Davis Health and Wellness Center at Cambridge Vill

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

74.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 205 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 29.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 106 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.92 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 20 beds and averages 16.6 residents a day — about 83% occupied, or roughly 3 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.53 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.90 hrs/resident/day on weekends vs 4.39 on weekdays — 11% thinner on weekends. RN hours go from 1.68 to 1.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Fcited before2026-03-26 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and staff interviews, the facility failed to schedule a Registered Nurse (RN) for at least eight consecutive hours per day seven days a week for 9 of 172 days reviewed for sufficient staffing (4/12/25, 4/25/25, 4/26/25, 5/9/25, 6/7/25, 6/8/25, 8/2/25, 8/3/25 and 9/21/25).Finding included:The Payroll Based Journal (PBJ) report for the Federal Fiscal third quarter of 2025 (April, May, June) and the Federal Fiscal fourth quarter of 2025 (July, August, September) reported the facility was without RN coverage for eight consecutive hours per day.A review of the daily census posting sheets for the months of 4/12/25 to 9/30/25, indicated a consistent census less than 60 residents in the facility and no RN coverage for eight consecutive hours for the following dates: 4/12/25, 4/25/25, 4/26/25, 5/9/25, 6/7/25, 6/8/25, 8/2/25, 8/3/25, 9/21/25. A review of the daily nursing staffing sheets for the months of 4/1/25 to 9/30/25 indicated there was no RN scheduled for at least eight consecutive hours for the following dates: 4/12/25, 4/25/25, 4/26/25, 5/9/25, 6/7/25, 6/8/25,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-26 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff and Physician interviews the facility failed to obtain consent and inform the resident or Responsible Party in advance of the risks and benefits of psychotropic medications (medications that alter brain chemicals and are used to treat conditions such as anxiety and depression and include the medications classified as antidepressants) prior to initiation for 7 of 7 residents reviewed for unnecessary medications (Residents #13, #4, #16,#1,#26, #12, #3). Findings included: a). Resident #13 was admitted on [DATE] with a diagnosis of depression. Review of Resident #13's physician orders revealed an order dated 2/13/26 for the antidepressant medication duloxetine delayed release 30 milligrams (mg) twice per day for depression. A review of Resident #13's electronic medical record (EMR) indicated no documentation that the resident or resident representative was informed in advance of the risks or benefits of initiating the psychotropic antidepressant medication duloxetine prescribed for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-26 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to discard expired food items stored in 1 of 2 reach in refrigerators. This deficient practice had the potential to affect the safety of food served to residents. Findings included: During the initial tour of the Kitchen on 03/22/26 at 10:20 AM along with [NAME] #1 the following expired food items were observed in the reach-in refrigerator: - A plastic container of sauerkraut that was opened with a discard date of 2/24/26.- A plastic container of canned pears that was opened with a discard date of 3/12/26.- A plastic container of canned tuna that was opened with a discard date of 3/19/26.- A plastic container of canned pork and beans that was opened with a discard date of 3/21/26. During an interview on 3/22/26 at 10:25 AM [NAME] #1 stated all kitchen staff were responsible for checking for and discarding expired foods. He stated he was the weekend cook and had not gone through the refrigerator this morning (3/22/26) to check it. He stated he also worked yesterday (3/21/26) and the expired food items were overlooked.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff and Physician interviews, the facility failed to notify the Physician when Resident #13 missed 8 doses of the antibiotic doxycycline for 1 of 1 resident reviewed for notification (Resident #13). Findings included: Resident #13 was admitted on [DATE] with diagnosis which included chronic osteomyelitis (bone infection) and diabetes. Review of a physician order dated 2/13/26 indicated Resident #13 was ordered doxycycline 100 milligrams (mg) by mouth twice per day indefinitely for chronic osteomyelitis. Review of Resident #13's Medication Administration Record (MAR) for March 2026 revealed the following documentation for the medication doxycycline 100 mg twice a day. On 3/9/26 the lunch dose was documented by Nurse #6 as the medication was unavailable and the medication was not administered. On 3/9/26 PM (evening) dose was documented by Nurse #1 as the medication was unavailable and the medication was not administered. There was no documentation in the nursing progress notes that the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff, the Pharmacy Manager and the Physician, the facility failed to obtain the antibiotic doxycycline, which was prescribed for Resident #13 twice daily for the treatment of chronic osteomyelitis (a bone infection). As a result, Resident #13 missed a total of eight doses of the medication on 3/9/26, 3/10/26, 3/11/26, and 3/12/26. According to the Physician, the resident did not experience an adverse outcome; however, the failure to provide the prescribed antibiotic placed the resident at risk for potential complications. This occurred for 1 of 1 resident reviewed for pharmacy