All states › North Carolina › Fayetteville › Highland House Rehabilitation and Healthcare
1700 Pamalee Drive Fayetteville, NC 28301 · Cumberland County
All 8 nursing homes in Fayetteville, NC (8 take Medicaid)
CMS certification number 345353 · See this home on Medicare Care Compare
Is Highland House Rehabilitation and Healthcare 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 Highland House Rehabilitation and Healthcare as of October 2026.
CMS rates it 2 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
Nursing staff spend about 3.37 hours per resident per day at Highland House Rehabilitation and Healthcare, below the North Carolina median of 3.57 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 8% below its all-week average. 64.7% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Highland House Rehabilitation and Healthcare: Medicare and Medicaid
Highland House Rehabilitation and Healthcare 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 13, 2026 and found 1 deficiency, plus 5 from complaint inspections in the same period. In total, inspectors issued 12 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 12 citations at Highland House Rehabilitation and Healthcare across 2 inspection dates, 11 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 11 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (4) and resident rights (4). The most serious was cited under the CMS rule to "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" (tag F0584, level D, March 13, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 13, 2026 · 6 citations · includes complaint inspection
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.
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure each resident receives an accurate assessment.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 19, 2024 · 6 citations · includes complaint inspection
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
BHonor the resident's right to manage his or her financial affairs.
Questions to ask on a tour of Highland House Rehabilitation and Healthcare
- CMS cited the home under its abuse and neglect rules on March 13, 2026. 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?
- Nursing staff turnover was 64.7% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
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Location
Hospitals near Highland House Rehabilitation and Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.5 mi
Fayetteville Nc VA Medical Center FayettevilleNo ER listed in Medicare data ★★★★★ Medicare overall 5 of 5
- 3.1 mi
-
4.1 mi
Cape Fear Valley Medical Center FayettevilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 36m 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 Highland House Rehabilitation and Healthcare › All nursing homes in Fayetteville ›
Compare Highland House Rehabilitation and Healthcare with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Haymount Rehabilitation & Nursing Center · Fayetteville · 5 stars · 1.3 mi
- Whispering Pines Nursing & Rehab Center · Fayetteville · 5 stars · 2.1 mi
- Village Green Health and Rehabilitation · Fayetteville · 5 stars · 3.4 mi
- Autumn Care of Fayetteville · Fayetteville · 5 stars · 5.8 mi
Other Liberty Senior Living nursing homes in North Carolina
- Yadkin Nursing and Care Center · Yadkinville · 5 stars
- Parkview Health and Rehabilitation Center · Chapel Hill · 5 stars
- Briar Creek Health Center · Charlotte · 5 stars
- Inn at Quail Haven Village · Pinehurst · 4 stars
- Woodlands Nursing & Rehabilitation Center · Fayetteville · 4 stars
- Liberty Commons Nursing & Rehabilitation Center · Burlington · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Liberty Senior Living 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.