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Nursing HomeMedicaid Investigative

Highfield Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

6590 Tryon Road, Cary, NC 27518120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 14 Google reviews

5
4
3
2
1
Highfield Nursing and Rehabilitation Nursing Home in Cary, NC — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (5 vs median 4.0)

Bottom 25% in NC · Below recommended RN staffing · Worst in CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE chain · $201,978 in fines

Source: Medicare data

What this means for your family

This facility features a strong therapy and nursing team that many families find helpful for recovery and transitions. However, due to serious reports of pest issues and building maintenance concerns, we strongly recommend a thorough, unannounced tour of the specific wing where your loved one would reside before committing.

Google Reviews

Google Reviews

14 reviews on Google
Highfield Nursing and Rehabilitation presents a polarized experience for residents and their families. While many reviewers praise the dedicated nursing staff and effective physical therapy teams, others report severe facility maintenance issues, including reports of pest infestations and building disrepair. Families should be aware that the facility underwent a recent ownership change, which some believe has not yet addressed deep-seated operational problems.

Quality Themes

Tap a score for details
Food2.0Staff8.0Clean3.0ActivitiesN/AMedsN/AMemory7.0Comms8.0ValueN/A

Strengths

  • Dedicated and attentive nursing staff
  • Effective physical and occupational therapy
  • Professional administrative support for transitions
  • Compassionate bedside care

Concerns

  • Pest infestation (cockroaches/bugs) (mentioned by 2 reviewers)
  • Facility maintenance issues (leaks, building condition) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.42025(11)2.82026(4)

Distribution · 15 analyzed

5
6
4
0
3
4
2
1
1
4

How They Respond to Reviews

71%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to feedback online; how do you incorporate that family input into your daily operations?
  • 2With the facility being an older building, what is your current plan for ongoing maintenance and addressing any structural or plumbing concerns?
  • 3We have heard some concerns regarding pest control; could you walk us through your current professional extermination schedule and preventative measures?
  • 4Given the recent focus on improving the dining experience, what changes or updates are being made to the meal service to better meet resident preferences?
  • 5With a 3-star staffing rating, how do you ensure that your nursing team has enough capacity to provide the personalized, compassionate bedside care that residents need?
  • 6What specific protocols do you have in place to ensure a quick and effective response if a resident experiences a medical emergency during the night?

Personalized based on this facility's data


Key Review Excerpts

Coordinating his stay, especially with the transitions back and forth from the hospital, could have been overwhelming, but the team at Highfield handled everything with such professionalism, compassion, and efficiency.

Long-term resident's family · 2025★★★★★

The cna staff really pulled together to make an awkward and difficult situation manageable. Their wound care team was awesome they mended me to a healed of my wound.

Rehab patient · 2026★★★☆☆

I wish that I could give a zero this is the most disgusting nasty place I ever seen in my life they're infested with bugs I only spent a few hours there when I was admitted there and I caught a Uber home in the middle of the night bugs was in the bed with me SMH

Rehab patient · 2025☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility23.3%
Worse than Avg
Here
23.3%
US
93.4%
NC
91.7%
Wake
91.7%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility16.5%
Worse than Avg
Here
16.5%
US
5.3%
NC
7.2%
Wake
7.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.4%
Worse than Avg
Here
30.4%
US
19.4%
NC
21.0%
Wake
22.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.5%
NC
14.1%
Wake
15.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
19.5%
NC
21.5%
Wake
15.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.0%
Worse than Avg
Here
89.0%
US
95.5%
NC
94.1%
Wake
96.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility8.0%
Worse than Avg
Here
8.0%
US
81.8%
NC
80.1%
Wake
79.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
79.8%
NC
78.1%
Wake
81.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
NC
1.5%
Wake
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
3penalties
Well below state avg (5.6)
18 complaint-triggered
$201,978 in fines

Families have filed multiple complaints leading to 17 deficiencies, indicating ongoing concerns about resident care, resident rights, and safety. The facility struggles most with fire safety systems, nutrition and dietary services, and care planning. While the facility reports correcting these issues, problems persist across multiple surveys, including recent complaints in 2024-2025 about inadequate food and fluids, abuse protection, and failure to notify families of resident incidents.

Mar 26, 2026Routine
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 26, 2026Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Feb 28, 2025Complaint
4
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0807Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Nov 22, 2024Routine
13
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Nov 22, 2024Complaint
3
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Oct 24, 2024Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Federal Penalties

Fine

Feb 28, 2025

$17,345

Fine

Nov 22, 2024

$158,214

Fine

Jun 29, 2023

$26,419

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highfield Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.3/5 · Rank 28 of 35 (Worst)

Ownership & Management

Owners

Cary Parentco LLC

Owner · Organization

Ncop Holdco LLC

Owner (parent company) · Organization

Nu C II Irrevocable Trust

Owner (parent company) · Organization

Nu C Irrevocable Trust

Owner (parent company) · Organization

Snf Care Centers LLC

Owner (parent company) · Organization

Str Holdco LLC

Owner (parent company) · Organization

Zenith Holdco II LLC

Owner (parent company) · Organization

Zenith Holdco LLC

Owner (parent company) · Organization

Key personnel

Fc Encore Cary, LLC5% or Greater Security InterestHoback, TiffanyManaging Control - Governing BodyMorgan, DanielManaging Control - Governing BodySnf Mgr LLCManagerHoback, TiffanyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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