Tower Nursing and Rehabilitation Center

Name: Tower Nursing and Rehabilitation Center
Address: 3609 Bond Street, Raleigh, NC, 27604, US
Telephone: 9192318113

3609 Bond Street, Raleigh, NC 27604 · Wake County · 180 certified beds · avg 89 residents/day · certified since Mar 14, 2002

Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 23, 2022 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · 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.

Corrected: Nov 23, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 5, 2026	D · Potential for harm, one-off	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
Mar 5, 2026	D · Potential for harm, one-off	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
Mar 20, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 20, 2025	D · Potential for harm, one-off	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.
Mar 20, 2025	D · Potential for harm, one-off	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.
Mar 20, 2025	D · Potential for harm, one-off	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.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Mar 20, 2025	D · Potential for harm, one-off	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.
Mar 20, 2025	D · Potential for harm, one-off	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.
Feb 8, 2024	E · Potential for harm, repeated	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.
Feb 8, 2024	E · Potential for harm, repeated	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.
Feb 8, 2024	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 8, 2024	D · Potential for harm, one-off	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.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 8, 2024	D · Potential for harm, one-off	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.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 15, 2022	▲ J · Immediate jeopardy, one-off	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.
Oct 15, 2022	▲ J · Immediate jeopardy, one-off	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.
Oct 15, 2022	E · Potential for harm, repeated	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.
Oct 15, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 15, 2022	E · Potential for harm, repeated	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	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.
Oct 15, 2022	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Oct 15, 2022	C · Minimal risk, facility-wide	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.
Oct 15, 2022	C · Minimal risk, facility-wide	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.
Oct 15, 2022	B · Minimal risk, repeated	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).

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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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 →

All facilities in Raleigh →

Facility data as of CMS processing date 2026-08-01. CCN 345513.

The Care File

Visit checklist — Tower Nursing and Rehabilitation Center

3609 Bond Street, Raleigh, NC 27604 · 9192318113

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Oct 15, 2022 (F-0600, Immediate jeopardy, one-off): 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.
▲ Oct 15, 2022 (F-0610, Immediate jeopardy, one-off): 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.

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345513 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)