B

Rex Rehab & Nursing Care Center

4210 Lake Boone Trail, Raleigh, NC 27607
Score: 70 / 100

With a score of 70/100 and a B grade, Rex Rehab & Nursing Care Center is a well-regarded option in Raleigh, North Carolina. The facility performs above average in most CMS categories, placing it in the 74th percentile statewide.

Staffing levels at Rex Rehab & Nursing Care Center exceed national averages, with 4.42 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.89 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 9 deficiencies at Rex Rehab & Nursing Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and .

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.42 3.8 Above Average
Registered Nurses (RN) 0.89 0.7 Above Average
Licensed Practical Nurses (LPN) 1.13 0.7 Above Average
Certified Nursing Assistants (CNA) 2.40 2.4 Average
Weekend Total Nursing 3.89 3.8 Average
Weekend RN Hours 0.71 0.7 Average

🔍 Inspection & Deficiency History

9
Total Deficiencies
Aug 20, 2025
Most Recent Inspection
🟠 8 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Aug 20, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 16, 2024 · Quality of Life and Care Deficiencies
  • Tag 0661 Severity E
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    May 16, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    May 16, 2024 · Quality of Life and Care Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    May 16, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 11.8% 4.5% Worse
Falls with major injury 4.1% 3.0% Worse
On antipsychotic medication 16.4% 14.5% Worse
Urinary tract infections 4.6% 2.5% Worse
ADL decline (daily activities) 10.3% 14.0% Better
Excessive weight loss 10.0% 7.5% Worse
New/worsened incontinence 7.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $15,646

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 20, 2025
Deficiencies (Cycle 1)
1