The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
Nursing home report
Tower Nursing and Rehabilitation Center
Raleigh, NC · Medicare-certified · 180 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Tower Nursing and Rehabilitation Center has an overall 3-star rating, with 3 stars for health inspections, 4 stars for staffing, and 2 stars for quality measures. It reported 3.59 nursing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included resident rights, grievance handling, and safeguarding resident information/medical records.
Facility ratings
Health inspections
Staffing
3.5903 hrs/resident/day
Quality measures
Last inspection: July 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5903.
Staffing detail
- Registered nurses
- 1.00
- Licensed practical nurses
- 0.35
- Nurse aides
- 2.24
- Weekend nursing
- 3.35
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 31%
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).
Long-stay residents on antipsychotic medication
12.2%11.3%Improving
Residents with a fall causing major injury
1.4%4.3%Worsening
Residents with pressure ulcers (bedsores)
9.8%20.7%Worsening
Residents with a urinary tract infection
2.9%2.9%No change
Residents who lost too much weight
3.4%3.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.5%11.7%Improving
Residents whose ability to walk got worse
—6.3%—
Long-stay residents on antianxiety or sleep medication
11.5%12.3%Worsening
Short-stay residents newly given an antipsychotic
1.8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
4.5%3.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.1%—
Long-stay residents given the pneumonia vaccine
85.7%54.3%Worsening
Short-stay residents given the seasonal flu vaccine
—16.9%—
Short-stay residents given the pneumonia vaccine
5.6%8.8%Improving
What the inspectors found
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- 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.
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- INSPECTION
Health inspection found 8 health deficiencies.
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Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRINCIPLE LONG TERM CARE · 40 homes · 3 stars avg
- Occupancy
- 89.3 residents on an average day (50% 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.