DAVIS HEALTH & WELLNESS CTR AT CAMBRIDGE VILLAG

Nursing Home Inspector

83 CAVALIER DRIVE
WILMINGTON, NC 28405
New Hanover County
Phone: 910-679-8300
Provider Number: 345568
Last Inspection: 04/19/2017

About the Nursing Home

Number of Beds: 20
Number of Residents: 10
Beds Available: 10
Percent Occupancy: 50%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

3

Facility
12

County
14

NC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
0

2016
0

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/19/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 4/20/2017
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 10 76.45 84.96
Registered Nurses Not Available 0.46 0.72
Licensed Practical / Vocational Nurses Not Available 0.73 0.87
Certified Nursing Assistants Not Available 1.65 2.33
Total Staff Hours Not Available 2.84 3.91

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
of high risk long-stay residents with pressure ulcers 9 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 96 89 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 83 91 93
of long-stay residents experiencing one or more falls with major injury 4 4 3
of long-stay residents who have depressive symptoms 8 2 2
of long-stay residents who lose too much weight 15 8 8
of long-stay residents who received an antianxiety or hypnotic medication 26 28 29
of long-stay residents who received an antipsychotic medication 4 13 13
of long-stay residents who were physically restrained 0 7 6
of long-stay residents whose need for help with daily activities has increased 19 0 0
of long-stay residents with a catheter inserted and left in their bladder 3 25 23
of long-stay residents with a urinary tract infection 0 17 18
of short-stay residents assessed and appropriately given the pneumococcal vaccine 63 1 1
of short-stay residents who had an outpatient emergency department visit 6 2 4
of short-stay residents who made improvements in function 64 54 55
of short-stay residents who newly received an antipsychotic medication 1 86 83
of short-stay residents who self-report moderate to severe pain 19 12 13
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64 70 64
of short-stay residents who were rehospitalized after a nursing home admission 9 1 1
of short-stay residents who were successfully discharged to the community 86 17 14
of short-stay residents with pressure ulcers that are new or worsened 1 80 81