Tower Nursing and Rehabilitation Center
3609 Bond Street · Raleigh, NC · 27604 · 9192318113
180 certified beds For profit - Limited Liability company Chain: Principle Long Term Care
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.61 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 2 · $15,593 |
Inspection citations (42 in the current record)
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Potential for harm · D March 5, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 29, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 29, 2026 · Infection Control
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Potential for harm · D March 20, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
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.
Corrected April 17, 2025 · Pharmacy Service
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Potential for harm · E March 20, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Provide and implement an infection prevention and control program.
Corrected April 17, 2025 · Infection Control
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Potential for harm · D February 8, 2024
Ensure each resident receives an accurate assessment.
Corrected March 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 7, 2024 · Pharmacy Service
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Potential for harm · D February 8, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 7, 2024 · Pharmacy Service
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Potential for harm · E February 8, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 7, 2024 · Pharmacy Service
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Potential for harm · E February 8, 2024
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.
Corrected March 7, 2024 · Pharmacy Service
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Potential for harm · E February 8, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 7, 2024 · Administration
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Potential for harm · D February 8, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 7, 2024 · Infection Control
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Immediate jeopardy · J July 6, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 9, 2023 · Resident Rights
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Immediate jeopardy · J July 6, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 9, 2023 · Quality of Life and Care
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Immediate jeopardy · J July 6, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2023 · Quality of Life and Care
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Immediate jeopardy · J October 15, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 23, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J October 15, 2022
Respond appropriately to all alleged violations.
Corrected November 23, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 15, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 23, 2022 · Resident Rights
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Potential for harm · D October 15, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected November 23, 2022 · Resident Rights
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Potential for harm · D October 15, 2022
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.
Corrected November 23, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 6, 2023 | Fine | $7,796 |
| July 6, 2023 | Fine | $7,797 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345513 · certified since March 14, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.