The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Highfield Nursing and Rehabilitation
Cary, NC · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Highfield Nursing and Rehabilitation in Cary, NC has a 1 of 5 overall rating, with very low staffing (1 of 5 stars and 3.13 hours per resident day versus the 4.1 benchmark) and a recent federal penalty; it also has $175,559 in fines over the last 24 months. Health inspections are 2 of 5 stars, while quality measures are higher at 4 of 5 stars.
Facility ratings
Health inspections
Staffing
3.1285 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $175,559recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1285.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.96
- Nurse aides
- 1.84
- Weekend nursing
- 2.73
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.9%7.1%Worsening
Residents with a fall causing major injury
4.1%2.4%Improving
Residents with pressure ulcers (bedsores)
5.1%4.1%Improving
Residents with a urinary tract infection
2.7%0%Improving
Residents who lost too much weight
4.8%11.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%21.2%Worsening
Residents whose ability to walk got worse
7.3%28.7%Worsening
Long-stay residents on antianxiety or sleep medication
14.3%8.8%Improving
Short-stay residents newly given an antipsychotic
0%1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25.9%44.9%Worsening
Residents with depressive symptoms
5.9%6.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89%—
Long-stay residents given the pneumonia vaccine
23%74.4%Improving
Short-stay residents given the seasonal flu vaccine
—19.3%—
Short-stay residents given the pneumonia vaccine
4.4%20.9%Improving
What the inspectors found
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: J
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $158,214 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $175,559 in total fines.
- $17,345
Federal fine
Feb 28, 2025
- $158,214
Federal fine
Nov 22, 2024
Operator & ownership
Recent ownership change · Jun 1, 2025
Now operated by Highfield Nursing and Rehabilitation, previously Cary Health and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of AVARDIS HEALTH · 38 homes · 2 stars avg
- Occupancy
- 104.6 residents on an average day (87% of 120 beds)
- Medicare history
- Certified for 34 years
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.