Home / North Carolina / Raleigh
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607 · Wake County · (919) 784-6600
120 certified beds, about 102 residents a day · Government - Hospital district · Medicare and Medicaid since 1991
CMS high performing icon Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345369 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 21, 2025, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 9 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $15,646 in the last three years; the largest was $15,646, and the latest is dated May 17, 2024.
Nurses and nurse aides worked 4.30 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.85 of those hours.
33.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
303/23
505/24
108/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
0C
August 21, 2025Standard inspection · 1 citation
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and staff interviews, facility failed to have accurate advanced directive documentation throughout the medical record for 1 of 5 residents reviewed for advanced directives (Residents #25).
May 17, 2024Standard inspection, Complaint inspection · 5 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review, facility neighbor, resident, and staff and physician interviews the facility failed to provide the necessary supervision to prevent a severely cognitively impaired resident (Resident #52) who was at high risk for falls from exiting the interior of the facility through an unlocked door leading to an enclosed exterior courtyard. On 1/14/24 an individual who resided in a nearby home heard Resident #52 yelling for help and Neighbor #1 and Neighbor #2 crossed over the fence into the facility's courtyard and found Resident #52 dressed in a night gown lying face down on the brick paved ground. Resident #52 was shivering and kept saying I'm so cold. Her temperature was 90.9 degrees Fahrenheit (F) which was indicative of hypothermia (a condition where the body's temperature drops below 95 degrees F which can result in death). [...]
- E Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and staff interviews the facility failed to complete a recapitulation of stay for 2 of 2 residents reviewed for a planned discharge from the facility to home (Resident #79 and Resident #146).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, staff and Nurse Practitioner interviews, the facility failed to obtain orders for the use of supplemental oxygen for 1 of 1 resident reviewed with oxygen (Resident #133).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations and staff interviews the facility failed to secure resident medications stored in an unattended and unlocked medication cart (Wing D) for 1 of 5 medication carts.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observation and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the 3/23/23 recertification and complaint survey in the area of Medication Storage (F761). This deficiency weas cited again on the current recertification and complaint survey of 5/17/24. The continued failure of the facility during 2 federal surveys of record show a pattern of the facility's inability to sustain an effective Quality Assessment and Assurance program.
March 23, 2023Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation and staff interviews, the facility failed to date food items opened and placed in the walk-in refrigerator and discard expired food items stored for use in 1 of 1 walk-in refrigerator. These practices had the potential to affect food served to residents. The facility also failed to date leftover food items and discard expired food items stored for use in 1 of 3 resident nourishment refrigerators located in the recreation center of the facility.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observations, resident representative and staff interviews, and record review, the facility failed to assist Resident #55 and their representative in locating missing hearing aids, as well as in making appointments, and arranging for transportation to replace the lost devices. This occurred for 1 of 1 sampled resident (Resident #55) reviewed for hearing/vision.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and staff interviews the facility failed to keep medications secured by storing over-the-counter medications in an unoccupied storage room that had the door propped open with boxes for 1 of 6 storage rooms inspected (the main hall storage room).
Fire safety inspections
4 fire safety citations on file: 2 on May 17, 2024, 2 on March 23, 2023.
