Home / North Carolina / Raleigh
Tower Nursing and Rehabilitation Center
3609 Bond Street, Raleigh, NC 27604 · Wake County · (919) 231-8113
180 certified beds, about 89 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345513 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 20, 2026, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 21 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.59 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
37.1% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
802/24
703/25
203/26
407/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 21 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
6E
0F
Potential for minimal harm
0A
1B
0C
July 20, 2026Standard inspection, Complaint inspection · 4 citations
- E 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.
Inspectors wroteBased on record review, resident, Resident Representative (RR) and staff interviews, the facility failed to provide written information about advance directives and/or an opportunity to formulate advance directives, and to obtain advance directives and maintain the advance directives in the medical record for 11 of 30 residents reviewed for advance directives (Residents #1, #2, #4, #18, #41, #50, #54, #55, #81, #83 and #100).a. Resident #83 was admitted to the facility on [DATE] with diagnosis that included diabetes, kidney disease and hypertension. Resident #83 had a Full Code physician order dated 5/22/26. An admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #83 was cognitively intact. An interview completed with Resident #83 on 7/15/26 at 12:28 PM. Resident #83 stated that he does not recall receiving written education regarding Advance Directives. [...]
- E 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.
Inspectors wroteBased on record review, resident, Resident Representative (RR), and staff interviews, the facility failed to ensure a written grievance decision included all required components and to provide a written grievance summary for 7 of 7 resident reviewed for grievances (Resident #11, Resident #2, Resident #41, Resident #43, Resident #50, Resident #28 and Resident #85).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record reviews, and staff interviews, the facility failed to implement their infection prevention program policies and procedures when Nurse Aide (NA) #1 placed linen on the floor. The deficient practice occurred for 1 of 3 staff observed for infection control practices. (Nurse Aide #1).
- B Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to notify the resident and resident's representative (RR) in writing of the reason for the transfer/discharge to the hospital and send a copy of the notice to the Ombudsman. The facility also failed to notify the resident and/or Resident's Representative of the facility policy for bed hold for 4 of 7 residents reviewed for hospitalization (Resident #11, Resident #43, Resident #54, and Resident #55).
March 5, 2026Complaint inspection · 2 citations
- D Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on observations, record review, and staff and Medical Director interviews, the facility failed to utilize an Automatic External Defibrillator (AED) during the provision of Cardiopulmonary Resuscitation (CPR) when an AED was available and Nurse #1 became aware that Resident #11, who was a full code, did not have a pulse and was not breathing, and failed to maintain documentation of current, valid CPR certification for Nurse #1 on file. This deficient practice occurred for 1 of 3 residents (Resident #11) reviewed for CPR, and 1 of 8 staff (Nurse #1) whose CPR certifications were reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to adhere to enhanced barrier precautions (EBP) during catheter care for Resident #4 who had an indwelling urinary catheter. This deficient practice occurred with 1 of 4 staff members observed for infection control practices (Nurse Aide #1).
March 20, 2025Standard inspection · 7 citations
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to ensure a medical record was accurate regarding medication administration and wound treatment. This was for 2 of 20 sampled residents whose medical records were reviewed (Resident #29 and Resident #7).
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on record review, staff interviews, and resident interviews, the facility failed to honor a resident's right to participate in the planning process of the person-centered plan of care for 1 of 4 residents reviewed for care planning (Resident #34).
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review, and resident, staff and Medical Director interviews, the facility failed to honor a resident with a diagnosis of type I diabetes the choice to use an insulin pump (small, wearable device that delivers doses of insulin at specific times and are an alternative to multiple daily injections) as preferred for 1 of 1 resident (Resident #29) reviewed for choices.
- D 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.
Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to provide a written grievance decision to a resident for 1 of 1 resident reviewed for grievances (Resident #24).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, record review, and resident, staff, and Responsible Party interviews, the facility failed to ensure that a resident with reported hearing difficulties was evaluated for treatment and services to maintain his hearing ability for 1 of 1 resident reviewed for vision and hearing (Resident #14).
- D 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.
Inspectors wroteBased on record review, observation, and staff and Pharmacist interviews, the facility failed to remove expired medications stored for use in the medication storage room [ROOM NUMBER] of 1 medication storage room observed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to implement their infection prevention program policies and procedures when the Wound Treatment Nurse failed to apply personal protective equipment (PPE) during wound care for residents on Enhanced Barrier Precautions (EBP). This deficient practice was for for 1 of 1 staff member observed for wound care (Wound Treatment Nurse).
February 8, 2024Standard inspection · 8 citations
- E 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.
Inspectors wroteBased on record review, staff interviews, and Medical Director interview, the facility failed to stop an antidepressant medication prescribed for 30 days which resulted in the resident receiving the medication over the prescribed 30 days for 1 of 5 residents reviewed for unnecessary medications (Resident #5).
