Nursing homeActive
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 276079197846600120 certified beds · 102 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
9
● 0● 8● 1
Penalties · 3 yrs
$15,646
1 fine
Last survey
2025-08-21
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-21 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-17 | Standard | 041 | CMS-2567 (Care Compare) | — |
| 2023-03-23 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 345369-20250821-F578
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-16Record 345369-20240517-F689
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-30Record 345369-20240517-F661
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-30Record 345369-20240517-F695
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-30Record 345369-20240517-F761
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-30Record 345369-20240517-F867
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 345369-20230323-F685
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 345369-20230323-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 345369-20230323-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-05-17 | Civil money penalty | $15,646 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.85
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day4.30
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.84
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover33%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover20%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 10.9% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.5% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.3% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 9.0% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.9% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.3% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| The New Trustees Of The Rex Hospital Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| University Of North Carolina Health Care System Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Caroll, Ellen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hobbs, Nedra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| James, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Liebowitz, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| York, Haylian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zinner, Tanya Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Anderson, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Arrowood, Catharine Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bryant, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Caroll, Ellen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Collins, Ann Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ewend, Matthew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fiscus, Lynne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fitzpatrick, Melissa Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hobbs, Nedra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| James, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kolacz, Nicole Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Liebowitz, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lindsay, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mathew, Benjamin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Matthews, Dayatra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcneill, Caryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mills, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Oakes, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Page, Cristen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pearson, Marilyn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sandner, Jason Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Scarborough, Tammy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Setliff, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Setliff, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tempke, Roy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| The New Trustees Of The Rex Hospital Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Udayakumar, Meera Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| University Of North Carolina Health Care System Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| York, Haylian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zinner, Tanya Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Wake.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hillcrest Raleigh at Crabtree Valley Raleigh | 1.6 mi | 2026-05-14 | 231 |
| Bloomsbury at Hayes Barton Place Raleigh | 2.5 mi | 2026-01-22 | 000 |
| Raleigh Rehabilitation Center Raleigh | 3.1 mi | 2026-03-26 | 1152 |
| The Cardinal at North Hills Raleigh | 3.9 mi | 2025-09-10 | 031 |
| PruittHealth-Raleigh Raleigh | 4.9 mi | 2026-01-15 | 4233 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |