Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC 27518 · (919) 851-8000
For profit - Corporation · 120 certified beds
Highfield Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 2 citations (the North Carolina average is 4.7). It was fined 2 times in the last three years, $175,559 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 26, 2026 found 2 citations. What an inspection citation means
- 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.March 26, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.March 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- 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.March 26, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 28, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 28, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.February 28, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.February 28, 2025 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.November 22, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 22, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.November 22, 2024 · F0692 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.October 24, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 27, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep residents' personal and medical records private and confidential.June 27, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 27, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJune 27, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 27, 2024 · F0657 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 27, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.June 27, 2024 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $17,345February 28, 2025
- Fine of $158,214November 22, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | Not available | 3.85 | 3.86 |
| Registered nurses (RN) | Not available | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | Not available | 0.89 | 0.86 |
| Nurse aides | Not available | 2.34 | 2.32 |
| Total nursing staff turnover | 53.2% | 49% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 120 |
| Average residents per day | 104.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Glenaire Cary · ★★★★★ 5 out of 5 stars
- UNC Rex Rehab & Nursing Care Center of Apex Apex · ★★★★★ 5 out of 5 stars
- Bellarose Nursing And Rehab Garner · ★★★★★ 5 out of 5 stars
- The Laurels of Forest Glenn Garner · ★★★★★ 2 out of 5 stars
- Wellington Rehabilitation and Healthcare Knightdale · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Highfield Nursing and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.