Rex Rehab & Nursing Care Center

4210 Lake Boone Trail · Raleigh, NC · 27607 · 9197846600

120 certified beds Government - Hospital district Hospital-based

  • Cleaner inspection record than most facilities nationally.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 80
Serious harm & abuse 20% 94
Staffing 20% 87
Federal penalties 15% 74
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.413.48 min · 4.1 strong
RN hours / resident-day0.910.55–0.75
Weekend hours / resident-day3.95≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $15,646

Inspection citations (9 in the current record)

  • Potential for harm · D August 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 directive.

    Corrected September 5, 2025 · Resident Rights

  • Immediate jeopardy · J May 17, 2024 · found via complaint

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

    Corrected January 16, 2024 · Quality of Life and Care

  • Potential for harm · E May 17, 2024

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

    Corrected May 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 17, 2024

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

    Corrected May 30, 2024 · Quality of Life and Care

  • Potential for harm · D 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 locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 30, 2024 · Pharmacy Service

  • Potential for harm · D May 17, 2024

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

    Corrected May 30, 2024 · Administration

  • Potential for harm · D March 23, 2023

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

    Corrected April 14, 2023 · Quality of Life and Care

  • Potential for harm · D March 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 locked compartments, separately locked, compartments for controlled drugs.

    Corrected April 14, 2023 · Pharmacy Service

  • Potential for harm · E March 23, 2023

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

    Corrected April 14, 2023 · Nutrition and Dietary

Federal penalties

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345369 · certified since May 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.