Rex Rehab & Nursing Care Center

Nursing home in Raleigh, NC

Medicare & Medicaid certified5★ overall (CMS)

Call (919) 784-6600 Send a message Map ↗

Public-record details

Address: 4210 Lake Boone Trail, Raleigh, NC 27607
Phone: (919) 784-6600
Listed under: Government-owned, 4–5 star overall rating
Medicare CCN: 345369
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 4 of 5
Staffing rating: 5 of 5
Quality measures rating: 4 of 5
Certified beds: 120
Average residents per day: 102
Ownership: Government, hospital district
Legal business name: Rex Hospital INC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: May 21, 1991
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: Yes
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 345369. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 21, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 23, 2023 to Aug 21, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Aug 21, 2025	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… Resident Rights	D Potential for more than minimal harm, isolated
May 17, 2024	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 17, 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… Pharmacy Service	D Potential for more than minimal harm, isolated
May 17, 2024	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration	D Potential for more than minimal harm, isolated
May 17, 2024	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
May 17, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Mar 23, 2023	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care	D Potential for more than minimal harm, isolated
Mar 23, 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… Pharmacy Service	D Potential for more than minimal harm, isolated
Mar 23, 2023	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $15,646 in the last three years.

May 17, 2024

Fine: $15,646

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.30 hours
Registered nurse (RN) time per resident per day: 0.85 hours
Nurse aide time per resident per day: 2.24 hours
Total nurse staffing on weekends: 3.84 hours
Nursing staff turnover (yearly): 33%
RN turnover (yearly): 20%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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