Davis Health and Wellness Center at Cambridge Vill
Wilmington, North Carolina · CCN 345568
9 surveys since 2017, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 36
- Surveys
- 9
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 20
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- New Hanover
- Medicare-certified since
- 2015
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 27 not-for-profit facilities with fewer than 66 beds in North Carolina.
Last survey on record
Mar 26, 2026
228 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.24 | 5.15 |
| Registered-nurse hours per resident day | 1.53 | — |
| Annual nurse turnover | 70.4% | 32.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D853.3% | E320.0% | F426.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7272×
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.
- F5521×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Davis Health and Wellness Center at Cambridge Vill, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Mar 26, 2026
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:… […]
- No harm, potential for more than minimal, widespreadF881Jan 24, 2025
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. […]
- No harm, potential for more than minimal, widespreadF727Nov 30, 2023
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. […]
- No harm, potential for more than minimal, widespreadF880Nov 30, 2023
Based on record review, and staff interviews, the facility failed to have a documented water management program and failed to develop a program to assess/identify where legionella and other opportunistic waterborne pathogens could grow and spread, and measures to prevent the growth of opportunistic waterborne pathogens and how to monitor them that could affect 9 of 9 residents. The findings included: Review of the facility's Emergency Preparedness Plan (effective 11/29/23) and Infection Prevention and Control Program Policy dated 02/27/23; revealed no information related to a facility water safety management program. An interview was conducted on 11/29/23 at 11:30 AM with the Maintenance Technician. […]
- No harm, potential for more than minimal, widespreadF680Jul 27, 2022
Based on observations, and family and staff interviews, the facility failed to ensure the activities program was directed by a qualified professional which resulted in the facility ' s failure to develop, implement, supervise, and provide ongoing evaluation of the activities ' program. This deficient practice had the potential to effect 19 of 19 residents that were residing in the facility. Findings included: Observations on 07/10/22 from 12:00 PM till 6:00 PM revealed there were no structured activities being conducted in the facility. An interview was conducted with a family member (FM) of Resident #68 on 07/10/22 at 4:45 PM. The FM stated Resident #68 was confused and could not make his needs known at all times. […]
Read 20 findings in full →The most serious and the most recent: 20 of 36 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 26, 2026Standard7 findings
- Nov 17, 2025Complaint1 finding
- Jan 24, 2025Standard1 finding
- Nov 30, 2023Standard and complaint6 findings
- Jul 27, 2022Standard11 findings
- Mar 26, 2021Standard and complaint4 findings
- Jun 6, 2019Standard2 findings
- May 10, 2018Standard3 findings
Show the 1 earlier survey
- Apr 19, 2017Standard1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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