All states › North Carolina › Raleigh › Tower Nursing and Rehabilitation Center
3609 Bond Street Raleigh, NC 27604 · Wake County
All 12 nursing homes in Raleigh, NC (10 take Medicaid)
CMS certification number 345513 · See this home on Medicare Care Compare
Is Tower Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Tower Nursing and Rehabilitation Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.76 hours per resident per day at Tower Nursing and Rehabilitation Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.87 of those hours are from registered nurses. On weekends it falls to 3.48 hours, 8% below its all-week average. 42.3% of nursing staff left within a year (North Carolina median 48.5%). 2 administrators left in the past year.
About this nursing home
Paying for care at Tower Nursing and Rehabilitation Center: Medicare and Medicaid
Tower Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 20, 2026 and found 3 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Tower Nursing and Rehabilitation Center across 4 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident rights (6) and pharmacy service (5). The most serious was cited under the CMS rule to "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" (tag F0578, level E, July 20, 2026).
July 20, 2026 · 4 citations · includes complaint inspection
EHonor 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.
EHonor 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.
DProvide and implement an infection prevention and control program.
BProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
March 5, 2026 · 2 citations · includes complaint inspection
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide and implement an infection prevention and control program.
March 20, 2025 · 7 citations
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DAssist a resident in gaining access to vision and hearing services.
DEnsure 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.
DProvide and implement an infection prevention and control program.
February 8, 2024 · 8 citations
EImplement 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.
EEnsure 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.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Tower Nursing and Rehabilitation Center
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 48% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 4/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 2/5 |
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Location
Hospitals near Tower Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.4 mi
-
1.4 mi
Wakemed, Raleigh Campus RaleighEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 24m for patients treated and sent home
-
6.9 mi
Rex Hospital RaleighEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 22m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Tower Nursing and Rehabilitation Center › All nursing homes in Raleigh ›
Compare Tower Nursing and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Rex Rehab & Nursing Care Center · Raleigh · 5 stars · 6.7 mi
- The Rosewood Health Center · Raleigh · 5 stars · 7.9 mi
- Bellarose Nursing and Rehab · Garner · 5 stars · 9.2 mi
- Capital Nursing and Rehabilitation Center · Raleigh · 4 stars · 1.2 mi
Other Principle Long Term Care nursing homes in North Carolina
- Jacob's Creek Nursing and Rehabilitation Center · Madison · 5 stars
- Carolina Rivers Nursing and Rehabilitation Center · Jacksonville · 5 stars
- Maple Grove Health and Rehabilitation Center · Greensboro · 5 stars
- Grantsbrook Nursing and Rehabilitation Center · Grantsboro · 5 stars
- Kerr Lake Nursing and Rehabilitation Center · Henderson · 4 stars
- Lake Park Nursing and Rehabilitation Center · Indian Trail · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.