Every fire safety citation4 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Meet requirements for the installation and maintenance of electrical systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 17, 2024 | Fine | $15,646 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.30 | 3.85 | 3.86 |
| Registered nurses | 0.85 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.84 | 3.42 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 1.21 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 49.0% | 45.8% |
| Registered nurse turnover | 20.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.48 on weekdays and 3.84 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 4.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.30 | 0.85 | 4.48 | 3.84 | 0.0% | 0 of 90 | 102 |
| Oct to Dec 2025 | 4.41 | 0.91 | 4.59 | 3.95 | 0.0% | 0 of 92 | 98 |
| Jul to Sep 2025 | 4.42 | 0.89 | 4.62 | 3.89 | 0.0% | 0 of 92 | 98 |
| Apr to Jun 2025 | 4.16 | 0.82 | 4.40 | 3.54 | 0.0% | 0 of 91 | 102 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.0 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.9 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.6 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: REX HOSPITAL INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The New Trustees of the Rex Hospital Inc | 5% or greater direct ownership interest | Organization | 100% | 03/16/1986 |
| University of North Carolina Health Care System | 5% or greater indirect ownership interest | Organization | 100% | 04/01/2000 |
| Anderson, Kevin | Corporate director | Individual | 01/01/2021 | |
| Arrowood, Catharine | Corporate director | Individual | 01/24/2014 | |
| Bryant, William | Corporate director | Individual | 01/04/2024 | |
| Collins, Ann | Corporate director | Individual | 05/01/2016 | |
| Ewend, Matthew | Corporate director | Individual | 07/22/2019 | |
| Fiscus, Lynne | Corporate director | Individual | 04/20/2021 | |
| Fitzpatrick, Melissa | Corporate director | Individual | 09/01/2020 | |
| Lindsay, Jeffrey | Corporate director | Individual | 12/26/2023 | |
| Matthews, Dayatra | Corporate director | Individual | 05/05/2025 | |
| McNeill, Caryn | Corporate director | Individual | 05/05/2025 | |
| Mills, David | Corporate director | Individual | 01/01/2021 | |
| Oakes, Robert | Corporate director | Individual | 01/01/2021 | |
| Page, Cristen | Corporate director | Individual | 03/04/2025 | |
| Pearson, Marilyn | Corporate director | Individual | 03/07/2022 | |
| Sandner, Jason | Corporate director | Individual | 01/01/2019 | |
| Scarborough, Tammy | Corporate director | Individual | 03/04/2025 | |
| Setliff, Michael | Corporate director | Individual | 10/28/2024 | |
| Kolacz, Nicole | Corporate officer | Individual | 04/28/2025 | |
| Mathew, Benjamin | Corporate officer | Individual | 01/08/2023 | |
| Setliff, Michael | Corporate officer | Individual | 10/28/2024 | |
| Tempke, Roy | Corporate officer | Individual | 05/03/2013 | |
| Udayakumar, Meera | Corporate officer | Individual | 03/06/2023 | |
| Caroll, Ellen | Operational/managerial control | Individual | 04/29/2016 | |
| Hobbs, Nedra | Operational/managerial control | Individual | 04/13/2025 | |
| James, Michael | Operational/managerial control | Individual | 07/01/1991 | |
| Liebowitz, Steven | Operational/managerial control | Individual | 07/01/1991 | |
| York, Haylian | Operational/managerial control | Individual | 01/05/2025 | |
| Zinner, Tanya | Operational/managerial control | Individual | 03/01/2007 | |
| The New Trustees of the Rex Hospital Inc | Adp of the SNF | Organization | 03/16/1986 | |
| University of North Carolina Health Care System | Adp of the SNF | Organization | 04/01/2000 | |
| Caroll, Ellen | Adp of the SNF | Individual | 04/29/2016 | |
| Hobbs, Nedra | Adp of the SNF | Individual | 04/13/2025 | |
| James, Michael | Adp of the SNF | Individual | 07/01/1991 | |
| Liebowitz, Steven | Adp of the SNF | Individual | 07/01/1991 | |
| York, Haylian | Adp of the SNF | Individual | 01/05/2025 | |
| Zinner, Tanya | Adp of the SNF | Individual | 03/01/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 17, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 17, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 21, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 17, 2024: "Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge."
Other nursing homes nearby
- Hillcrest Raleigh at Crabtree Valley Raleigh, 1.6 mi · 4 of 5 stars · 6 citations
- Bloomsbury at Hayes Barton Place Raleigh, 2.5 mi · not rated · 0 citations
- Raleigh Rehabilitation Center Raleigh, 3.1 mi · 3 of 5 stars · 18 citations
- The Cardinal at North Hills Raleigh, 3.9 mi · 3 of 5 stars · 4 citations
- Pruitthealth-Raleigh Raleigh, 4.9 mi · 3 of 5 stars · 30 citations
- Glenaire Cary, 5.5 mi · 5 of 5 stars · 4 citations
- The Rosewood Health Center Raleigh, 6.1 mi · 5 of 5 stars · 7 citations
- Highfield Nursing and Rehabilitation Cary, 6.2 mi · 1 of 5 stars · 20 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Rex Rehab & Nursing Care Center's Medicare star rating?
- CMS rates Rex Rehab & Nursing Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rex Rehab & Nursing Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on August 21, 2025. The North Carolina average is 4.7.
- Has Rex Rehab & Nursing Care Center been fined?
- Yes. CMS lists 1 fine totaling $15,646 in the last three years.
- Does Rex Rehab & Nursing Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Rex Rehab & Nursing Care Center?
- CMS lists 38 owners and managers. Legal business name: REX HOSPITAL INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.