- E 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.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to refrigerate medications according to manufacturer's recommendations for 1 of 1 medication refrigerators located in the Medication room.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record review, staff interviews, and Medical Director interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions the committee put into place following the 8/27/21 recertification and complaint investigation survey and the 10/15/22 recertification and complaint investigation survey. This was for 5 recited deficiencies on the current recertification and complaint investigation survey of 2/08/24 in the areas of Accuracy of Assessments (F641), Develop/Implement Comprehensive Care Plan (F656), Pharmacy Services/Procedures/Pharmacist/Records (F755), Free from Unnecessary Psychotropic Medications (F758), and Label/Store Drugs & Biologics (F761). [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments in the area of Pre-admission Screening and Resident Review (PASRR) for 2 of 19 sampled residents whose MDS were reviewed (Resident #56 and Resident #23).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, record review, staff interviews, and Responsible Party (RP) interview, the facility failed to develop a person-centered care plan for 1 of 1residents reviewed for activities (Resident #5).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review and staff interviews, the facility failed to maintain an accurate count of a controlled antianxiety medication for 1 of 4 residents observed for controlled substance administration (Resident #56).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, staff interviews, Consultant Pharmacist interview, and Medical Director interview, the facility failed to address recommendations made by the Consultant Pharmacist based on the monthly Medication Regimen Review (MRR) for 1 of 5 residents reviewed for unnecessary medications (Resident #5).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and staff interviews, the facility failed to administer the pneumococcal vaccine to eligible residents for 2 of 5 residents reviewed for immunizations (Resident #65 and Resident #69).
Fire safety inspections
21 fire safety citations on file: 6 on March 20, 2025, 2 on February 8, 2024, 13 on October 15, 2022.
Every fire safety citation21 citations
- D Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- D Use approved construction type or materials.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have proper openings in smoke barrier doors.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.59 | 3.85 | 3.86 |
| Registered nurses | 1.00 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.42 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.36 | ||
| Nursing staff turnover (share who left in a year) | 37.1% | 49.0% | 45.8% |
| Registered nurse turnover | 31.3% | 45.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.46 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.69 on weekdays and 3.35 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.59 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.59 | 1.00 | 3.69 | 3.35 | 4.2% | 0 of 90 | 89 |
| Oct to Dec 2025 | 3.73 | 0.90 | 3.77 | 3.61 | 2.8% | 0 of 92 | 88 |
| Jul to Sep 2025 | 3.69 | 1.01 | 3.79 | 3.41 | 2.2% | 0 of 92 | 80 |
| Apr to Jun 2025 | 3.55 | 0.94 | 3.68 | 3.20 | 2.0% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.9 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 13.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.3 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: EVEREST LONG TERM CARE, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Tucker, Darren | Operational/managerial control | Individual | 03/03/2025 | |
| Boice, Gale | Adp of the SNF | Individual | 03/05/2018 | |
| Hill, Raymond | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Robert | Adp of the SNF | Individual | 01/01/2011 | |
| Hill, Stephen | Adp of the SNF | Individual | 01/01/2011 | |
| Kwok, Evelyn | Adp of the SNF | Individual | 05/01/2025 | |
| Tucker, Darren | Adp of the SNF | Individual | 07/02/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on July 20, 2026: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on 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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 20, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 20, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.35 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Sunnybrook Rehabilitation Center Raleigh, 1.2 mi · 1 of 5 stars · 17 citations
- Capital Nursing and Rehabilitation Center Raleigh, 1.2 mi · 4 of 5 stars · 14 citations
- The Cardinal at North Hills Raleigh, 3.7 mi · 3 of 5 stars · 4 citations
- Raleigh Rehabilitation Center Raleigh, 3.8 mi · 3 of 5 stars · 18 citations
- Bloomsbury at Hayes Barton Place Raleigh, 4.2 mi · not rated · 0 citations
- Wellington Rehabilitation and Healthcare Knightdale, 5.6 mi · 1 of 5 stars · 24 citations
- Hillcrest Raleigh at Crabtree Valley Raleigh, 6 mi · 4 of 5 stars · 6 citations
- Litchford Falls Health and Rehabilitation Center Raleigh, 6.2 mi · 1 of 5 stars · 22 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Tower Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Tower Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Tower Nursing and Rehabilitation Center get at its last inspection?
- 4 health deficiencies at the standard inspection on July 20, 2026. The North Carolina average is 4.7.
- Has Tower Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Tower Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Tower Nursing and Rehabilitation Center?
- CMS lists 10 owners and managers, and links the home to Principle Long Term Care. Legal business name: EVEREST LONG TERM CARE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.