nursing home in Cary, NC
Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC 27518 · (919) 851-8000
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Highfield Nursing and Rehabilitation at a glance
Highfield Nursing and Rehabilitation is a 120-bed for-profit nursing home in Cary, North Carolina (Wake County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Its most recent standard health inspection (March 26, 2026) found 2 health citations. The North Carolina average is 4.7.
Federal regulators fined it 2 times in the past three years, totaling $175,559.
Nursing staff turnover is 53.2% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avardis Health
- Medicare-certified since
- September 24, 1991
- Resident/family council
- None
- County
- Wake County
- CMS Certification Number
- 345403
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Nursing staff turnover (yearly) (lower is better) | 53.2% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 79 | 49.2 | 80.6 | Average |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $175,559 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 105 | 107 | |
| Average residents per day | 105 | 87 | 86 | |
| Occupancy | 87.2% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.5% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 4.3% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.4% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.4% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 16.4% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.1% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.1% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 34% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 89% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 36.8% | 92% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.2% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 19.3% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 12.5% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 33 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 17, 2026 |
| March 26, 2026 Fire safety | 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 · Tag K0222 | F Potential harm, widespread | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected September 17, 2026 |
| March 26, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected September 17, 2026 |
| March 26, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | D Potential harm, isolated | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 8, 2026 |
| March 26, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected September 17, 2026 |
| March 26, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 13, 2026 |
| March 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 13, 2026 |
| February 28, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected February 8, 2025 |
| February 28, 2025 Complaint | 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 · Tag F0806 | D Potential harm, isolated | Corrected March 20, 2025 |
| February 28, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 20, 2025 |
| February 28, 2025 Complaint | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected March 20, 2025 |
| November 22, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | 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 · Tag K0222 | D Potential harm, isolated | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected April 14, 2025 |
| November 22, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected April 14, 2025 |
| November 22, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected December 18, 2024 |
| November 22, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected December 18, 2024 |
| November 22, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | J Immediate jeopardy, isolated | Corrected December 18, 2024 |
| November 22, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 22, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 18, 2024 |
| October 24, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected July 20, 2024 |
| June 27, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 27, 2024 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 27, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 27, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected July 24, 2024 |
| June 27, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 27, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 24, 2024 |
| June 27, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | B No harm, pattern | Corrected July 24, 2024 |
| November 8, 2023 Fire safety | 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 · Tag K0914 | F Potential harm, widespread | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected February 21, 2024 |
| November 8, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected February 21, 2024 |
| November 8, 2023 Standard | 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 Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected December 6, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $175,559 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $17,345 |
| November 22, 2024 | Fine | $158,214 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FC ENCORE CARY, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/01/2025 |
| BROWN, DONALD Individual | adp of the snf | NOT APPLICABLE | 09/15/2025 |
| CARTER, DEBBIE Individual | adp of the snf | NOT APPLICABLE | 08/31/2025 |
| FC ENCORE CARY, LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| GHANNAM, WASEEM Individual | adp of the snf | NOT APPLICABLE | 02/20/2026 |
| HOBACK, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| HOUSTON, INGRID Individual | adp of the snf | NOT APPLICABLE | 08/16/2025 |
| JONES, TEQUILLA Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| MORGAN, DANIEL Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| SNF MGR LLC Organization | adp of the snf | NOT APPLICABLE | 06/09/2026 |
| CARY PARENTCO LLC Organization | direct ownership interest | NOT APPLICABLE | 06/01/2025 |
| NCOP HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| NU C II IRREVOCABLE TRUST Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| NU C IRREVOCABLE TRUST Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| SNF CARE CENTERS LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| STR HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| ZENITH HOLDCO II LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| ZENITH HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| HOBACK, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 06/01/2025 |
| MORGAN, DANIEL Individual | managing control - governing body | NOT APPLICABLE | 06/01/2025 |
| BROWN, DONALD Individual | operational/managerial control | NOT APPLICABLE | 09/15/2025 |
| CARTER, DEBBIE Individual | operational/managerial control | NOT APPLICABLE | 08/31/2025 |
| GHANNAM, WASEEM Individual | operational/managerial control | NOT APPLICABLE | 02/20/2026 |
| HOBACK, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| HOUSTON, INGRID Individual | operational/managerial control | NOT APPLICABLE | 08/16/2025 |
| JONES, TEQUILLA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| MORGAN, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| SNF MGR LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
Other nursing homes near Highfield Nursing and Rehabilitation
- ★★★★★5Much above average
Unc Rex Rehab & Nursing Care Center of Apex
911 South Hughes Street, Apex, NC 27502 · 4.9 mi
Non-profit · 107 beds
- CMS high performer
★★★★★5Much above averagePruitthealth-Raleigh
2420 Lake Wheeler Road, Raleigh, NC 27603 · 5.2 mi
For-profit · 150 beds · Part of Pruitthealth
★★★★★3AverageRex Rehab & Nursing Care Center
4210 Lake Boone Trail, Raleigh, NC 27607 · 6.2 mi
Government · 120 beds
- CMS high performer
★★★★★5Much above averageRaleigh Rehabilitation Center
616 Wade Avenue, Raleigh, NC 27605 · 7.5 mi
For-profit · 157 beds · Part of Sovereign Healthcare Holdings
★★★★★3Average- Not rated
Frequently asked questions
What is Highfield Nursing and Rehabilitation's rating?
Highfield Nursing and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Highfield Nursing and Rehabilitation receive?
Its most recent standard health inspection found 2 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Highfield Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Highfield Nursing and Rehabilitation?
It is for profit - corporation and part of Avardis Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Highfield Nursing and Rehabilitation and how do I contact it?
Highfield Nursing and Rehabilitation is at 6590 Tryon Road, Cary, NC 27518. Phone: (919) 851-8000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.