Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607 · Wake County · 120 certified beds · avg 102 residents/day · certified since May 21, 1991
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 17, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 16, 2024 (Past Non-Compliance)
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 17, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 17, 2024 | E · Potential for harm, repeated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| May 17, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 17, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 17, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 23, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 5 | 1 | J ▲ |
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,646.
| Date | Type | Amount / length |
|---|---|---|
| May 17, 2024 | Fine | $15,646 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.87 | 4.01 | 3.95 | top 14% in North Carolina; top 16% in the U.S. |
| Registered Nurse hours | 0.96 | 0.64 | 0.69 | top 14% in North Carolina; top 17% in the U.S. |
| Weekend total nurse staffing | 4.34 | 3.56 | 3.50 | top 13% in North Carolina; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.68 | 0.41 | 0.48 | top 10% in North Carolina; top 17% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 49.0 | 45.8 | top 14% in North Carolina; top 20% in the U.S. |
| RN turnover (%) | 20.0 | 45.7 | 42.9 | top 12% in North Carolina; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.30, RN 0.85, weekend 3.84. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The New Trustees of the Rex Hospital INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/16/1986 |
| University of North Carolina Health Care System | Organization | 5% or Greater Indirect Ownership Interest | 100% | 04/01/2000 |
| Anderson, Kevin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Arrowood, Catharine | Individual | Corporate Director | NOT APPLICABLE | 01/24/2014 |
| Bryant, William | Individual | Corporate Director | NOT APPLICABLE | 01/04/2024 |
| Caroll, Ellen | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2016 |
| Caroll, Ellen | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2016 |
| Collins, Ann | Individual | Corporate Director | NOT APPLICABLE | 05/01/2016 |
| Ewend, Matthew | Individual | Corporate Director | NOT APPLICABLE | 07/22/2019 |
| Fiscus, Lynne | Individual | Corporate Director | NOT APPLICABLE | 04/20/2021 |
| Fitzpatrick, Melissa | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Hobbs, Nedra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/13/2025 |
| Hobbs, Nedra | Individual | ADP of the SNF | NOT APPLICABLE | 04/13/2025 |
| James, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/1991 |
| James, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/1991 |
| Kolacz, Nicole | Individual | Corporate Officer | NOT APPLICABLE | 04/28/2025 |
| Liebowitz, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/1991 |
| Liebowitz, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/1991 |
| Lindsay, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 12/26/2023 |
| Mathew, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 01/08/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hillcrest Raleigh at Crabtree Valley | 1.6 mi | Raleigh, NC | ★★★★☆ | 4/5 | |
| Bloomsbury at Hayes Barton Place | 2.5 mi | Raleigh, NC | —/5 | ||
| Raleigh Rehabilitation Center | 3.1 mi | Raleigh, NC | ★★★☆☆ | 3/5 | |
| The Cardinal at North Hills | 3.9 mi | Raleigh, NC | ★★★☆☆ | 4/5 | |
| Pruitthealth-Raleigh | 4.9 mi | Raleigh, NC | ★★★☆☆ | 3/5 | |
| Glenaire | 5.5 mi | Cary, NC | ★★★★★ | 4/5 | |
| The Rosewood Health Center | 6.1 mi | Raleigh, NC | ★★★★★ | 4/5 | |
| Highfield Nursing and Rehabilitation | 6.2 mi | Cary, NC | ★☆☆☆☆ | 2/5 | |
| Tower Nursing and Rehabilitation Center | 6.7 mi | Raleigh, NC | ★★☆☆☆ | 2/5 | |
| Sunnybrook Rehabilitation Center | 6.8 mi | Raleigh, NC | ★☆☆☆☆ | 1/5 | |
| Capital Nursing and Rehabilitation Center | 7.0 mi | Raleigh, NC | ★★★★☆ | 4/5 | |
| Litchford Falls Health and Rehabilitation Center | 7.5 mi | Raleigh, NC | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345369.