Tower Nursing and Rehabilitation Center
3609 Bond Street, Raleigh NC 27604 · (919) 231-8113 · 58.72% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Tower Nursing and Rehabilitation Center is a large nursing home in Raleigh, North Carolina. Featuring an overall score of D, this is a lower end nursing home. If you aren't happy with this facility's overall grade, you should be able to find a better option in Raleigh. The city has at least 10 other nursing homes. Despite all this, one of the few highlights of this facility's profile is its impressive inspection grade. You can continue reading to learn more about inspections and other category scores
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 180 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While we were fairly low on this facility overall, we awarded it an A for our inspections rating. This score is far more impressive than the nursing home's overall grade. We take several aspects of a facility's inspection report into consideration in determining our inspection ratings. One key factor is deficiencies. It should be noted that the severity of deficiencies is usually more important than the number of deficiencies, as some of these end up being relatively insignificant. While this facility had a few deficiencies on its government inspection report, none of them were major deficiencies based on CMS' deficiency scale. A few minor deficiencies are not necessarily the end of the world.
Nurse Quality
We also awarded this facility a grade of C for our nursing rating. Our nursing score is mostly tied to a nursing home's level of nurse staffing. This facility provides only 2.8 hours of nursing care per patient per day. This is a somewhat uninspiring figure as it is well below the national average. Lastly, despite not having the most impressive total nursing hours per resident, this place performed admirably in the area of preventing major falls. This is often an indicator that a place has sufficient quality controls in place.
Short-term Care Quality
This nursing home's second least favorable score is short-term care, where it received a grade of just D in that category. This is a well below average score. In the area of short-term care, we seek to assess measures of a facility's rehabilitation. We analyze a facility's skilled nursing services, such as the ones performed by registered nurses and physical therapists. Unfortunately, we discovered that this facility provides fewer physical therapist and registered nurse hours per resident than most facilities. Finally, we assessed the percentage of residents who who were able to eventually return home from this facility. This facility didn't fare well here either. In fact, we found that just 34.8 percent of this facility's residents were able to return home. This figure was well off the national average.
Long-term Care Quality
Moving on to our last category, this facility really did not fare very well in this category either. With a poor grade of F in long-term care, this is really as terrible as it gets. Facilities that do not fare well in long-term care typically are not as well-staffed and are lagging in a few of the areas of routine healthcare services we looked at. In addition to assessing the amount of care provided by aids and other staff, we analyzed the number of residents vaccinated against pneumonia. This nursing home vaccinated only 81.69762 percent of its patients, which is a bit of a concern. Surprisingly, this nursing home wasn't as bad as we expected at keeping its patients out of the hospital. While it had 1.88 hospitalizations per one thousand long-term resident days, its risk adjusted score was not bad since it had more complex patients.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Tower Nursing and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage caused by staying in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is a measure of the percent of long-term stay residents who have experienced a fall resulting in severe injury. We use this statistic in computing our nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure gauges the percent of long-term stay residents who had a urinary tract infection. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be problematic to compare between nursing homes due to nursing homes having reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of patients given antipsychotic drugs. Antipsychotic drugs are given to residents for many conditions, including dementia. Tragically, in some situations, excessive reliance on these medications may suggest a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients who were given antianxiety drugs. These medications are prescribed to residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of residents showing signs of depression. High levels of depression could reveal a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint is a measure of the percent of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and eating. Some would argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term residents who maintained mobility. Many in the industry would argue that mobility is important for residents' physical and mental health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of hospitalizations per thousand days of patient care. Staying out of the hospital is critical to the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint is a measure of the number of rehospitalizations per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This tells you the number of times residents are sent to the emergency room per thousand days of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percentage of short-term care residents who experienced functional improvements, such as with activities of daily living. Some experts would argue this is a reliable measure of a facility's rehabilitation services.
Percentage of Resident
Higher is Better