GoodStanding

Nursing home report

Highland House Rehabilitation and Healthcare

Fayetteville, NC · Medicare-certified · 106 beds

In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Highland House Rehabilitation and Healthcare in Fayetteville has a 2-star overall rating, with a 1-star staffing rating and 3.50 nurse hours per resident per day versus the 4.1-hour federal benchmark. It has no fines in the last 24 months, but recent inspection citations included care for bowel/bladder issues and catheter care, maintaining a safe and clean environment, and protecting residents' belongings or money.

Facility ratings

Health inspections

Staffing

3.4967 hrs/resident/day

Quality measures

Last inspection: March 13, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4967.

Staffing detail

Registered nurses
0.28
Licensed practical nurses
1.02
Nurse aides
2.20
Weekend nursing
3.18

Hours per resident per day.

Total staff turnover: 68%
Registered nurse turnover: 83%

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

18.4%17.3%Improving

Residents with a fall causing major injury

1.6%0%Improving

Residents with pressure ulcers (bedsores)

5.6%6.2%Worsening

Residents with a urinary tract infection

6.6%2.5%Improving

Residents who lost too much weight

1.8%8.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

27.3%12.5%Improving

Residents whose ability to walk got worse

16.3%

Long-stay residents on antianxiety or sleep medication

12.7%17.9%Worsening

Short-stay residents newly given an antipsychotic

1.3%1.4%No change

Residents with a long-term catheter

2.2%1%Improving

Residents with new or worsening incontinence

23.1%25.4%Worsening

Residents with depressive symptoms

0%0%No change

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

82.4%

Long-stay residents given the pneumonia vaccine

75.4%72.2%Worsening

Short-stay residents given the seasonal flu vaccine

61.5%

Short-stay residents given the pneumonia vaccine

81.6%83.7%Improving

What the inspectors found

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: D

The home failed to protect residents from the wrongful use of their belongings or money. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 602 — 42 CFR §483.12 — S/S: D

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: D

The nursing home failed to make sure a resident could get needed vision and hearing services. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 685 — 42 CFR §483.25 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Oct 1, 2022

Now operated by Highland House Rehabilitation and Healthcare, previously Highland House Rehabilitation & Healthcare.

Ownership
For profit - Limited Liability company
Chain
Part of LIBERTY SENIOR LIVING · 37 homes · 2.8 stars avg
Occupancy
97 residents on an average day (92% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.