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Z-44-26 — Hospital campus and associated medical facilities with potential residential component (up to 500 units) in Raleigh, NC
Rex Hospital is rezoning 61.21 acres from OX-12-UL to Campus Master Plan (CMP) zoning to consolidate development intensity around the central hospital campus with height step-downs to neighboring residential areas. The proposal shifts from a maximum 12-story, mixed-use entitlement to a 7-20 story specialized hospital campus that restricts residential units from 13,882 to 500 and reduces gross floor area from 24 million to 9.7 million square feet. This rezoning is consistent with the Comprehensive Plan's Institutional land use designation and supports policies for health care industry expansion.
| Case number | Z-44-26 |
|---|---|
| Type | Rezoning |
| Location | 2810 Blue Ridge Road and 4220 & 4401 Lake Boone Trail, Northwest Raleigh |
| County | Wake County |
| Parcel / legal | PINs: 0785822820, 0785826556, and 0785824031 |
| Acreage | 61.21 |
| Current zoning | OX-12-UL |
| Requested zoning | CMP |
| Proposed use | Hospital campus and associated medical facilities with potential residential component (up to 500 units) |
| Petitioner | Jamie Schwedler, Parker Poe, on behalf of Rex Hospital, Inc. and University of North Carolina Health Care System |
| Owner | Rex Hospital, Inc. and University of North Carolina Health Care System |
| Hearing | 2026-04-28 |
| Hearing body | Raleigh Planning Commission |
| Staff recommendation | approve with conditions |
| Status | new |
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Case history
Every time this case appeared on an agenda we watched, and what changed.
- First seen — 2026-07-27: First seen on an agenda (backfilled from our archive) · Raleigh Planning Commission
Also on the 2026-04-28 Raleigh agenda
- Z-03-26 — Rezoning
- Z-14-22 — Mixed-use development with residential and office uses
- OX-7-CU-TOD — Expanded retail and commercial uses not restricted by current limitations on multi-tenant buildings, floor area, and hours of operation
- Z-3-26 — Dense, mixed-use, pedestrian-oriented development with increased building height to 20 stories