North Carolina ›Raleigh

Rex Rehab & Nursing Care Center

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4210 Lake Boone Trail, Raleigh, NC 27607 (opens Google Maps) · Wake County · (919) 784-6600· 120 certified beds · avg 102 residents/day · certified since May 21, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5
Health inspection rating (on-site)
inspected Aug 21, 2025
1
Serious findings on record
most recent May 17, 2024
$15,646
Fines, last 3 years
4.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 16, 2024 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. F-0578

  2. J · Immediate jeopardy, isolated

    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 F-0689

  3. E · Potential for more than minimal harm, pattern

    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. F-0661

View all 9 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Aug 21, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0578
May 17, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 17, 2024E · Potential for more than minimal harm, patternWhen 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. · F-0661
May 17, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0695
May 17, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761
May 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Mar 23, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 23, 2023D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Mar 23, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0761

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 1
2025
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202330E
202451J ▲
202510D

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)

How to file a complaint about care →

1 fine totaling $15,646.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 17, 2024Fine$15,646

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.87
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.96
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.34
North Carolina average: 3.56
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.874.013.95top 14% in North Carolina; top 16% in the U.S.
Registered Nurse hours0.960.640.69top 14% in North Carolina; top 17% in the U.S.
Weekend total nurse staffing4.343.563.50top 13% in North Carolina; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)0.680.410.48top 10% in North Carolina; top 17% in the U.S.
Total nursing staff turnover (%)33.349.045.8top 14% in North Carolina; top 20% in the U.S.
RN turnover (%)20.045.742.9top 12% in North Carolina; top 13% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.30 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rex Rehab & Nursing Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Owner / managerTypeRoleStakeSince
The New Trustees of the Rex Hospital INCOrganization5% or Greater Direct Ownership Interest100%03/16/1986
University of North Carolina Health Care SystemOrganization5% or Greater Indirect Ownership Interest100%04/01/2000
Anderson, KevinIndividualCorporate DirectorNOT APPLICABLE01/01/2021
Arrowood, CatharineIndividualCorporate DirectorNOT APPLICABLE01/24/2014
Bryant, WilliamIndividualCorporate DirectorNOT APPLICABLE01/04/2024
Caroll, EllenIndividualOperational/Managerial ControlNOT APPLICABLE04/29/2016
Caroll, EllenIndividualADP of the SNFNOT APPLICABLE04/29/2016
Collins, AnnIndividualCorporate DirectorNOT APPLICABLE05/01/2016
Ewend, MatthewIndividualCorporate DirectorNOT APPLICABLE07/22/2019
Fiscus, LynneIndividualCorporate DirectorNOT APPLICABLE04/20/2021
Fitzpatrick, MelissaIndividualCorporate DirectorNOT APPLICABLE09/01/2020
Hobbs, NedraIndividualOperational/Managerial ControlNOT APPLICABLE04/13/2025
Hobbs, NedraIndividualADP of the SNFNOT APPLICABLE04/13/2025
James, MichaelIndividualOperational/Managerial ControlNOT APPLICABLE07/01/1991
James, MichaelIndividualADP of the SNFNOT APPLICABLE07/01/1991
Kolacz, NicoleIndividualCorporate OfficerNOT APPLICABLE04/28/2025
Liebowitz, StevenIndividualOperational/Managerial ControlNOT APPLICABLE07/01/1991
Liebowitz, StevenIndividualADP of the SNFNOT APPLICABLE07/01/1991
Lindsay, JeffreyIndividualCorporate DirectorNOT APPLICABLE12/26/2023
Mathew, BenjaminIndividualCorporate OfficerNOT APPLICABLE01/08/2023

Showing 20 of 38 parties CMS has on file for this facility; 18 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 38 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 32 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Hillcrest Raleigh at Crabtree Valley1.6 miRaleigh, NC★★★★☆4/5
Bloomsbury at Hayes Barton Place2.5 miRaleigh, NC—/5
Raleigh Rehabilitation Center3.1 miRaleigh, NC★★★☆☆3/5
The Cardinal at North Hills3.9 miRaleigh, NC★★★☆☆4/5
Pruitthealth-Raleigh4.9 miRaleigh, NC★★★☆☆3/5
Glenaire5.5 miCary, NC★★★★★4/5
The Rosewood Health Center6.1 miRaleigh, NC★★★★★4/5
Highfield Nursing and Rehabilitation6.2 miCary, NC★☆☆☆☆2/5
Tower Nursing and Rehabilitation Center6.7 miRaleigh, NC★★☆☆☆2/5
Sunnybrook Rehabilitation Center6.8 miRaleigh, NC★☆☆☆☆1/5
Capital Nursing and Rehabilitation Center7.0 miRaleigh, NC★★★★☆4/5
Litchford Falls Health and Rehabilitation Center7.5 miRaleigh, NC★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Wake, NC — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Raleigh →

Facility data as of CMS processing date 2026-08-01. CCN 345369.

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