Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607 · All homes in Raleigh
Rex Rehab & Nursing Care Center, a 120-bed government - hospital district nursing facility in Raleigh, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9197846600
Build a private shortlist as you compare, saved on this device, no account needed.
- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 4.42
- Above average · nurse hrs/day · nat'l 3.89
- 9
- Inspection findings · 1 serious
- $16K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345369
- Ownership
- Government - Hospital district
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 98
- In Hospital
- Yes
- County
- Wake
- Last Inspection
- Aug 21, 2025
Staffing Data
How the 4.42 total nursing hours per resident-day are staffed:
- RN Hours
- 0.89 (nat'l avg: 0.68)
- LPN Hours
- 1.13
- CNA Hours
- 2.40
- Total Nursing Hours
- 4.42 (nat'l avg: 3.89)
- PT Hours
- 0.37
What the CMS Record Reveals About Rex Rehab & Nursing Care Center
Rex Rehab & Nursing Care Center operates 120 certified beds in Raleigh, NC with approximately 98 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $16K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.42 total nursing hours per resident day (national average 3.89), with RN coverage at 0.89 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Rex Rehab & Nursing Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (9 most recent)
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.
Category: Resident Rights Deficiencies
Corrected: Sep 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 16, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: May 30, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: May 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 14, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 14, 2023
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 14, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 10.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.2% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 7.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 99.5% | No |
Penalty History 1 penalties totaling $16K
| Date | Type | Amount |
|---|---|---|
| May 17, 2024 | Fine | $16K |
Nearby Nursing Homes in NC
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Charlotte
Charlotte, NC
Accordius Health at Concord
Concord, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Midwood, LLC
Charlotte, NC
Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Rex Rehab & Nursing Care Center?
What are the staffing levels at Rex Rehab & Nursing Care Center?
How many beds does Rex Rehab & Nursing Care Center have?
Does Rex Rehab & Nursing Care Center have any deficiencies on record?
Has Rex Rehab & Nursing Care Center received any fines or penalties?
Who owns Rex Rehab & Nursing Care Center?
When was Rex Rehab & Nursing Care Center last inspected?
What quality measures are tracked for Rex Rehab & Nursing Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
Related
Found this useful? Share Rex Rehab & Nursing Care Center's record.