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Tower Nursing and Rehabilitation Center
3609 Bond Street, Raleigh, NC 27604 (opens Google Maps) · Wake County · (919) 231-8113· 180 certified beds · avg 89 residents/day · certified since Mar 14, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
2/5
Health inspection rating (on-site)
inspected Mar 20, 2025
2
Serious findings on record
most recent Oct 15, 2022
$0
Fines, last 3 years
3.98
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Oct 15, 2022 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Immediate jeopardy, isolated · Oct 15, 2022 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 23, 2022 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Oct 15, 2022 · F-0610
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
▲ Immediate jeopardy, isolated · Oct 15, 2022 · F-0610
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 23, 2022 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 39 inspection findings. Open the full record below to read every finding.
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint F-0678
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint F-0880
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. F-0842
View all 39 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Feb 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Feb 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Oct 15, 2022 | ▲ J · Immediate jeopardy, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
| Oct 15, 2022 | ▲ J · Immediate jeopardy, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610 |
| Oct 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Oct 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Oct 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Oct 15, 2022 | C · Potential for minimal harm, widespread | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577 |
| Oct 15, 2022 | C · Potential for minimal harm, widespread | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838 |
| Oct 15, 2022 | B · Potential for minimal harm, pattern | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).
All citationsSerious citations (G–L)
2022
All citations: 22
Serious citations (G–L): 2
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 22 | 2 | J ▲ |
| 2024 | 8 | 0 | E |
| 2025 | 7 | 0 | E |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.98
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 1.10
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.71
North Carolina average: 3.56
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.98 | 4.01 | 3.95 | top 32% in North Carolina; top 40% in the U.S. |
| Registered Nurse hours | 1.10 | 0.64 | 0.69 | top 10% in North Carolina; top 12% in the U.S. |
| Weekend total nurse staffing | 3.71 | 3.56 | 3.50 | top 26% in North Carolina; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.77 | 0.41 | 0.48 | top 8% in North Carolina; top 13% in the U.S. |
| Total nursing staff turnover (%) | 37.1 | 49.0 | 45.8 | top 22% in North Carolina; top 29% in the U.S. |
| RN turnover (%) | 31.3 | 45.7 | 42.9 | top 26% in North Carolina; top 32% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.59, RN 1.00, weekend 3.35.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.59 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Tower Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Boice, Gale | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2018 |
| Boice, Gale | Individual | ADP of the SNF | NOT APPLICABLE | 03/05/2018 |
| Hill, Raymond | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Hill, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Hill, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Johnson, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Kwok, Evelyn | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Principle Long Term Care, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Tucker, Darren | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/03/2025 |
| Tucker, Darren | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/2025 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Principle Long Term Care — 40 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- University Place Nursing and Rehabilitation Center — Charlotte, NC · overall 1/5
- Westwood Hills Nursing and Rehabilitation Center — Wilkesboro, NC · overall 2/5abuse
- Willow Creek Nursing and Rehabilitation Center — Goldsboro, NC · overall 2/5
- Wilson Pines Nursing and Rehabilitation Center — Wilson, NC · overall 4/5
- Wayland Nursing and Rehabilitation Center — Keysville, VA · overall 4/5
- Greenwood Rehabilitation and Healthcare Center — Bowling Green, KY · overall 2/5
- Lake Way Rehabilitation and Healthcare Center — Benton, KY · overall 4/5
- Somerwoods Rehabilitation and Healthcare Center — Somerset, KY · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 39 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 23 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sunnybrook Rehabilitation Center | 1.2 mi | Raleigh, NC | ★☆☆☆☆ | 1/5 | |
| Capital Nursing and Rehabilitation Center | 1.2 mi | Raleigh, NC | ★★★★☆ | 4/5 | |
| The Cardinal at North Hills | 3.7 mi | Raleigh, NC | ★★★☆☆ | 4/5 | |
| Raleigh Rehabilitation Center | 3.8 mi | Raleigh, NC | ★★★☆☆ | 3/5 | |
| Bloomsbury at Hayes Barton Place | 4.3 mi | Raleigh, NC | —/5 | ||
| Wellington Rehabilitation and Healthcare | 5.6 mi | Knightdale, NC | ★☆☆☆☆ | 2/5 | |
| Hillcrest Raleigh at Crabtree Valley | 6.0 mi | Raleigh, NC | ★★★★☆ | 4/5 | |
| Litchford Falls Health and Rehabilitation Center | 6.2 mi | Raleigh, NC | ★★☆☆☆ | 2/5 | |
| Perry Creek Health and Rehabilitation Center | 6.2 mi | Raleigh, NC | ★☆☆☆☆ | 1/5 | |
| Pruitthealth-Raleigh | 6.4 mi | Raleigh, NC | ★★★☆☆ | 3/5 | |
| Rex Rehab & Nursing Care Center | 6.7 mi | Raleigh, NC | ★★★★★ | 4/5 | |
| The Laurels of Forest Glenn | 7.0 mi | Garner, NC | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Wake, NC — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Unc Rex Rehab & Nursing Care Center of Apex — Apex, NC · overall 5/5
- Zebulon Rehabilitation Center — Zebulon, NC · overall 4/5
- Bellarose Nursing and Rehab — Garner, NC · overall 5/5
- Fuquay-Varina Health and Rehabilitation Center — Fuquay Varina, NC · overall 1/5abuse
- Glenaire — Cary, NC · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 345513.