SNF
Rex Rehab & Nursing Care Center
CCN: 345369 · Raleigh, NC 27607 · Wake County
Hospital-based
Overview
- Address
- 4210 Lake Boone Trail, Raleigh, NC 27607
- Phone
- 9197846600
- Certified beds
- 120
- Avg daily residents
- 98 (82% of beds filled)
- Ownership
- Government (hospital district)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1991-05-21
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.42 | 3.44 | 4.95 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.89 | 0.60 | 0.99 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.13 | 0.76 | 1.27 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.40 | 2.08 | 2.69 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.02 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.37 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.89
hrs / resident / day
RN (weekend)
0.71
hrs / resident / day
Total nurse (adjusted, weekend)
4.36
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Nursing Case-Mix Index
1.22
higher acuity than avg
Case-Mix Index Ratio
0.89
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-08-21 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2024-05-17 | 5 | 5 | 1 | 40 | 1 | 40 |
Total weighted health score
13.0
lower is better
Deficiencies (9)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
8 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0578 | 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. | D | 2025-08-21 | 2025-09-05 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | 2024-05-17 | 2024-05-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-17 | 2024-05-30 |
| 0761 | 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 | 2024-05-17 | 2024-05-30 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-05-17 | 2024-05-30 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-05-17 | 2024-01-16 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-03-23 | 2023-04-14 |
| 0761 | 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 | 2023-03-23 | 2023-04-14 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-03-23 | 2023-04-14 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$15,646
| Date | Type | Fine amount |
|---|---|---|
| 2024-05-17 | Fine | $15,646 |
Source: CMS Nursing Home Penalties.
Ownership & Corporate Structure
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| THE NEW TRUSTEES OF THE REX HOSPITAL INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/16/1986 |
| UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2000 |
Owner / manager individuals (28)
| Name | Role | Association |
|---|---|---|
| CAROLL, ELLEN | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2016 |
| HOBBS, NEDRA | OPERATIONAL/MANAGERIAL CONTROL | since 04/13/2025 |
| JAMES, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/1991 |
| LIEBOWITZ, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/1991 |
| YORK, HAYLIAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/05/2025 |
| ZINNER, TANYA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2007 |
| ANDERSON, KEVIN | CORPORATE DIRECTOR | since 01/01/2021 |
| ARROWOOD, CATHARINE | CORPORATE DIRECTOR | since 01/24/2014 |
| BRYANT, WILLIAM | CORPORATE DIRECTOR | since 01/04/2024 |
| COLLINS, ANN | CORPORATE DIRECTOR | since 05/01/2016 |
| EWEND, MATTHEW | CORPORATE DIRECTOR | since 07/22/2019 |
| FISCUS, LYNNE | CORPORATE DIRECTOR | since 04/20/2021 |
| FITZPATRICK, MELISSA | CORPORATE DIRECTOR | since 09/01/2020 |
| LINDSAY, JEFFREY | CORPORATE DIRECTOR | since 12/26/2023 |
| MATTHEWS, DAYATRA | CORPORATE DIRECTOR | since 05/05/2025 |
| MCNEILL, CARYN | CORPORATE DIRECTOR | since 05/05/2025 |
| MILLS, DAVID | CORPORATE DIRECTOR | since 01/01/2021 |
| OAKES, ROBERT | CORPORATE DIRECTOR | since 01/01/2021 |
| PAGE, CRISTEN | CORPORATE DIRECTOR | since 03/04/2025 |
| PEARSON, MARILYN | CORPORATE DIRECTOR | since 03/07/2022 |
| SANDNER, JASON | CORPORATE DIRECTOR | since 01/01/2019 |
| SCARBOROUGH, TAMMY | CORPORATE DIRECTOR | since 03/04/2025 |
| SETLIFF, MICHAEL | CORPORATE DIRECTOR | since 10/28/2024 |
| KOLACZ, NICOLE | CORPORATE OFFICER | since 04/28/2025 |
| MATHEW, BENJAMIN | CORPORATE OFFICER | since 01/08/2023 |
Showing 25 of 28 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- Yes
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 99 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.26686 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.69063 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.99380 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.95130 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.36274 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 98.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.76431 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.07723 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.60245 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.44399 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.03551 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | Raleigh | City/Town |
| Provider Information | CMS Certification Number (CCN) | 345369 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Wake | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1991-05-21 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.8155 | Latitude |
| Provider Information | Legal Business Name | REX HOSPITAL INC | Legal Business Name |
| Provider Information | Location | 4210 Lake Boone Trail,Raleigh,NC,27607 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -78.701 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.22005 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.88560 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Government - Hospital district | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4210 Lake Boone Trail | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Rex Rehab & Nursing Care Center | Provider Name |
| Provider Information | Provider Resides in Hospital | Y | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 910 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-08-21 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-17 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 40 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 40 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.70783 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.01653 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.13005 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.40007 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.37411 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.88648 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.41661 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NC | State |
| Provider Information | Telephone Number | 9197846600 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 15646.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.89160 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 13.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 27607 | ZIP Code |