All states › North Carolina › Lexington › Davidson Health & Rehab Center
4748 Old Salisbury Road Lexington, NC 27295 · Davidson County
All 4 nursing homes in Lexington, NC (4 take Medicaid)
CMS certification number 345066 · See this home on Medicare Care Compare
Is Davidson Health & Rehab Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Davidson Health & Rehab Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.64 hours per resident per day at Davidson Health & Rehab Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.18 hours, 13% below its all-week average. 75.2% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Davidson Health & Rehab Center: Medicare and Medicaid
Davidson Health & Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 28, 2025 and found 11 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 43 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 43 citations at Davidson Health & Rehab Center across 6 inspection dates, 18 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 16, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (10) and quality of life and care (9). The most serious was cited under the CMS rule to "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" (tag F0693, level J, July 16, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 26, 2026 · 3 citations · includes complaint inspection
GImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide safe, appropriate pain management for a resident who requires such services.
August 28, 2025 · 16 citations · includes complaint inspection
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DHonor 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
July 16, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure 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.
October 16, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 25, 2024 · 18 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure each resident receives an accurate assessment.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DPrepare residents for a safe transfer or discharge from the nursing home.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
CPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CPost nurse staffing information every day.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 29, 2023 · 4 citations
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
BEnsure each resident receives an accurate assessment.
Questions to ask on a tour of Davidson Health & Rehab Center
- Inspectors cited the home at the immediate-jeopardy level on July 16, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 28, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 75.2% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $54,389 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 26, 2026 | Fine | $31,746 |
| Oct 16, 2024 | Fine | $9,318 |
| Jul 25, 2024 | Fine | $13,325 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Davidson Health & Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.5 mi
Lexington Memorial Hospital INC LexingtonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 34m for patients treated and sent home
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10.9 mi
Rowan Regional Medical Center SalisburyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 25m for patients treated and sent home
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11.7 mi
W.G. (Bill) Hefner Salisbury VA Medical Center (Salsbury) SalisburyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Davidson Health & Rehab Center › All nursing homes in Lexington ›
Compare Davidson Health & Rehab Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Abbotts Creek Center · Lexington · 4 stars · 7.1 mi
- Compass Healthcare and Rehab Rowan · Spencer · 3 stars · 9.9 mi
Other Saber Healthcare Group nursing homes in North Carolina
- Autumn Care of Statesville · Statesville · 5 stars
- Autumn Care of Fayetteville · Fayetteville · 5 stars
- Autumn Care of Biscoe · Biscoe · 5 stars
- Autumn Care of Cornelius · Cornelius · 4 stars
- Autumn Care of Drexel · Morganton · 4 stars
- Davie Nursing and Rehabilitation Center · Mocksville · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 126 Saber Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.