All states › North Carolina › Cary › Highfield Nursing and Rehabilitation
6590 Tryon Road Cary, NC 27518 · Wake County
All 2 nursing homes in Cary, NC (2 take Medicaid)
CMS certification number 345403 · See this home on Medicare Care Compare
Is Highfield Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highfield Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
48.1% of nursing staff left within a year (North Carolina median 48.5%). 2 administrators left in the past year.
About this nursing home
Paying for care at Highfield Nursing and Rehabilitation: Medicare and Medicaid
Highfield Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 26, 2026 and found 1 deficiency, plus 1 from complaint inspections in the same period. In total, inspectors issued 20 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 20 citations at Highfield Nursing and Rehabilitation across 6 inspection dates, 16 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 28, 2025 (complaint inspection). The most common areas cited were resident rights (6) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, February 28, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
March 26, 2026 · 2 citations · includes complaint inspection
EHonor 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.
DProvide and implement an infection prevention and control program.
February 28, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DHonor 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
November 22, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JProvide enough food/fluids to maintain a resident's health.
DEnsure each resident receives an accurate assessment.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
October 24, 2024 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
June 27, 2024 · 7 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DKeep residents' personal and medical records private and confidential.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
BDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 8, 2023 · 1 citation
EHonor 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.
Questions to ask on a tour of Highfield Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on February 28, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 28, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $175,559 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 28, 2025 | Fine | $17,345 |
| Nov 22, 2024 | Fine | $158,214 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Highfield Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.9 mi
Wakemed, Cary Hospital CaryEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 16m for patients treated and sent home
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6.3 mi
Rex Hospital RaleighEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 22m for patients treated and sent home
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10.4 mi
Wakemed, Raleigh Campus RaleighEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Highfield Nursing and Rehabilitation › All nursing homes in Cary ›
Compare Highfield Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Glenaire · Cary · 5 stars · 2.5 mi
- UNC Rex Rehab & Nursing Care Center of Apex · Apex · 5 stars · 4.9 mi
- Rex Rehab & Nursing Care Center · Raleigh · 5 stars · 6.2 mi
- Hillcrest Raleigh at Crabtree Valley · Raleigh · 4 stars · 7.8 mi
Other Avardis Health nursing homes in North Carolina
- Cardinal Healthcare and Rehabilitation · Lincolnton · 5 stars
- Oak Grove Healthcare · Rutherfordton · 4 stars
- Willowbrook Rehabilitation and Care · Yadkinville · 4 stars
- Wilora Lake Healthcare · Charlotte · 3 stars
- Forrest Oakes Healthcare · Albemarle · 3 stars
- Hibriten Mountain Nursing and Rehabilitation · Lenoir · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Avardis Health nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.