Nursing HomeInspections

Highfield Nursing and Rehabilitation

Nursing home in Cary, NC

Medicare & Medicaid certified1★ overall (CMS)

Call (919) 851-8000Send a messageMap ↗

Public-record details

Address
6590 Tryon Road, Cary, NC 27518
Phone
(919) 851-8000
Listed under
For-profit
Medicare CCN
345403
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
105
Ownership
For-profit, corporation
Legal business name
6590 Tryon Road Opco LLC
Chain
Avardis Health (38 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 24, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 345403. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2023 to Mar 26, 2026): 16 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 26, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 26, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 28, 2025Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 28, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 28, 2025Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 28, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Nov 22, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 22, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated
Nov 22, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		J
Immediate jeopardy, isolated
Nov 22, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Nov 22, 2024Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Oct 24, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $175,559 in the last three years.

Feb 28, 2025Fine: $17,345
Nov 22, 2024Fine: $158,214

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Nursing staff turnover (yearly)
53%
RN turnover (yearly)
67%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Cary

Glenaire4000 Glenaire Circle · Cary, NC 27511 · (919) 460-8095 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection Dec 31, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Cary →