Highfield Nursing and Rehabilitation
6590 Tryon Road · Cary, NC · 27518 · 9198518000
120 certified beds For profit - Corporation Chain: Avardis Health
Why this verdict
- Federal penalties on record: $175,559 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$175,559 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 3 · $201,978 |
Inspection citations (22 in the current record)
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Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected April 13, 2026 · Infection Control
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Potential for harm · E March 26, 2026 · found via 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.
Corrected April 13, 2026 · Resident Rights
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Immediate jeopardy · J February 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2025 · found via 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.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 28, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 20, 2025 · Nutrition and Dietary
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Potential for harm · D February 28, 2025 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected March 20, 2025 · Nutrition and Dietary
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Immediate jeopardy · J November 22, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 18, 2024 · Resident Rights
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Immediate jeopardy · J November 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 18, 2024 · Quality of Life and Care
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Immediate jeopardy · J November 22, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Ensure each resident receives an accurate assessment.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 18, 2024 · Environmental
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Potential for harm · D October 24, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 27, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 24, 2024 · Resident Rights
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Potential for harm · D June 27, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected July 24, 2024 · Resident Rights
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Potential for harm · D June 27, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · E June 27, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 24, 2024 · Administration
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No harm found · B June 27, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 8, 2023
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.
Corrected December 6, 2023 · Resident Rights
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Immediate jeopardy · K June 29, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 12, 2023 · Infection Control
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Potential for harm · D June 29, 2023 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 12, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $17,345 |
| November 22, 2024 | Fine | $158,214 |
| June 29, 2023 | Fine | $26,419 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345403 · certified since September 24, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.