Nursing home report
Cary, NC · Medicare-certified · 120 beds
Highfield Nursing and Rehabilitation in Cary, NC has an overall rating of 1 out of 5 stars, with 1-star health inspection and 2-star staffing ratings despite 4-star quality measures. It reported 3.11 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $175,559 in fines in the last 24 months along with a recent federal penalty.
Health inspections
Staffing
3.1067 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1067.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 692 — 42 CFR §483.25(g) — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal fine of $17,345 was recorded.
Health inspection found 4 health deficiencies.
A federal fine of $158,214 was recorded.
Health inspection found 5 health deficiencies.
On record with Medicare: 3 fines · $201,978 in total fines.
Federal fine
Feb 28, 2025
Federal fine
Nov 22, 2024
Federal fine
Jun 29, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
