Highfield Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 14 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 15 analyzed
How They Respond to Reviews
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.”
“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.”
“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”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
9
measures
3
measures
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Routine1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 26, 2026Complaint1
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, 2025Complaint4
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.
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.
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.
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, 2024Routine13
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Egress Deficiencies
Install proper backup exit lighting.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nov 22, 2024Complaint3
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Oct 24, 2024Complaint1
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
Highfield Nursing and Rehabilitation
for profit
Chain Affiliation
Avardis Health
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
14 reviews from families & visitors
Official Website
Visit highfieldnursing.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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