Nursing home
Tower Nursing and Rehabilitation Center
3609 Bond Street, Raleigh, NC 27604 · Map
For profit - Limited Liability company · Part of Principle Long Term Care (44 facilities) · 180 certified beds
Tower Nursing and Rehabilitation Center is a Medicare-certified nursing home in Raleigh, North Carolina. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.69 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Mar 20, 2025 cited 7 deficiencies.
- 2 fines totaling $15,593In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tower Nursing and Rehabilitation Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.69 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.01 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.30 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 43.5% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $15,593, 2 total penalties.
What inspectors found at Tower Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 5, 2026 · Full report (PDF) - Potential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Mar 5, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Feb 8, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 8, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 8, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3609 Bond Street
Raleigh, NC 27604 - CMS certification #
- 345513
- Ownership
- For profit - Limited Liability company
- Certified beds
- 180
- Avg residents/day
- 80.0
- Provider type
- Medicare and Medicaid
- First certified
- 2002-03-14
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Urban
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tower Nursing and Rehabilitation Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2023, 6 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 8, 2023: programmed (planned) inspection, complete (health). Case closed Jul 25, 2023. 6 violations cited (5 serious, 1 other). Penalties: $7,200 proposed, $7,200 now. OSHA record. OSHA recorded the employer as 153576 - Everest Long Term Care, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $2,400 proposed, $2,400 now. To be fixed by Jun 5, 2023.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $2,400 proposed, $2,400 now. To be fixed by Jun 5, 2023.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(2)(i)(c)). Penalty $2,400 proposed, $2,400 now. To be fixed by Jun 7, 2023.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iv)). Penalty $0 proposed, $0 now. To be fixed by Jun 7, 2023.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Jun 7, 2023.
- Other than serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $0 proposed, $0 now. To be fixed by Jun 7, 2023.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Wakemed, Raleigh Campus, Raleigh. 1.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Sunnybrook Rehabilitation Center, Raleigh. 1.2 miles away, straight line.
- Nearest home health agency office
- Wakemed Home Health, Raleigh. 1.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Josef's Pharmacy. 2.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27604 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Raleigh Dialysis Clinic Inc, Raleigh, 0.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Downtown Raleigh, Raleigh, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Wake Dialysis Clinic, Raleigh, 2.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 27604.
Heartland Hospice (Raleigh ), office in Raleigh, 3.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
Transitions Lifecare, office in Raleigh, 9.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Duke Hospice, office in Durham, 18.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Wakemed Specialists Group LLC, Raleigh. 1.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Tower Nursing and Rehabilitation Center a good nursing home?
CMS gives Tower Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tower Nursing and Rehabilitation Center staffed?
Tower Nursing and Rehabilitation Center reports 3.69 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Tower Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Tower Nursing and Rehabilitation Center have?
Tower Nursing and Rehabilitation Center is certified for 180 beds.