B
Hillcrest Raleigh at Crabtree Valley
74/100 score
0.76 hrs RN staffing
2 deficiencies
Rex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607
Operator
THE NEW TRUSTEES OF THE REX HOSPITAL · 2 facilities
- Provider number (CCN)
- 345369
- Certification
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Phone
- (919) 784-6600
- CMS data as of
- August 1, 2026
A
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates Rex Rehab & Nursing Care Center 5 out of 5 stars overall, with 4 of 5 for health inspections, 5 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 9 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher. CMS enforcement records list 1 fine totalling $15,646.
Facility Assessment
Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility is operated by THE NEW TRUSTEES OF THE REX HOSPITAL, which scores 36 points above the national average.
Reviews, Ratings and Official Records
This page reviews Rex Rehab & Nursing Care Center using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.85 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
9
Outstanding
0
Actual harm or worse (G–L)
1
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★★★ (5/5)
|
|
NursingHomeGrade Score
|
89/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.85 hrs |
|---|---|
| NC median | 0.51 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 20.0% · Total nursing staff turnover: 33.3%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Audit and Inspection Reports
Rex Rehab & Nursing Care Center is a Government - Hospital district facility. The records on this page are the federal health-inspection and enforcement records CMS publishes. We do not hold, and have not reviewed, any separate financial or performance audit issued by a county, state or independent auditor — if one exists for this facility, it is not part of the data described below.
- Most recent standard health survey: August 21, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from March 23, 2023 to August 21, 2025.
Source records: CMS Care Compare profile for provider 345369 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 immediate jeopardy issue found among 9 total deficiencies. 9 corrected.
Most recent inspection (August 21, 2025)
D
Potential harm — isolated
F0578
Status: Corrected
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 — Deficient, Provider has date of correction, corrected September 5, 2025
Inspection cycle 2 (May 17, 2024)
D
Potential harm — isolated
F0867
Status: Corrected
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies — Deficient, Provider has date of correction, corrected May 30, 2024
D
Potential harm — isolated
F0761
Status: Corrected
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 — Deficient, Provider has date of correction, corrected May 30, 2024
J
Immediate jeopardy — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Past Non-Compliance, corrected January 16, 2024
D
Potential harm — isolated
F0695
Status: Corrected
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 30, 2024
E
Potential harm — pattern
F0661
Status: Corrected
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 — Deficient, Provider has date of correction, corrected May 30, 2024
Inspection cycle 3 (March 23, 2023)
E
Potential harm — pattern
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected April 14, 2023
D
Potential harm — isolated
F0761
Status: Corrected
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 — Deficient, Provider has date of correction, corrected April 14, 2023
D
Potential harm — isolated
F0685
Status: Corrected
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 14, 2023
Fines and Enforcement Actions
Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.
| Date | Action | Amount or length |
|---|---|---|
| May 17, 2024 | Fine | $15,646 |
1 fine totalling $15,646.
Source: CMS Penalties file (dataset g6vv-u9sr).
Ownership and Contact Information
- Facility name
- Rex Rehab & Nursing Care Center
- Legal business name
- REX HOSPITAL INC
- Address
- 4210 Lake Boone Trail, Raleigh, NC 27607
- Phone
- (919) 784-6600
- Provider number (CCN)
- 345369
- Ownership type
- Government - Hospital district
- Operator
- THE NEW TRUSTEES OF THE REX HOSPITAL · 2 facilities
- Medicare/Medicaid certified since
- May 21, 1991
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Raleigh
Compare local nursing homes using the same CMS-backed grading method.
C
Raleigh Rehabilitation Center
55/100 score
0.33 hrs RN staffing
3 deficiencies
F
The Cardinal at North Hills
26/100 score
Not reported RN staffing
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D
PruittHealth-Raleigh
47/100 score
0.50 hrs RN staffing
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B
The Rosewood Health Center
79/100 score
0.80 hrs RN staffing
3 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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