Rex Rehab & Nursing Care Center — nursing home in Raleigh, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 102.9 CMS, MDS-derived
CMS Certification Number: 345369
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 21, 1991
Ownership type: Government - Hospital district
Operator (legal business name): Rex Hospital Inc
CMS chain: Not part of a CMS-reported chain
Phone: (919) 784-6600
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 21, 2025

Citations

13

9 health · 4 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D8	E2	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$15,646

Payment denials

0

Latest

May 17, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345369
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: May 21, 1991
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 21, 2025	Health	Health Standard	1	Potential harm	—	Open →
May 17, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 17, 2024	Health	Health Complaint, Health Standard	5	Immediate jeopardy	—	Open →
Mar 23, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 23, 2023	Health	Health Standard	3	Potential harm	—	Open →
Jan 13, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 17, 2024	Civil money penalty (fine)	$15,646	—	345369\|Fine\|42368

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D8	E2	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 21, 2025	F-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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 5, 2025
May 17, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jan 16, 2024	Complaint
May 17, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
May 17, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 22, 2024
May 17, 2024	F-0661	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 Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 30, 2024
May 17, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2024
May 17, 2024	F-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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 30, 2024
May 17, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected May 30, 2024
Mar 23, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 5, 2023
Mar 23, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 5, 2023
Mar 23, 2023	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 14, 2023
Mar 23, 2023	F-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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 14, 2023
Mar 23, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 14, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.25

State avg 3.87US avg 3.90

Registered nurse (RN)0.81

State avg 0.62US avg 0.69

Licensed practical nurse1.19

State avg 0.88US avg 0.86

Nurse aide2.26

State avg 2.37US avg 2.35

Weekend total nurse3.81

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.89 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover30.0%

State avg 48.7%US avg 45.3%

Registered nurse turnover15.0%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 21, 2025
Cycle 1 health score: 4
Total weighted score: 13

Operating entity

Rex Hospital Inc

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

38

Organizations

2

Individuals

34

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The New Trustees of the Rex Hospital Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 16, 1986
University of North Carolina Health Care System	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Apr 1, 2000

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The New Trustees of the Rex Hospital Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 16, 1986
University of North Carolina Health Care System	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Apr 1, 2000
Ellen Caroll	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 29, 2016
Nedra Hobbs	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 13, 2025
Michael James	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 1991
Steven Liebowitz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 1991
Haylian York	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 5, 2025
Tanya Zinner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2007
Kevin Anderson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Catharine Arrowood	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 24, 2014
William Bryant	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 4, 2024
Ann Collins	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2016
Matthew Ewend	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 22, 2019
Lynne Fiscus	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 20, 2021
Melissa Fitzpatrick	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2020
Jeffrey Lindsay	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 26, 2023
Dayatra Matthews	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 5, 2025
Caryn Mcneill	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 5, 2025
David Mills	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Robert Oakes	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Cristen Page	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 4, 2025
Marilyn Pearson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 7, 2022
Jason Sandner	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2019
Tammy Scarborough	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 4, 2025
Michael Setliff	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 28, 2024
Thomas Hughes	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 24, 2026
Nicole Kolacz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 28, 2025
Benjamin Mathew	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 8, 2023
Roy Tempke	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 3, 2013
Meera Udayakumar	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 6, 2023
The New Trustees of the Rex Hospital Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 16, 1986
University of North Carolina Health Care System	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2000
Ellen Caroll	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 29, 2016
Nedra Hobbs	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 13, 2025
Michael James	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 1991
Steven Liebowitz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 1991
Haylian York	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 5, 2025
Tanya Zinner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2007

Other facilities operated by Rex Hospital Inc

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Unc Rex Rehab & Nursing Care Center of Apex 911 South Hughes Street, Apex, NC 27502 CCN 345508	107		Aug 27, 2026	5	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 4210 Lake Boone Trail, Raleigh, NC 27607
ZIP: 27607
County: Wake County FIPS 37183
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Hillcrest Raleigh at Crabtree Valley 3830 Blue Ridge Road, Raleigh, NC 27612 CCN 345555	2.5 km	134		May 14, 2026	201 harm1 open	—
Bloomsbury at Hayes Barton Place 2750 Oberlin Rd, Raleigh, NC 27608 CCN 345581	4 km	31	Not rated	Jan 22, 2026	No citations in window	—
Raleigh Rehabilitation Center 616 Wade Avenue, Raleigh, NC 27605 CCN 345049	5.1 km	157		Mar 26, 2026	342 harm1 open	—
The Cardinal at North Hills 311 Garden at North Hills Street, Raleigh, NC 27609 CCN 345572	6.3 km	15		Sep 10, 2025	121 harm	—
Pruitthealth-Raleigh 2420 Lake Wheeler Road, Raleigh, NC 27603 CCN 345538	8 km	150		Aug 5, 2026	573 IJ4 open	$16k
Glenaire 4000 Glenaire Circle, Cary, NC 27511 CCN 345445	8.8 km	71		Dec 31, 2025	13	—
The Rosewood Health Center 8710 Cypress Club Drive, Raleigh, NC 27615 CCN 345546	9.9 km	57		Jul 16, 2026	12	—
Highfield Nursing and Rehabilitation 6590 Tryon Road, Cary, NC 27518 CCN 345403	10 km	120		Mar 26, 2026	534 IJ14 open	$176k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345369	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345369	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345369

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction