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Nursing HomeMedicaid Investigative

Davidson Health & Rehab Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4748 Old Salisbury Road, Lexington, NC 27295100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 62 Google reviews

5
4
3
2
1
Davidson Health & Rehab Center Nursing Home in Lexington, NC — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (17 vs median 4.0)
  • High staff turnover (66%)
  • High RN turnover (64%)

Below average in NC · Critically understaffed (RN) · Below chain average · $22,643 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the therapy department and admissions team are highly regarded, the facility is currently struggling with significant staffing and care consistency issues. If you consider this facility, we strongly recommend visiting unannounced during weekends or evenings to observe response times and hygiene standards firsthand.

Google Reviews

Google Reviews

62 reviews on Google
Davidson Health & Rehab Center receives polarized feedback, with many families praising the facility's physical appearance, therapy department, and specific administrative staff. However, a significant number of reviewers report critical failures in basic care, including long wait times for assistance, inconsistent medication administration, and poor hygiene standards. Families should be aware of the stark contrast between the facility's aesthetic appeal and the reported struggles with staffing levels and quality of care.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean5.0Activities8.0Meds2.0Memory8.0Comms5.0Value2.0

Strengths

  • Highly effective physical and occupational therapy programs
  • Helpful and responsive admissions and administrative staff
  • Clean, well-maintained, and aesthetically pleasing facility
  • Strong support during transitions and admissions

Concerns

  • Significant delays in responding to call lights and requests for assistance (mentioned by 6 reviewers)
  • Inconsistent or delayed medication administration (mentioned by 4 reviewers)
  • Poor hygiene standards and lack of assistance with personal care/showering (mentioned by 4 reviewers)
  • Chronic understaffing and reliance on agency personnel (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(1)4.82023(23)3.92024(11)3.42025(21)2.92026(9)

Distribution · 65 analyzed

5
45
4
1
3
3
2
2
1
14
10 reviews posted between Dec 14, 2023Dec 14, 2023 · 10 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily care experience for residents?
  • 2Given the importance of timely assistance, what is your current protocol for ensuring call lights are answered promptly throughout the day and night?
  • 3I understand that medication management is a critical priority; could you walk me through your process for ensuring medications are administered accurately and on schedule?
  • 4Since your therapy programs are so highly regarded, how do you ensure that same level of dedicated attention carries over into daily personal care and hygiene routines?
  • 5With your reliance on agency staff, what steps are you taking to ensure that residents receive consistent care from team members who are familiar with their specific needs?
  • 6Could you describe how your staff handles medical emergencies or urgent health changes, especially during evening or weekend shifts?

Personalized based on this facility's data


Key Review Excerpts

My dad wore the same depend and clothes for five days until I demand that he be changed and asked just what the CNAs were supposed to do.

Long-term resident's family · 2025☆☆☆☆

Joanne (Admissions Director) is always available to help if needed. Thanks to all of the staff that have helped my brother feel safe in his new home.

Long-term resident's family · 2025★★★★★

They are constantly understaffed to the point where even the Registered Nurses and CNA's complain! To the point where they have to have agency nurses and cna's to come in and fill in.

Friend of resident · 2026☆☆☆☆
Source: 62 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
3.59hrs
88%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

3

measures

Worse Than Avg

8

measures

Mixed Results

6

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility89.0%
Mixed vs Avgs
Here
89.0%
US
93.4%
NC
91.7%
Davidson
77.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.4%
NC
14.1%
Davidson
12.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.3%
Mixed vs Avgs
Here
13.3%
US
12.1%
NC
5.4%
Davidson
15.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility94.1%
Mixed vs Avgs
Here
94.1%
US
95.5%
NC
94.1%
Davidson
86.5%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.3%
Worse than Avg
Here
8.3%
US
1.6%
NC
2.5%
Davidson
1.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.8%
Mixed vs Avgs
Here
21.8%
US
15.3%
NC
20.2%
Davidson
22.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility44.8%
Worse than Avg
Here
44.8%
US
79.7%
NC
78.1%
Davidson
67.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility53.0%
Worse than Avg
Here
53.0%
US
81.8%
NC
80.1%
Davidson
70.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
US
1.6%
NC
1.5%
Davidson
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
3penalties
Well above state avg (5.6)
19 complaint-triggered
$22,643 in fines

Families filed multiple complaints triggering 16 deficiencies, raising serious concerns about this facility's care quality. The most recurring problems involve care planning and assessments, medication management, and food service quality. While the facility has corrected past violations, the pattern of repeated complaints about basic care standards—including resident neglect, unsafe conditions, and poor dining experiences—suggests ongoing quality issues that families should carefully evaluate before choosing this facility.

Feb 26, 2026Complaint
3
0580Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Aug 28, 2025Complaint
5
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Aug 28, 2025Routine
11
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

Jul 16, 2025Complaint
1
0693Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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.

Oct 16, 2024Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jul 25, 2024Complaint
8
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Feb 26, 2026

$48,840

Fine

Oct 16, 2024

$9,318

Fine

Jul 25, 2024

$13,325

Ownership & Operations

Who Operates This Facility

Owner / Operator

Davidson Health & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Saber Healthcare Group

Chain Size

126 facilities nationwide

Chain avg rating: 3.0/5 · Rank 79 of 125

Ownership & Management

Owners

Weisberg, William

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Ohi Asset (nc) Lexington, Lp5% or Greater Security InterestVolpe, BenjaminOfficer / DirectorWeisberg, WilliamOfficer / DirectorNicoluzakis, GregoryOfficer / DirectorVolpe, BenjaminOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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