Highland House Rehabilitation and Healthcare
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 53 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)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (6 vs median 4.0)
- High staff turnover (58%)
Bottom 25% in NC · Critically understaffed (RN) · Worst in LIBERTY SENIOR LIVING chain · No penalties on record
What this means for your family
This facility's therapy and nursing teams are frequently praised for their effectiveness, making it a potential option for short-term rehab. However, the recurring reports of poor communication and slow response times are significant red flags. We strongly recommend visiting in person to observe staff responsiveness and verifying their current policy for family updates before committing.
Google Reviews
Google Reviews
53 reviews on Google“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
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Helpful and professional nursing staff
- Clean and well-maintained facility environment
- Engaging resident activities and social events
Concerns
- Unresponsive to phone calls and communication (mentioned by 4 reviewers)
- Neglect and slow response times to patient needs (mentioned by 6 reviewers)
- Poor hygiene and lack of basic care (mentioned by 3 reviewers)
- Issues with medication administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 55 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard great things about your physical and occupational therapy programs; could you tell us more about how those are integrated into a resident's daily routine?
- 2How does the nursing team ensure that medication is administered accurately and on schedule every day?
- 3What is the best way for our family to stay in regular contact with the nursing staff and receive updates on our loved one's care?
- 4In the event of a medical emergency during the night, what specific protocols are in place to ensure a rapid response?
- 5We'd love to hear more about the social calendar—what kind of engaging activities or group events do residents participate in during the week?
- 6How does the facility maintain high standards of personal hygiene and daily care for residents who may need extra assistance?
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”
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
7
measures
8
measures
2
measures
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents whose walking got worse
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Mar 13, 2026Complaint5
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 13, 2026Routine1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Dec 19, 2024Complaint6
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.
Dec 19, 2024Routine7
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.
Oct 25, 2023Routine3
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.
Aug 24, 2023Complaint2
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.
Ownership & Operations
Who Operates This Facility
Highland House Rehabilitation and Healthcare
for profit
Chain Affiliation
Liberty Senior Living
37 facilities nationwide
Chain avg rating: 2.6/5 · Rank 33 of 35 (Worst)
Ownership & Management
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
53 reviews from families & visitors
Official Website
Visit libertyhealthcareandrehab.com
Medicare data downloads
Original nursing home datasets
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