Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 55 Google reviews

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No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 38% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 6 findings, above the NC average of 5.6. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Highland House Rehabilitation and Healthcare receives highly polarized feedback, with some residents and families praising the therapy and nursing teams, while others report severe neglect and communication failures. While some patients report successful rehabilitation and compassionate care, multiple reviewers have raised critical concerns regarding staffing levels, responsiveness, and basic patient hygiene. Families should be aware that experiences appear inconsistent, with significant complaints regarding the facility's ability to provide timely medical attention and answer phone calls.
Quality Themes
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Rating Trends
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Distribution · 57 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“The dietary nutrition staff are great. The chefs are great too, but they should provide a menu. If it wasn’t for the activities in the calendar there will be no fun here.”
“The nurses are EXCELLENT and the Certified Nurse Assistants are good to excellent. I have been cared for with kindness and compassion for my illness.”
“The nurses, PT,OT are fantastic and they got me to where I can go home. It was so smooth and the administrators and House Keepers all made sure that my room was all set up and cleaned for me”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Highland House has persistent problems with families filing 17 complaints triggering federal inspections, indicating ongoing care concerns. The facility repeatedly struggles with resident assessment and care planning, fire safety systems, and infection control across multiple surveys from 2022-2024. Most deficiencies show correction plans, but the pattern of recurring issues in core care areas and continuing family complaints suggests systemic challenges that may impact resident safety and quality of care.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
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
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Highland House Rehabilitation and Healthcare
for profit
Liberty Senior Living
37 facilities nationwide
Chain avg rating: 2.6/5 · Rank 33 of 35 (Lowest rating)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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