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Tower Nursing and Rehabilitation Center

Nursing Home Facility

3609 Bond Street, Raleigh, NC 27604

Nursing Home Care Hospice Care Senior Living
Tower Nursing and Rehabilitation Center

Located just off the 440 beltline and convenient to all area hospitals, City of Oaks is where you want to be if you are looking for skilled nursing care.

Operated by Principle Long Term Care, which runs 32 communities in our directory.

With 180 beds, Tower Nursing and Rehabilitation Center is one of the larger communities in the area, senior care communities in Raleigh average about 55 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 50% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Raleigh average of roughly 83%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Raleigh average about 2.8 stars. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2025 and recorded 9 deficiencies.

Residents receive about 3.6 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 37%.

The community is located in Wake County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 39 problems at Tower Nursing and Rehabilitation Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 2 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026, after a complaint. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2026, after a complaint. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2025. Corrected by April 17, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected March 2025. Corrected by April 17, 2025.

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  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2025. Corrected by April 17, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Tower Nursing and Rehabilitation Center offers nursing home care, hospice care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 180
  • Occupancy 50%
  • Nursing hours per resident/day 3.6
  • Annual staff turnover 37%
  • Last health inspection March 2025

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