Highfield Nursing and Rehabilitation
A nursing home in Cary, North Carolina 27518
6590 Tryon Road, Cary, North Carolina 27518. (919) 851-8000.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 2 health citations at the latest inspection cycle North Carolina average: 4.6
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
2 health citations at the latest inspection cycle
The North Carolina average is 4.6.
Last standard inspection Mar 26, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 28, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
19 citations in 5 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 20 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 26, 2026: standard inspection1 citation
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Provide and implement an infection prevention and control program.
Mar 26, 2026: standard and complaint inspection1 citation
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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.
Feb 28, 2025: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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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.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nov 22, 2024: standard inspection2 citations
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Ensure each resident receives an accurate assessment.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Nov 22, 2024: standard and complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide enough food/fluids to maintain a resident’s health.
Oct 24, 2024: complaint inspection1 citation
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Protect each resident from the wrongful use of the resident’s belongings or money.
Jun 27, 2024: complaint inspection7 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Keep residents’ personal and medical records private and confidential.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 8, 2023: standard inspection1 citation
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 24, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $175,559 in all.
- No Medicare payment denials in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 28, 2025 | Fine | $17,345 |
| Nov 22, 2024 | Fine | $158,214 |
Who does the caring?
| Measure | This home | North Carolina average |
|---|---|---|
| Nurse hours per resident per day | Not given | 3.87 |
| Of which registered nurses | Not given | 0.62 |
| At weekends | Not given | 3.40 |
| Nursing staff turnover | 48.1% | 48.7% |
| Registered nurse turnover | 66.7% | 45.7% |
| Administrators who left | 2 | Not given |
Who owns it?
- Cary Parentco LLC owns 100% directly since Jun 1, 2025.
- SNF Mgr LLC runs it.
- 16 owners or officers are people: Donald Brown (runs it (operational or managerial control)); Donald Brown (additional disclosable party (controls, leases property to, or provides services to the home)); Ingrid Houston (runs it (operational or managerial control)); Ingrid Houston (additional disclosable party (controls, leases property to, or provides services to the home)); Waseem Ghannam (runs it (operational or managerial control)); Waseem Ghannam (additional disclosable party (controls, leases property to, or provides services to the home)); Debbie Carter (runs it (operational or managerial control)); Debbie Carter (additional disclosable party (controls, leases property to, or provides services to the home)); Tiffany Hoback (runs it (operational or managerial control)); Tiffany Hoback (on the governing body (managing control)); Tiffany Hoback (additional disclosable party (controls, leases property to, or provides services to the home)); Tequilla Jones (runs it (operational or managerial control)); Tequilla Jones (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Morgan (runs it (operational or managerial control)); Daniel Morgan (on the governing body (managing control)); Daniel Morgan (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avardis Health (38 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ncop Holdco LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| SNF Care Centers LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Zenith Holdco II LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Zenith Holdco LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Cary Parentco LLC | Owns a share directly | 100% | Jun 1, 2025 |
| Str Holdco LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Nu C II Irrevocable Trust | Owns a share through other companies | 50% | Jun 1, 2025 |
| Nu C Irrevocable Trust | Owns a share through other companies | 50% | Jun 1, 2025 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 17, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 17, 2025 | |
| SNF Mgr LLC | Runs it (operational or managerial control) | Jun 1, 2025 | |
| SNF Mgr LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 9, 2026 | |
| Fc Encore Cary, LLC | Holds 5% or more security interest | Jun 1, 2025 | |
| Fc Encore Cary, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 17, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (North Carolina average 3.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 10.5 miles, this one had the 4th most health citations at the latest inspection cycle (2; the middle value was 2).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Highfield Nursing and Rehabilitation This nursing home | 2 | |
| Glenaire | 2.5 | 4 |
| UNC Rex Rehab & Nursing Care Center of Apex | 4.9 | 0 |
| Pruitthealth-Raleigh | 5.2 | 7 |
| Rex Rehab & Nursing Care Center | 6.2 | 1 |
| Raleigh Rehabilitation Center | 7.5 | 3 |
| Bloomsbury at Hayes Barton Place | 7.7 | Not given |
| Hillcrest Raleigh at Crabtree Valley | 7.8 | 2 |
| The Laurels of Forest Glenn | 8.3 | 2 |
| The Cardinal at North Hills | 9.7 | 2 |
| Windsor Point Continuing Care | 10.1 | 0 |
| Bellarose Nursing and Rehab | 10.5 | 0 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.