01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-21 | 1 | 2024-05-17 | 2 |
| Cycle 2 | 2024-05-17 | 5 | 2023-03-23 | 2 |
| Cycle 3 | 2023-03-23 | 3 | 2022-01-13 | 0 |
CMS CCN 3453692026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail · Raleigh, NC 27607 · Wake County
Certified beds120CMS provider file
Recent citation rows13current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
13 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-21 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-052024-05-17 · HEALTHF0661Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Correction field: Deficient, Provider has date of correction · 2024-05-302024-05-17 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2024-01-16 · complaint2024-05-17 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-05-302024-05-17 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-05-302024-05-17 · HEALTHF0867Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-05-302024-05-17 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-07-222024-05-17 · FIREK0911Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2024-07-222023-03-23 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2023-04-142023-03-23 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-04-142023-03-23 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-04-142023-03-23 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-05-052023-03-23 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2023-05-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-05-17 | Fine | $15,646 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- THE NEW TRUSTEES OF THE REX HOSPITAL INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/16/1986
- UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEMOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 04/01/2000
- ANDERSON, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- ARROWOOD, CATHARINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2014
- BRYANT, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/04/2024
- COLLINS, ANNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2016
- EWEND, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/22/2019
- FISCUS, LYNNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/20/2021
- FITZPATRICK, MELISSAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2020
- LINDSAY, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/26/2023
- MATTHEWS, DAYATRAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/05/2025
- MCNEILL, CARYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/05/2025
- MILLS, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- OAKES, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- PAGE, CRISTENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/04/2025
- PEARSON, MARILYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/07/2022
- SANDNER, JASONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- SCARBOROUGH, TAMMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/04/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.30per resident day
RN hours0.85per resident day
Weekend nurse hours3.84per resident day
Staff turnover33.3%CMS reported field
06 / LOCAL RECORDS
Open the Raleigh ledger →Other published facilities nearby
Bloomsbury At Hayes Barton Place31 beds · CMS overall —/50 citation rowsCapital Nursing And Rehabilitation Center125 beds · CMS overall 4/519 citation rowsHillcrest Raleigh At Crabtree Valley134 beds · CMS overall 4/521 citation rowsLitchford Falls Health And Rehabilitation Center90 beds · CMS overall 2/547 citation rowsPerry Creek Health And Rehabilitation Center132 beds · CMS overall 1/5107 citation rowsPruitthealth-Raleigh150 beds · CMS overall 3/547 citation rowsRaleigh Rehabilitation Center157 beds · CMS overall 3/534 citation rowsSunnybrook Rehabilitation Center95 beds · CMS overall 1/543 citation rows