North Carolina › Wake County › Raleigh
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Rex Rehab & Nursing Care Center, in Raleigh, North Carolina, is certified for 120 beds under government, hospital district ownership.
CMS gives it 5 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (1, 5, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 7.5 per 100 beds, fewer than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $16K.
Reported nurse staffing is 4.3 hours per resident per day (0.8 RN), close to the North Carolina median of 3.5; nursing staff turnover is 33.3%.
Compared with county, state and nation
| Measure | This facility | Wake Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 12 | 16 | 28.7 |
| Citations per 100 beds | 7.5 | 11.5 | 15.6 | 26.8 |
| Total nurse hours per resident day | 4.3 | 3.7 | 3.5 | 3.9 |
| RN hours per resident day | 0.8 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 33.3% | 40.2% | 48.6% | 45.8% |
| Fines listed | $15,646 | $7,901 | $8,512 | — |
County and state figures are medians across facilities (21 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Aug 2025, 17 May 2024.
Severity mix: J ×1 D ×6 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Aug 2025 | F0578 | 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. | D | Standard survey | 5 Sep 2025 |
| 17 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Jan 2024 |
| 17 May 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | Standard survey | 30 May 2024 |
| 17 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 May 2024 |
| 17 May 2024 | F0761 | 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. | D | Standard survey | 30 May 2024 |
| 17 May 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 30 May 2024 |
| 23 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Apr 2023 |
| 23 Mar 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 14 Apr 2023 |
| 23 Mar 2023 | F0761 | 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. | D | Standard survey | 14 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 May 2024 | Fine | $15,646 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 33.3%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.9% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Rex Hospital Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The New Trustees of the Rex Hospital Inc | 5% or greater direct ownership interest | 100% | 03/16/1986 |
| University of North Carolina Health Care System | 5% or greater indirect ownership interest | 100% | 04/01/2000 |
| The New Trustees of the Rex Hospital Inc | Adp of the snf | NOT APPLICABLE | 03/16/1986 |
| University of North Carolina Health Care System | Adp of the snf | NOT APPLICABLE | 04/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Wake County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bellarose Nursing and Rehab | Garner | 100 | 5 | 5 | 4 | 2 | 2.0 | — | 9 Dec 2022 |
| Glenaire | Cary | 71 | 5 | 4 | 5 | 4 | 5.6 | — | 31 Dec 2025 |
| Hillside Nursing Center of Wake Forest | Wake Forest | 130 | 5 | 5 | 3 | 1 | 0.8 | — | 8 Jun 2023 |
| The Rosewood Health Center | Raleigh | 57 | 5 | 4 | 5 | 4 | 7.0 | — | 6 Jun 2025 |
| Unc Rex Rehab & Nursing Care Center of Apex | Apex | 107 | 5 | 5 | 5 | 5 | 4.7 | — | 6 Apr 2023 |
| Capital Nursing and Rehabilitation Center | Raleigh | 125 | 4 | 4 | 3 | 14 | 11.2 | — | 7 Aug 2025 |
| Hillcrest Raleigh At Crabtree Valley | Raleigh | 134 | 4 | 4 | 4 | 6 | 4.5 | — | 14 May 2026 |
| Zebulon Rehabilitation Center | Zebulon | 60 | 4 | 4 | 2 | 11 | 18.3 | — | 24 Jul 2025 |
All 21 facilities in Wake County
Questions and answers
How many deficiencies has Rex Rehab & Nursing Care Center been cited for?
9 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Rex Rehab & Nursing Care Center been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Rex Rehab & Nursing Care Center compare?
Reported total nurse staffing is 4.3 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Rex Rehab & Nursing Care Center?
Ownership type is government, hospital district. Organisations in the CMS ownership record include The New Trustees of the Rex Hospital Inc and University of North Carolina Health Care System. Individual owners and managers are not listed on this site.
When was Rex Rehab & Nursing Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 Aug 2025; the most recent standard health survey was 21 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.