ElderGrade
B

77/100

Above average

Tower Nursing And Rehabilitation Center

3609 Bond Street, Raleigh, NC 27604

CMS 2/5 stars #5 of 20 in Wake County (919) 231-8113
Certified beds
180
Occupancy
50%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.98 total nurse hours per resident per day (national median 3.77)
  • 1 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

10/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 37% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.59 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 1.00 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.35 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 37.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 42 citations

Last standard health inspection: March 20, 2025 (1 year ago).

D Mar 5, 2026 F0678 From a complaint

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Mar 20, 2025 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0553

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0561

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0585

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0685

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PRINCIPLE LONG TERM CARE, which operates 44 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BOICE, GALE Individual CORPORATE OFFICER
JOHNSON, DIANNE Individual CORPORATE OFFICER
PRINCIPLE LONG TERM CARE, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
TUCKER, DARREN Individual OPERATIONAL/MANAGERIAL CONTROL
BOICE, GALE Individual ADP OF THE SNF
HILL, RAYMOND Individual ADP OF THE SNF
HILL, ROBERT Individual ADP OF THE SNF
HILL, STEPHEN Individual ADP OF THE SNF
KWOK, EVELYN Individual ADP OF THE SNF
TUCKER, DARREN Individual ADP OF THE SNF

What families say

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Common questions about Tower Nursing And Rehabilitation Center

What is the ElderGrade for Tower Nursing And Rehabilitation Center? +

Tower Nursing And Rehabilitation Center holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Tower Nursing And Rehabilitation Center? +

Residents receive an average of 3.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Tower Nursing And Rehabilitation Center been cited for harming residents? +

Yes. 5 of the 42 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Tower Nursing And Rehabilitation Center accept Medicaid? +

Yes, Tower Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.