Davidson Health & Rehab Center
4748 Old Salisbury Road, Lexington, NC 27295 · (336) 956-1132
For profit - Corporation · 100 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Davidson Health & Rehab Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 16 citations (the North Carolina average is 4.7). It was fined 3 times in the last three years, $54,389 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 28, 2025 found 16 citations. What an inspection citation means
- 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.August 28, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 28, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.August 28, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 28, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.August 28, 2025 · F0646 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 28, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.August 28, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.August 28, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.August 28, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 28, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.August 28, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 18 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 26, 2026 · F0580 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 26, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 26, 2026 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 28, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 28, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 28, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.July 16, 2025 · F0693 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 16, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 25, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prepare residents for a safe transfer or discharge from the nursing home.July 25, 2024 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 25, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 25, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 25, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.July 25, 2024 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.July 25, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.July 25, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $31,746February 26, 2026
- Fine of $9,318October 16, 2024
- Fine of $13,325July 25, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.50 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.35 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.99 | 0.89 | 0.86 |
| Nurse aides | 2.16 | 2.34 | 2.32 |
| Total nursing staff turnover | 72% | 49% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 100 |
| Average residents per day | 97.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Abbotts Creek Center Lexington · ★★★★★ 4 out of 5 stars
- Lexington Health Care Center Lexington · ★★★★★ 1 out of 5 stars
- Pine Acres Center for Nursing and Rehabilitation Lexington · ★★★★★ 1 out of 5 stars
- Trinity Elms Clemmons · ★★★★★ 2 out of 5 stars
- Cedar Hills Center for Nursing and Rehabilitation Clemmons · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Davidson Health & Rehab Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.