facebook tracking Rex Rehab & Nursing Care Center, Raleigh NC: CMS Ratings
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Rex Rehab & Nursing Care Center

All states › North Carolina › Raleigh › Rex Rehab & Nursing Care Center

4210 Lake Boone Trail Raleigh, NC 27607 · Wake County

(919) 784-6600

All 12 nursing homes in Raleigh, NC (10 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds Government

CMS certification number 345369 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Rex Rehab & Nursing Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Rex Rehab & Nursing Care Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the North Carolina average of 3.0. Inspectors issued 9 citations in the last three years. CMS imposed 1 penalty, including $15,646 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.25 hours per resident per day at Rex Rehab & Nursing Care Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.81 of those hours are from registered nurses. On weekends it falls to 3.81 hours, 10% below its all-week average. 30% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team.

Nursing care per resident per day 4.25 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.81 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.81 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 30% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 15% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 103 About 86% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceMay 1991
Legal business nameREX HOSPITAL INC
Located in a hospitalYes

Paying for care at Rex Rehab & Nursing Care Center: Medicare and Medicaid

Rex Rehab & Nursing Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on August 21, 2025 and found 1 deficiency. In total, inspectors issued 9 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 9 citations at Rex Rehab & Nursing Care Center across 3 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 17, 2024 (complaint inspection). The most common areas cited were quality of life and care (3) and pharmacy service (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, May 17, 2024).

August 21, 2025 · 1 citation

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Sep 5, 2025)

May 17, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jan 16, 2024)

EEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (May 30, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (May 30, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 30, 2024)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (May 30, 2024)

March 23, 2023 · 3 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 14, 2023)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Apr 14, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 14, 2023)

Questions to ask on a tour of Rex Rehab & Nursing Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on May 17, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $15,646 in fines.

DateTypeAmount or length
May 17, 2024 Fine $15,646

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 5/5 4/5
August 2026 5/5 4/5 5/5 4/5
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Location

Hospitals near Rex Rehab & Nursing Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.2 mi
    Rex Hospital Raleigh
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 3h 22m for patients treated and sent home
  • 6.7 mi
    Wakemed, Raleigh Campus Raleigh
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 24m for patients treated and sent home
  • 6.9 mi
    Wakemed, Cary Hospital Cary
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 3h 16m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hillcrest Raleigh at Crabtree Valley Raleigh · 1.6 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 134 beds · Medicaid
Bloomsbury at Hayes Barton Place Raleigh · 2.5 mi away Not rated Inspection — · Staffing — 31 beds · Medicaid
Raleigh Rehabilitation Center Raleigh · 3.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 157 beds · Medicaid
The Cardinal at North Hills Raleigh · 3.9 mi away ★★★☆☆ Inspection 4/5 · Staffing 4/5 15 beds
PruittHealth-Raleigh Raleigh · 4.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 150 beds · Medicaid

More nursing homes near Rex Rehab & Nursing Care Center ›   All nursing homes in Raleigh ›

Compare Rex Rehab & Nursing Care Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/raleigh/rex-rehab-and-nursing-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.