services.Findings included:Resident #13 was admitted on [DATE] with diagnosis which included chronic osteomyelitis and diabetes. Review of a physician order dated 2/13/26 indicated Resident #13 was ordered doxycycline 100 milligrams (mg) by mouth twice per day indefinitely for chronic osteomyelitis.Review of Resident #13's Medication Administration Record (MAR) for March 2026 revealed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff interviews the facility failed to act on the Consultant Pharmacist's monthly medication regimen review and change the frequency of Resident #8's hydroxyzine 25 milligrams (an antihistamine used to treat anxiety, allergic reactions, and induce sleep) from three times a day to twice a day after the physician signed to change the medication order. This occurred for 1 of 2 residents reviewed for medication administration (Resident #8). Findings included: Resident #8 was admitted to the facility on [DATE] with diagnoses including pruritus (persistent itching). A physician's order dated 7/10/23 for Resident #8 revealed hydroxyzine 25 milligram tablets three times a day for pruritus. The Consultant's Pharmacist's Medication Regimen Review dated 1/12/26 noted that the Physician signed the pharmacy consult report on 12/12/25 to change Resident #8's hydroxyzine to 25 milligrams every morning and midday and discontinue three times a day. This order was not changed in the electronic medical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and residents, staff, Physician and Pharmacy Manager interviews, the facility failed to ensure residents were free from significant medication errors when 1.) Eight doses of the antibiotic doxycycline, prescribed twice daily for the treatment of chronic osteomyelitis (bone infection), were omitted on 3/9/26, 3/10/26, 3/11/26 and 3/12/26 for Resident #13. 2.) Resident #5 received 15 milligrams (mg) of mirtazapine (a psychotropic medication primarily prescribed for depression) instead of the physician ordered 7.5 mg dose. 3.) Resident #8 continued to receive hydroxyzine 25 mg (an antihistamine that directly affects the central nervous system and used to treat anxiety, allergic reactions, and induce sleep) three times a day instead of the reduced dose of twice a day. The residents did not experience any significant outcome, however this failure placed Resident #13 at risk for potential complications, and the potential for altered sedation levels, and an increased risk of adverse effects for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to develop a person-centered care plan in the area of falls for 2 of 3 residents reviewed for falls (Resident #1 and Resident #2).The findings included:1. Resident #1 was admitted to the facility on [DATE] with diagnoses which included a left knee fracture.The Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #1 was cognitively intact and required partial to moderate assistance for transfers. Resident #1 was coded for a fall with fracture prior to admission and one fall without injury since admission to the facility. The MDS admission assessment further noted the care area assessment (a standardized assessment tool to identify potential problems and need in specific areas, such as falls, used to develop individualized care plans) for falls was triggered for a care plan to be initiated.Review of Resident #1's care plan initiated on 9/01/25 and last revised on 9/16/25 revealed no care plan was in place for fall risk.The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-24 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to implement a facility-wide system to monitor the use of antibiotics. This was evident for 12 of 12 months (January 2024, February 2024, March 2024, April 2024, May 2024, June 2024, July 2024, August 2024, September 2024, October 2024, November 2024, December 2024) that surveillance data was reviewed. This practice had the potential to affect 18 of 18 residents in the facility. Findings included: The facility's Antibiotic Stewardship Program policy last revised on February 27, 2023, documented the antibiotic stewardship program will review essential data including antibiotic orders, clinical documentation, infection surveillance logs, microbiology testing, other tests to confirm infections, and trends in infection. A review of the monthly antibiotic summary reports for January 2024 through December 2024 revealed that no information for antibiotic monitoring was included. The monthly reports indicated the number of each type of infection including urinary tract infection, pneumonia, central line associated blood…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-11-30 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to schedule a Registered Nurse (RN) for at least 8 consecutive hours per day, 7 days a week for 17 of 332 days reviewed for sufficient staffing 8/27/22, 9/17/22, 9/18/22, 10/30/22, 12/10/22, 12/24/22, 12/25/22, 2/19/23, 3/4/23, 4/1/23, 4/2/23, 4/15/23, 4/16/23, 5/27/23, 5/28/23, 6/10/23, and 6/24/23. This deficient practice had the potential to affect all facility residents. The findings included: The Payroll Based Journal (PBJ) data report for fiscal year 2022 Quarter 4 from August 1 to September 30, 2022, was reviewed. The report indicated that the facility had 3 days within the quarter with no registered nurse (RN) hours. The dates were 8/27/22, 9/17/22, and 9/18/22. Review of the facility's nursing schedule revealed no RN was scheduled to work on 8/27/22, 9/17/22, and 9/18/22. The time sheets revealed no RN, including the Director of Nursing (DON), had worked any shift on 8/27/22, 9/17/22, and 9/18/22. The PBJ data report for fiscal year 2023 Quarter 1 from October 1 to December 31, 2022, was reviewed. The report…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

What families pay in NC