Tower Nursing and Rehabilitation Center
Tower Nursing and Rehabilitation Center is a 180-bed nursing home in Raleigh, North Carolina. CMS has certified it for Medicare and Medicaid since 2002-03-14. It averages 89.3 residents a day.
What harm was found in the violations cited at Tower Nursing and Rehabilitation Center?
CMS lists 39 health-inspection deficiencies for Tower Nursing and Rehabilitation Center since 2022-10-15, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-05 | F0678, F0880 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide and implement an infection prevention and control program. | D |
| 2025-03-20 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-03-20 | F0553, F0561, F0585, F0685, F0761, F0880 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-02-08 | F0758, F0761, F0867 | 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. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2024-02-08 | F0641, F0656, F0755, F0756, F0883 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-10-15 | F0600, F0610 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. | J |
| 2022-10-15 | F0657, F0689, F0812 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2022-10-15 | F0550, F0558, F0578, F0656, F0661, F0677, F0684, F0686, F0690, F0725, F0755, F0758, F0761, F0791 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Provide or obtain dental services for each resident. | D |
| 2022-10-15 | F0577, F0838 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C |
| 2022-10-15 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B |
How is Tower Nursing and Rehabilitation Center staffed relative to the NC average?
| Measure | This facility | NC average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.59032 | 3.83430 |
| Total nursing staff turnover (%) | 37.1 | 49.0 |
| Average number of residents per day | 89.3 | 86.9 |
Who owns Tower Nursing and Rehabilitation Center, and what chain is it in?
Tower Nursing and Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name EVEREST LONG TERM CARE, LLC and belongs to the PRINCIPLE LONG TERM CARE chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE OFFICER | BOICE, GALE, JOHNSON, DIANNE | since 01/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | PRINCIPLE LONG TERM CARE, INC., TUCKER, DARREN | since 01/01/2011 |
| ADP OF THE SNF | BOICE, GALE, HILL, RAYMOND, HILL, ROBERT, HILL, STEPHEN, KWOK, EVELYN, TUCKER, DARREN | since 01/01/2011 |
Were you or a family member harmed at Tower Nursing and Rehabilitation Center?