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Rex Healthcare

Part of UNC Health

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Attrition is the new status quo - Professional Rex Healthcare Employee Review

1.0
16 Aug 2019
Recommend
CEO approval
Business outlook

Pros

Tight-knit team with family oriented company culture.

Cons

Applicants beware, the hospital admins have dropped the ball on a huge venture and are scrambling to make up the loss in revenue with a policy of planned attrition. This policy is having a snowballing effect for some departments, where staff have been minimized such that operational capabilities are severely hampered, lowering staff morale which then leads to more team members leaving. The frustration and resentment is palpable in the hallways of the hospital, where I regularly hear nurses urging one another "don't leave me here, you have to take me with you if you leave!" This policy of attrition will also (in my humble estimation) have a meaningful impact on patient satisfaction metrics, as staff shortages will likely lead to more dangerous conditions for patients as well as significant delays in care. For example, a relative of mine was recently admitted and had to wait 5 hours to have a simple blood draw for her labs, which were given a STAT order, before she could be discharged. The phlebotomist rushed in the door, visibly flustered and very apologetic, claiming that she was the only one working that evening for the entire hospital. Rex has however approved a myriad of "analyst" positions recently. Some of these positions consist of individuals peering over the shoulders of front line staff and HCP's in an effort to target inefficiencies. Meanwhile, that same frontline position is relegated to the back burner when an individual resigns. In other words, Rex is hiring people to *watch* people work, but won't hire someone to *perform* the work. I'm not sure if these developments have more to do with UNC's acquisition of Rex Healthcare or the new COO and CFO for Rex, both of whom appear to have adopted a policy of slash and burn to improve metrics in the short run. My inclination is that many of the changes these individuals are implementing will NOT be good for our organization in the long run. Aside from these issues, Rex struggles with career development paths for high performing individuals. Good performance is rarely rewarded and poor performance is rarely reprimanded, which is great if you are one of the "clock in, clock out, do the bare minimum and collect a paycheck" folks. But if you are a motivated young professional, don't expect for many doors to open for you here, especially with positions being eliminated ad nauseam.

Explore other reviews about Rex Healthcare

5.0
19 Jan 2026
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

Enjoy working at Rex Hospital.

Cons

Only con is using pto for holiday pay. Not the worst thing.

1.0
15 June 2026
Recommend
CEO approval
Business outlook

Pros

None. I would not return to this hospital or recommend others to work there.

Cons

UNC Rex has the potential to be a strong organization, but my experience was that the culture is heavily influenced by politics, hierarchy, and longevity rather than competence or innovation. Advancement into leadership positions often appeared to be based more on popularity and time served than demonstrated leadership ability or clinical excellence. Having worked in higher-acuity healthcare environments, I found the nursing scope of practice at Rex to be unnecessarily restrictive. Many policies felt arbitrary and created barriers to providing efficient patient care. There was significant red tape surrounding even routine processes, making it difficult to implement improvements or practice at the top of one's license. Communication was one of the organization's biggest weaknesses. Poor communication between departments, leadership, and frontline staff frequently created frustration and inefficiencies. Staff concerns were often acknowledged but rarely addressed in a meaningful way, and management did not consistently advocate for bedside nurses when challenges arose. The culture was resistant to change, even when proposed improvements were evidence-based and intended to benefit patients or staff. Individuals who attempted to challenge the status quo or introduce new ideas often encountered resistance rather than collaboration. There was a noticeable tendency for people to become territorial over processes and responsibilities, making constructive change difficult. Compensation was also significantly below what would be expected given the demands placed on nursing staff and was not competitive with many comparable healthcare organizations in the region. Overall, my experience was that the organization values maintaining existing structures more than fostering innovation, professional growth, or empowering frontline clinicians. For nurses who are comfortable with a highly structured environment and limited autonomy, it may be a good fit. For those seeking a progressive culture, strong nursing advocacy, and opportunities to drive meaningful change, it may be frustrating.

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