F

Highfield Nursing and Rehabilitation

6590 Tryon Road, Cary, NC 27518
Score: 9 / 100

With a score of 9/100, Highfield Nursing And Rehabilitation ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Highfield Nursing And Rehabilitation, with 3.19 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 25 deficiencies at Highfield Nursing And Rehabilitation, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.19 3.8 Below Average
Registered Nurses (RN) 0.45 0.7 Below Average
Licensed Practical Nurses (LPN) 0.98 0.7 Above Average
Certified Nursing Assistants (CNA) 1.76 2.4 Below Average
Weekend Total Nursing 2.79 3.8 Below Average
Weekend RN Hours 0.36 0.7 Below Average

🔍 Inspection & Deficiency History

25
Total Deficiencies
Feb 27, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 18 Moderate 🔴 5 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Feb 27, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Feb 27, 2025 · Resident Rights Deficiencies
  • Tag 0806 Severity D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing
    Feb 27, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0807 Severity D
    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydr
    Feb 27, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0580 Severity J
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Nov 21, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.9% 4.5% Worse
Falls with major injury 6.1% 3.0% Worse
On antipsychotic medication 6.2% 14.5% Better
Urinary tract infections 2.4% 2.5% Average
ADL decline (daily activities) 13.0% 14.0% Average
Excessive weight loss 9.6% 7.5% Worse
New/worsened incontinence 32.3% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $201,978

How This Grade Was Calculated

This facility's grade of F is based on a score of 9 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 21, 2024
Deficiencies (Cycle 1)
5