Davidson Health and Rehab Center

    4748 Old Salisbury Rd, Lexington, NC, 27295
    4.2 · 51 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Excellent therapy but staffing problems

    I had a mixed experience. I found admissions, the social worker, and the rehab/nursing teams exceptionally caring and professional - my loved one regained strength and staff felt like family. But chronic understaffing, high turnover, and management problems led to sanitation and basic-care lapses: dirty/shared bathrooms, soiled briefs left too long, medication and meal delays, poor documentation, and occasional supply/PPE shortages. Overall the care and therapy are excellent when staff are present, but expect to advocate and monitor hygiene and timely care.

    Pricing

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    Amenities

    4.16 · 51 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.0
    • Meals

      2.3
    • Amenities

      4.5
    • Value

      4.2

    Pros

    • Caring, attentive CNAs and nurses
    • Staff described as family-like and dedicated
    • Encourages resident participation in activities and outings
    • Strong, effective physical and occupational therapy programs
    • Positive patient outcomes from rehab/therapy
    • Admissions team responsive and helpful (named JoAnn in reviews)
    • Supportive social worker and assistance with Medicare/discharge
    • Clean, neat, and attractive interior and building in many reports
    • Plentiful and varied food offerings (including ice cream parlor)
    • Holiday celebrations and monthly birthday parties
    • Administration helpful and quick during transitions (in some reports)
    • Professional and timely information from some staff/administration
    • Well-equipped facility and rehab spaces
    • Staff knowledgeable and emotionally supportive to residents/families
    • Many reviewers highly recommend the facility for rehab/long-term care

    Cons

    • Unsanitary bathrooms and toilets; cracked porcelain and dirty surfaces
    • Improper waste disposal and unlined trash cans
    • Neglect of incontinence care; residents left in wet/soiled briefs for hours
    • Undocumented skin injuries and charting/documentation malfunctions
    • Filthy floors and reports of no housekeeping
    • Inadequate nutrition service: delayed meals, insufficient calories
    • No dedicated diabetic menu available
    • Breakfast delays and meal service issues due to lack of kitchen staff
    • No PPE available for staff or patient protection
    • Medication issues: insulin not labeled/bagged correctly and delays
    • High patient acuity without adequate nursing assistance (wounds/IVs/G-tubes)
    • High staff turnover and poor staff-to-patient ratios
    • Rude supervisors/staff and reports of yelling/targeting by supervisors
    • Leadership described as eager to fire and unreceptive to dialogue
    • Overworked and understaffed environment
    • Bed bugs and lack of clean linens reported
    • Safety concerns and alleged racism/segregation
    • Fear of retaliation/loss of job among staff
    • Poor communication with families in some cases
    • Contradictory reports of facility cleanliness and management quality

    Summary review

    Overall sentiment in the reviews for Davidson Health and Rehab Center is sharply mixed and polarized. Many reviewers praise the staff—particularly CNAs, nurses, therapists, and admissions personnel—and highlight excellent rehab outcomes, compassionate care, and a welcoming, family-like atmosphere. At the same time, a substantial number of reviews raise serious operational, sanitary, and safety concerns that point to inconsistent standards of care across shifts or units. The result is a facility that some families strongly recommend for rehab and long-term care, while others warn potential residents and families to avoid it.

    Care quality and staff behavior appear as the most frequently discussed themes, but they are described in both highly positive and deeply negative terms. Positive comments emphasize attentive, kind, and knowledgeable staff who encourage participation in activities, provide emotional support, and deliver effective therapy. Therapy and rehab are repeatedly singled out as strengths: multiple reviews call the therapy programs fantastic or phenomenal and credit them with helping residents regain strength and achieve positive outcomes. Admissions and social work resources are also praised in many reports; one reviewer specifically named an admissions director (JoAnn) and others noted helpful guidance through Medicare and discharge planning.

    However, other reviews document concerning lapses in direct care and clinical safety. There are repeated allegations of neglect related to incontinence care (residents left in wet or soiled briefs for hours), undocumented skin injuries, delayed medication administration, and medication handling errors such as improperly bagged or unlabeled insulin. Several reviewers said charting systems malfunctioned or lacked timely follow-up. Clinical workload is a recurring problem: nurses are reported to be overloaded with high-acuity patients (wounds, IVs, G-tubes, peri-care) without sufficient assistance, and staff-to-patient ratios are described as inadequate. These operational stresses correlate with reports of high turnover and staff feeling overworked.

