Cycle 1
Health 2025-05-22 · Fire 2025-05-22
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Apex, NC
UNC Rex Rehab & Nursing Care Center of Apex
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
911 South Hughes Street, Apex, NC
(919) 363-6011
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
107
Certified beds
Average residents
86
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-12-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.02
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.91
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
2.16
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
4.55
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
522
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.32
Composite VBP score used to determine payment impact.
Payment multiplier
1.0215
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.90
Baseline 16.43% · Performance 19.16% · Measure score 4.90 · Achievement 4.90 · Improvement 0
Healthcare-associated infections
7.94
Baseline 5.27% · Performance 5.46% · Measure score 7.94 · Achievement 7.94 · Improvement 0
Total nurse turnover
9.14
Baseline 41.82% · Performance 26.32% · Measure score 9.14 · Achievement 9.14 · Improvement 8.64
Adjusted total nurse staffing
5.34
Baseline 5.16 hours · Performance 4.60 hours · Measure score 5.34 · Achievement 5.34 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.73% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 523 · Observed rate 7.65% · Lower 95% interval 7.39% |
| Discharge to community | 70.39% |
50.57%
19.8 pts better
|
Better than the National Rate · Eligible stays 557 · Observed rate 70.02% · Lower 95% interval 66.58% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.45% |
95.27%
4.2 pts better
|
Numerator 361 · Denominator 363 |
| Falls with major injury | 0.55% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 363 |
| Discharge self-care score | 49.22% |
53.69%
4.5 pts worse
|
Numerator 127 · Denominator 258 |
| Discharge mobility score | 44.96% |
50.94%
6 pts worse
|
Numerator 116 · Denominator 258 |
| Pressure ulcers or injuries, new or worsened | 1.65% |
2.29%
0.6 pts better
|
Numerator 6 · Denominator 363 · Adjusted rate 2.07% |
| Healthcare-associated infections requiring hospitalization | 5.46% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 307 · Observed rate 3.58% · Lower 95% interval 3.36% |
| Staff COVID-19 vaccination coverage | 0.79% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 127 |
| Staff flu vaccination coverage | 98.51% |
42%
56.5 pts better
|
Numerator 132 · Denominator 134 |
| Discharge function score | 54.65% |
56.45%
1.8 pts worse
|
Numerator 141 · Denominator 258 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 303 · Denominator 303 |
| Transfer of health information to patient | 76.67% |
96.28%
19.6 pts worse
|
Numerator 23 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 47.12% |
25.2%
21.9 pts better
|
Numerator 90 · Denominator 191 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
91.5%
5.3 pts better
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 96.6% · Q3 100.0% · Q4 100.0% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.1%
5.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.6%
0.9 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.4% · Q3 3.6% · Q4 5.8% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 9.9% |
7.2%
2.7 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 13.2% · Q3 12.2% · Q4 3.9% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% |
21.6%
8.4 pts better
|
19.6%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 11.3% · Q3 12.2% · Q4 17.6% · 4Q avg 13.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.3% |
15.0%
1.3 pts worse
|
16.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 19.0% · Q3 14.6% · Q4 11.6% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.8% |
21.5%
13.3 pts worse
|
16.3%
18.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.5% |
16.8%
11.7 pts worse
|
14.9%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 29.2% · Q3 25.0% · Q4 28.3% · 4Q avg 28.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
0.9%
1.4 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.7% · Q3 2.9% · Q4 1.6% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.9% |
2.6%
4.3 pts worse
|
1.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 8.6% · Q3 9.1% · Q4 3.8% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.1% |
21.2%
7.9 pts worse
|
19.8%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 27.1% · Q3 37.0% · Q4 19.6% · 4Q avg 29.1% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
6.0%
0.5 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.6% · Q3 7.2% · Q4 4.7% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
79.9%
19.9 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.7% · Q2 99.7% · Q3 99.7% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
13.2%
5.4 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.1% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.7% |
78.1%
21.6 pts better
|
79.7%
20 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
22.9%
3.6 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 15.7% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-18 · Fire 2024-04-18
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2023-04-06 · Fire 2023-04-06
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-01
F · Potential for more than minimal harm
2024-04-18
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-31
F · Potential for more than minimal harm
2023-04-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-09
F · Potential for more than minimal harm
2023-04-06
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-04-06
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-09
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-04-06
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-04
E · Potential for more than minimal harm
2023-04-06
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-05-04
D · Potential for more than minimal harm
2023-04-06
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-04
D · Potential for more than minimal harm
2023-04-06
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-05-04
D · Potential for more than minimal harm
2023-04-06
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-05-04
Penalties and ownership
What sits behind the stars
Ownership
The New Trustees Of The Rex Hospital Inc
5% Or Greater Direct Ownership Interest · Organization
University Of North Carolina Health Care System
5% Or Greater Indirect Ownership Interest · Organization
Anderson, Kevin
Corporate Director · Individual
Arrowood, Catharine
Corporate Director · Individual
Bryant, William
Corporate Director · Individual
Caroll, Ellen
Operational/Managerial Control · Individual
Collins, Ann
Corporate Director · Individual
Ewend, Matthew
Corporate Director · Individual
Fiscus, Lynne
Corporate Director · Individual
Fitzpatrick, Melissa
Corporate Director · Individual
Hess, Michael
Operational/Managerial Control · Individual
Kolacz, Nicole
Corporate Officer · Individual
Lindsay, Jeffrey
Corporate Director · Individual
Livingston, Charlene
Operational/Managerial Control · Individual
Mathew, Benjamin
Corporate Officer · Individual
Matthews, Dayatra
Corporate Director · Individual
Mcneill, Caryn
Corporate Director · Individual
Mills, David
Corporate Director · Individual
Oakes, Robert
Corporate Director · Individual
Page, Cristen
Corporate Director · Individual
Pearson, Marilyn
Corporate Director · Individual
Sandner, Jason
Corporate Director · Individual
Scarborough, Tammy
Corporate Director · Individual
Setliff, Michael
Corporate Director · Individual
Setliff, Michael
Corporate Officer · Individual
Tempke, Roy
Corporate Officer · Individual
Thananopavarn, Paul
Operational/Managerial Control · Individual
Udayakumar, Meera
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Swift Creek Health Center
Cary, NC
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Highfield Nursing and Rehabilitation
Cary, NC
1-star overall rating with 1-star inspections with $201,978 in total fines with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Glenaire
Cary, NC
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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