessment.
Corrected August 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 15, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2026 | Fine | $48,840 |
| October 16, 2024 | Fine | $9,318 |
| July 25, 2024 | Fine | $13,325 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345066 · certified since April 7, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.