Federal inspection record · CMS data as of October 1, 2026
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC · (919) 784-6600
- CMS high-performer trophy
- Certified beds
- 120
- Residents per day
- 103
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 21, 1991
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Rex Rehab & Nursing Care Center carries 13 inspection points. That is fewer than 72% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care2D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Assist a resident in gaining access to vision and hearing services.
Pharmacy Service2D
- 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.
- 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.
Resident Rights1D
- 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.
Resident Assessment and Care Planning1E
- E
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-08-21
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2024-05-17
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-03-23
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
4 h 15 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 15% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,646 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-17 | Fine | $15,646 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better | 100.0% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts better | 0.0% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 8.6% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.2 pts better | 7.9% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.2 pts better | 5.7% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsenedAbout the same | 16.6% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better | 8.4% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 1.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.9% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11 pts better | 8.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.8 pts worse | 10.2% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.6 pts better | 99.1% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.2 pts better | 6.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.1 pts better | 98.2% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse | 26.5% | 22.2% | 23.4% |
·
Who owns and runs it
38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| The New Trustees Of The Rex Hospital Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| University Of North Carolina Health Care System | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 3 facilities |
| Anderson, Kevin | Corporate Director · Individual | 0% | 4 facilities |
| Arrowood, Catharine | Corporate Director · Individual | 0% | 2 facilities |
| Bryant, William | Corporate Director · Individual | 0% | 45 facilities |
| Caroll, Ellen | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Caroll, Ellen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Collins, Ann | Corporate Director · Individual | 0% | 2 facilities |
| Ewend, Matthew | Corporate Director · Individual | 0% | 2 facilities |
| Fiscus, Lynne | Corporate Director · Individual | 0% | 2 facilities |
| Fitzpatrick, Melissa | Corporate Director · Individual | 0% | 2 facilities |
| Hobbs, Nedra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hobbs, Nedra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hughes, Thomas | Corporate Officer · Individual | 0% | 2 facilities |
| James, Michael | Operational/Managerial Control · Individual | 0% | 2 facilities |
| James, Michael | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kolacz, Nicole | Corporate Officer · Individual | 0% | 2 facilities |
| Liebowitz, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Liebowitz, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lindsay, Jeffrey | Corporate Director · Individual | 0% | 2 facilities |
| Mathew, Benjamin | Corporate Officer · Individual | 0% | 2 facilities |
| Matthews, Dayatra | Corporate Director · Individual | 0% | 2 facilities |
| Mcneill, Caryn | Corporate Director · Individual | 0% | 2 facilities |
| Mills, David | Corporate Director · Individual | 0% | 38 facilities |
| Oakes, Robert | Corporate Director · Individual | 0% | 2 facilities |
| Page, Cristen | Corporate Director · Individual | 0% | 2 facilities |
| Pearson, Marilyn | Corporate Director · Individual | 0% | 2 facilities |
| Sandner, Jason | Corporate Director · Individual | 0% | 2 facilities |
| Scarborough, Tammy | Corporate Director · Individual | 0% | 3 facilities |
| Setliff, Michael | Corporate Director · Individual | 0% | 2 facilities |
| Tempke, Roy | Corporate Officer · Individual | 0% | 2 facilities |
| The New Trustees Of The Rex Hospital Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Udayakumar, Meera | Corporate Officer · Individual | 0% | 2 facilities |
| University Of North Carolina Health Care System | Adp Of The SNF · Organization | 0% | 3 facilities |
| York, Haylian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| York, Haylian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zinner, Tanya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zinner, Tanya | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Meet requirements for the installation and maintenance of electrical systems.
- D
Have proper medical gas storage and administration areas.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke1D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
·
Other homes nearby
-
Hillcrest Raleigh at Crabtree Valley
Raleigh, NC
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 13 min
- Fines
- $0
-
Bloomsbury at Hayes Barton Place
Raleigh, NC
Not rated- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 9 h 28 min
- Fines
- $0
-
Raleigh Rehabilitation Center
Raleigh, NC · Sovereign Healthcare Holdings
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0