    Facility cleanliness and infection control are another conflicted theme. Many reviewers describe the building interior as clean, well-kept, odor-free, and attractive—some even cite a high sanitation grade. Conversely, a number of reviews contain serious sanitation complaints: unsanitary toilets, cracked porcelain, dirty surfaces, improper waste disposal, unlined trash cans, filthy floors, no housekeeping, bed bugs, and lack of clean linens. Several reviews also mention lack of personal protective equipment (PPE) for staff and patients, heightening infection control concerns. This stark contrast suggests variability in housekeeping and environmental services performance or possibly differences between units, time periods, or shifts.

    Dining and nutrition likewise show mixed feedback. Some reviewers praise plentiful, varied food and special amenities (notably an on-site ice cream parlor), while others report meals not served timely, insufficient caloric intake, and the absence of a diabetic menu. Meal service failures are sometimes attributed to staffing shortages in the kitchen, leading to breakfast delays and other problems. These inconsistencies in nutrition service tie back to the broader staffing and resource concerns expressed elsewhere in the reviews.

    Management, leadership, and workplace culture receive both commendation and criticism. Several reviewers say administration is quick and helpful during transitions and responsive to requests, but others accuse leadership of poor management practices—being eager to fire, unresponsive to dialogue, and creating a work environment with yelling, targeting, fear of retaliation, and even allegations of racism and segregation. These negative leadership reports are frequently linked to staff turnover, morale problems, and the operational deficiencies noted above.

    Communication with families and documentation practices are also mixed. Positive reports mention timely information-sharing, supportive social work assistance, and helpful discharge planning. Negative reports cite poor family communication, charting failures, undisclosed or undocumented injuries, and medication delays that sometimes required family intervention. Several accounts state that family involvement was necessary to secure appropriate care or hospital transfer for worsening conditions.

    In synthesis, the reviews paint a facility with pronounced strengths—particularly in rehab/therapy outcomes, and in the dedication and compassion of many frontline staff and admissions personnel—alongside serious, recurring weaknesses in sanitation, staffing, clinical documentation, medication handling, nutrition service, and leadership. The inconsistency is striking: the same facility is described as both clean and filthy, professionally run and poorly managed, highly recommended and to be avoided. Prospective residents and families should be aware of this polarization and, based on these reviews, consider verifying current staffing levels, infection-control practices, medication and wound-care protocols, recent inspection reports, availability of diabetic and timely meal services, and turnover/leadership stability during an in-person tour or discussion with management.

    Location

    Map showing location of Davidson Health and Rehab Center

    About Davidson Health and Rehab Center

    Davidson Health and Rehab Center sits at 4748 Old Salisbury Road in Lexington, North Carolina, and has 100 beds for skilled nursing care. The staff speaks English, and Alyce Hopping manages the facility. Davidson Health and Rehab Center offers both short-term and long-term care, hospice care, and respite care for seniors who need different levels of support. The center follows federal civil rights laws and doesn't discriminate by race, color, religion, gender, age, national origin, disability, marital status, orientation, or military status, so anyone using their services gets treated fairly and with respect. Skilled nursing care is available 24 hours a day, which includes help with things like post-surgical care, stroke and neurological care, wound care, pulmonary care, IV therapy, pain management, cardiac care, and congestive heart failure care. They work closely with doctors to design recovery and rehabilitation plans for each person, and they offer physical therapy, speech therapy, and occupational therapy right at the facility. There's help for residents to learn how to use medical equipment and assistive devices during recovery, which eases the move from hospital to rehab and then back home. Davidson offers programs like the Progressive PATH Program that focus on safe returns home, as well as community-specific programs and a Pre-registration Program, so families can get ready for admissions and plan rehabilitation before surgery. The therapy team can help with pre-surgery exercise programs to make recovery easier. For those who need it, the center also has assisted living options and works to provide an at-home feeling with activities, meals, and holiday events for residents. Community engagement and health education resources are also available, and Davidson Health and Rehab Center belongs to the North Carolina Health Care Facilities Association. Although it's not taking new patients right now, the staff can tell you when beds will be open again if you call.

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