Nursing home
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607 · Map
Government - Hospital district · 120 certified beds
Rex Rehab & Nursing Care Center is a Medicare-certified nursing home in Raleigh, North Carolina. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.42 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Aug 21, 2025 cited 1 deficiencies.
- 1 fine totaling $15,646In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rex Rehab & Nursing Care Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.42 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.89 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.40 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | —% | 50.4% | 46.4% | — |
| Deficiencies cited, last inspection | 1.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 21, 2025 inspection was corrected by September 5, 2025
Penalties in CMS records: 1 fine totaling $15,646, 1 total penalty.
What inspectors found at Rex Rehab & Nursing Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Aug 21, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 17, 2024 · Full report (PDF) - Potential for harm
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 · May 17, 2024 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · May 17, 2024 · Full report (PDF) - Potential for harm
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 · May 17, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 17, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 23, 2023 - Potential for harm
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 · Mar 23, 2023 - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Mar 23, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4210 Lake Boone Trail
Raleigh, NC 27607 - CMS certification #
- 345369
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 98.0
- Provider type
- Medicare and Medicaid
- First certified
- 1991-05-21
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rex Rehab & Nursing Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Rex Hospital, Raleigh. 0.1 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Hillcrest Raleigh at Crabtree Valley, Raleigh. 1.6 miles away, straight line.
- Nearest home health agency office
- Bayada Home Health Care, Inc., Raleigh. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 2.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27607 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fms Six Forks Dialysis Clinic, Raleigh, 3.4 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Central Raleigh, Raleigh, 3.8 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Wake Dialysis Clinic, Raleigh, 5.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 27607.
Transitions Lifecare, office in Raleigh, 2.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Heartland Hospice (Raleigh ), office in Raleigh, 5.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
Duke Hospice, office in Durham, 12.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- North Carolina Mg LLC, Raleigh. 0.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Rex Rehab & Nursing Care Center a good nursing home?
CMS gives Rex Rehab & Nursing Care Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rex Rehab & Nursing Care Center staffed?
Rex Rehab & Nursing Care Center reports 4.42 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Rex Rehab & Nursing Care Center had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Rex Rehab & Nursing Care Center have?
Rex Rehab & Nursing Care Center is certified for 120 beds.