Tower Nursing and Rehabilitation Center in Raleigh has a 2-star overall rating, with 2-star health inspections and quality measures but a 4-star staffing rating. Reported nurse staffing is 3.73 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7269.
Staffing detail
Registered nurses
0.90
Licensed practical nurses
0.45
Nurse aides
2.38
Weekend nursing
3.61
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 39%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.3%11.3%Improving
Residents with a fall causing major injury
2.7%4.3%Worsening
Residents with pressure ulcers (bedsores)
7.7%14.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.1%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.2%7.1%Improving
Residents whose ability to walk got worse
—5.4%—
Long-stay residents on antianxiety or sleep medication
20.3%15.6%Improving
Short-stay residents newly given an antipsychotic
0%1.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
3%10.8%Worsening
Residents with depressive symptoms
1.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.1%—
Long-stay residents given the pneumonia vaccine
93.2%68.1%Worsening
Short-stay residents given the seasonal flu vaccine
—16.9%—
Short-stay residents given the pneumonia vaccine
13.8%7%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2022 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited October 2022 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $15,593 in total fines.
Federal fine
Jul 6, 2023
$7,797
Federal fine
Jul 6, 2023
$7,796
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
Occupancy
87.8 residents on an average day (49% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.