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D
Poor

Davidson Health & Rehab Center

4748 Old Salisbury Road · Lexington, NC 27295

3369561132 · For profit - Corporation

100 beds90.8 residents227 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Davidson Health & Rehab Center receives an overall staffing grade of D (Poor). With 3.5415 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3641 HPRD, below the recommended 0.75. It is 0.35 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.56% compared to weekdays. The facility relies heavily on temporary agency staff (20.56% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.3641 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️20.56% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5415hrs/resident/day▼ 0.35
CMS benchmark: 3.48
RN HPRD
0.3641hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
14.56%
3.6935 weekday → 3.1558 weekend
Agency Staff
20.56%
10.3% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9132hrs/resident/day
Direct care aides
LPN HPRD
0.9779hrs/resident/day
Licensed practical nurses
Consistency
0.3105std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Davidson County Average-0.28 HPRD
3.82
03.54 HPRD
vs. North Carolina State Average-0.22 HPRD
3.77
03.54 HPRD
vs. National Average-0.35 HPRD
3.90
03.54 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Davidson Health & Rehab Center ★
Lexington · This facility
—
D
3.54150.3641★★☆☆☆
Pine Acres Center for Nursing and Rehabilitation
Lexington
2.2 mi
F
3.38130.2043★☆☆☆☆
Compass Healthcare and Rehab Rowan, LLC
Spencer
9.8 mi
D
3.0830.393★☆☆☆☆
Autumn Care of Salisbury
Salisbury
10.9 mi
C
3.2610.514★★★☆☆
Salisbury Rehabilitation and Nursing Center
Salisbury
11.5 mi
C
3.29650.4388★☆☆☆☆
Piedmont Health & Rehab Center
Salisbury
11.6 mi
C
3.81640.4399★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
40
Total Deficiencies
$22,643
Fines Assessed
Aug 28, 2025Health
16 deficiencies cited
▼
Jul 16, 2025Health
1 deficiency cited· Includes actual harm
▼
Oct 16, 2024Health
1 deficiency cited· Includes actual harm
▼
Jul 25, 2024Health
18 deficiencies cited· Includes actual harm
▼
Jun 29, 2023Health
4 deficiencies cited
▼

Penalty History

Oct 16, 2024Fine
$9,318
Jul 25, 2024Fine
$13,325
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.