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Wake County, North Carolina · Nursing home

Highfield Nursing and Rehabilitation

1 of 5 overall from CMS

6590 Tryon Road, Cary, NC 27518

Call (919) 851-8000Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Highfield Nursing and Rehabilitation is a 120-bed nursing home in Cary, North Carolina (Wake County). CMS rates it 1 of 5 stars overall as of Sep 2026. CMS lists 2 fines totaling $175,559 in the past three years.

Certified beds
120
Residents per day (average)
104.6
Certified since
1991 (35 yrs)

For profit - Corporation Participates in Medicare and MedicaidPart of Avardis Health (38 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Highfield Nursing and Rehabilitation

Chosen from this home's public data.

  1. CMS lists 2 fines totaling $175,559 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. Nursing staff turnover is 53.2%, above the North Carolina average of 49.0%. How often would the same aides care for my relative?Turnover in CMS data
  3. What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeNorth CarolinaU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 17.4% 15.6% 13.9%
Percentage of long-stay residents who lose too much weight 16.4% 7.2% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0% 0.7% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 1.3% 2.3% 1.6%
Percentage of long-stay residents who have depressive symptoms 6.1% 5.9% 12.8%
Percentage of long-stay residents who were physically restrained 0.0% 0.0% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 3.3% 3.5% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 36.8% 92.0% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 20.4% 18.3% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.1% 21.3% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.0% 94.1% 95.5%
★ Percentage of long-stay residents with pressure ulcers 5.3% 5.5% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.0% 20.7% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 4.3% 14.0% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days Too few residents or stays to report 1.78 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days Too few residents or stays to report 1.80 1.78

Short-stay residents

MeasureThis homeNorth CarolinaU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 12.5% 80.6% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.2% 1.4% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 19.3% 78.1% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.4% 22.9% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 4.2% 12.9% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 20 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level; the rest were graded as no actual harm. 16 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 28, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Mar 26, 2026213
Nov 22, 20241011
Nov 8, 202389

North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (20)

  1. EPotential for more than minimal harm, pattern

    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.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 13, 2026)

  2. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Apr 13, 2026)

  3. JImmediate jeopardy, isolated

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

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Feb 8, 2025)

  4. DPotential for more than minimal harm, isolated

    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.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)

  5. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Mar 20, 2025)

Show 15 more

  1. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Mar 20, 2025)

  2. JImmediate jeopardy, isolated

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

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 18, 2024)

  3. JImmediate jeopardy, isolated

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

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2024)

  4. JImmediate jeopardy, isolated

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

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2024)

  5. DPotential for more than minimal harm, isolated

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2024)

  6. DPotential for more than minimal harm, isolated

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

    Environmental · Deficient, Provider has date of correction (Dec 18, 2024)

  7. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Jul 20, 2024)

  8. EPotential for more than minimal harm, pattern

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 24, 2024)

  9. EPotential for more than minimal harm, pattern

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 24, 2024)

  10. EPotential for more than minimal harm, pattern

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 24, 2024)

  11. DPotential for more than minimal harm, isolated

    Keep residents' personal and medical records private and confidential.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 24, 2024)

  12. DPotential for more than minimal harm, isolated

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Jun 20, 2024)

  13. DPotential for more than minimal harm, isolated

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 24, 2024)

  14. BPotential for minimal harm, pattern

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has plan of correction (Jul 24, 2024)

  15. EPotential for more than minimal harm, pattern

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Resident Rights · Deficient, Provider has date of correction (Dec 6, 2023)

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

DateTypeAmount
Feb 28, 2025Fine$17,345
Nov 22, 2024Fine$158,214

North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within North Carolina

Common questions

What is the CMS star rating for Highfield Nursing and Rehabilitation?

Highfield Nursing and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 4.

How many beds does Highfield Nursing and Rehabilitation have?

Highfield Nursing and Rehabilitation has 120 certified beds. It averages 104.6 residents per day, about 87.2% of its certified beds.

Has Highfield Nursing and Rehabilitation been fined?

Yes. CMS lists 2 fines totaling $175,559 in the past three years.

Does Highfield Nursing and Rehabilitation accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

Nearest nursing homes

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Who to call in North Carolina

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Call (919) 851-8000 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345403. See this home's official record on Medicare.gov

See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.