Home / North Carolina / Apex
Unc Rex Rehab & Nursing Care Center of Apex
911 South Hughes Street, Apex, NC 27502 · Wake County · (919) 363-6011
107 certified beds, about 84 residents a day · Non profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345508 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 22, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 5 health citations since April 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.62 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.11 of those hours.
25.2% 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.
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 5 health citations on file.
May 22, 2025Standard inspection · 0 citations
April 18, 2024Standard inspection · 0 citations
April 6, 2023Standard inspection · 5 citations
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and interviews with facility staff the facility failed to keep the dumpster area free of debris for 1 of 1 enclosed dumpster area observed.
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews with facility staff and record review the facility failed to maintain the call light in working condition which caused a Resident (Resident #3) to be unable to obtain assistance while in the shower room for 1 of 1 shower room with a malfunctioning call system.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, interviews with residents and facility staff and record review the facility failed to maintain residents' dignity by not providing assistance when requested while a resident was in the shower room(Resident #3) and when staff did not announce their presence prior to entering the Resident's room (Resident # 272) for 2 of 4 residents reviewed for dignity. Resident #3 stated this made her feel angry and like a piece of trash.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to provide a working Packaged Terminal Air Conditioner (PTAC) unit (a type of heating and air conditioning system used in a single living space) in the resident's room for 1 of 1 resident (Resident #281) reviewed for a clean and homelike environment.
- 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 lock a treatment cart while unattended for 1 of 2 treatment carts observed (Treatment Cart #1).
Fire safety inspections
5 fire safety citations on file: 1 on May 22, 2025, 1 on April 18, 2024, 3 on April 6, 2023.
Every fire safety citation5 citations
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- D Install a fire alarm system that can be heard throughout the facility.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.62 | 3.85 | 3.86 |
| Registered nurses | 1.11 | 0.62 | 0.69 |
| All nursing staff on weekends | 4.20 | 3.42 | 3.42 |
| Nurse aides | 2.55 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 25.2% | 49.0% | 45.8% |
| Registered nurse turnover | 30.4% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.60 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 4.79 on weekdays and 4.20 on weekends, 12% 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 4.44 in April to June 2025 to 4.62 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 | 4.62 | 1.11 | 4.79 | 4.20 | 0.0% | 0 of 90 | 84 |
| Oct to Dec 2025 | 4.71 | 1.12 | 4.85 | 4.36 | 0.0% | 0 of 92 | 80 |
| Jul to Sep 2025 | 4.91 | 1.02 | 5.05 | 4.55 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 4.44 | 0.89 | 4.55 | 4.14 | 0.0% | 0 of 91 | 93 |
| 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 | 21.8 | 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 | 5.9 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 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 | 20.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 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% | 07/01/2005 |
| University of North Carolina Health Care System | 5% or greater indirect ownership interest | Organization | 100% | 04/13/2000 |
| 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 | 07/11/2016 | |
| 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 | 01/01/2017 | |
| Udayakumar, Meera | Corporate officer | Individual | 03/06/2023 | |
| Caroll, Ellen | Operational/managerial control | Individual | 12/11/2000 | |
| Hess, Michael | Operational/managerial control | Individual | 01/05/2015 | |
| Livingston, Charlene | Operational/managerial control | Individual | 03/03/2025 | |
| Thananopavarn, Paul | Operational/managerial control | Individual | 02/01/2011 | |
| The New Trustees of the Rex Hospital Inc | Adp of the SNF | Organization | 07/01/2005 | |
| University of North Carolina Health Care System | Adp of the SNF | Organization | 04/13/2000 | |
| Caroll, Ellen | Adp of the SNF | Individual | 12/11/2000 | |
| Hess, Michael | Adp of the SNF | Individual | 01/05/2015 | |
| Livingston, Charlene | Adp of the SNF | Individual | 03/03/2025 | |
| Mathew, Benjamin | Adp of the SNF | Individual | 01/08/2023 | |
| Thananopavarn, Paul | Adp of the SNF | Individual | 02/01/2011 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 6, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 6, 2023: "Dispose of garbage and refuse properly."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on April 6, 2023: "Make sure that a working call system is available in each resident's bathroom and bathing area."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 6, 2023: "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."
Other nursing homes nearby
- Highfield Nursing and Rehabilitation Cary, 4.9 mi · 1 of 5 stars · 20 citations
- Glenaire Cary, 5.3 mi · 5 of 5 stars · 4 citations
- Windsor Point Continuing Care Fuquay-Varina, 8.5 mi · 5 of 5 stars · 10 citations
- Fuquay-Varina Health and Rehabilitation Center Fuquay Varina, 9.7 mi · 1 of 5 stars · 50 citations
- Pruitthealth-Raleigh Raleigh, 10 mi · 3 of 5 stars · 30 citations
- Rex Rehab & Nursing Care Center Raleigh, 10.7 mi · 5 of 5 stars · 9 citations
- Hillcrest Raleigh at Crabtree Valley Raleigh, 12.2 mi · 4 of 5 stars · 6 citations
- Raleigh Rehabilitation Center Raleigh, 12.4 mi · 3 of 5 stars · 18 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 Unc Rex Rehab & Nursing Care Center of Apex's Medicare star rating?
- CMS rates Unc Rex Rehab & Nursing Care Center of Apex 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Unc Rex Rehab & Nursing Care Center of Apex get at its last inspection?
- 0 health deficiencies at the standard inspection on May 22, 2025. The North Carolina average is 4.7.
- Has Unc Rex Rehab & Nursing Care Center of Apex been fined?
- CMS lists no fines in the last three years.
- Does Unc Rex Rehab & Nursing Care Center of Apex 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 Unc Rex Rehab & Nursing Care Center of Apex?
- CMS lists 35 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.