Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC 27518
Cary, North Carolina · CMS verdict
On the federal five-star scale, Highfield Nursing and Rehabilitation carries a 1 of 5 CMS overall rating, below-average quality that runs below North Carolina's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Highfield Nursing and Rehabilitation in Cary, North Carolina holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 34 of 100 (grade F). The 120-bed facility operates where a semi-private nursing-home room in North Carolina runs a median of $9,733 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 1/5 CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 34 is built
Each segment is a dimension's weighted points toward the score, summing to 34.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Highfield Nursing and Rehabilitation's lower-tercile CMS stars
Quality ratings
On Care Compare (data as of April 2026), Highfield Nursing and Rehabilitation carries an overall CMS quality rating of 1 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (1/5), staffing (3/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Cary, North Carolina, this facility operates 120 certified beds with an average daily census of roughly 94 residents - an occupancy rate of about 78%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 78% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within North Carolina, Highfield Nursing and Rehabilitation is one of 157 for profit - limited liability company nursing homes CMS rates. Its 1-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 0% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (25 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Highfield Nursing and Rehabilitation's lower-tercile stars compare to North Carolina
CMS five-star sub-ratings (0–5) for this facility against the North Carolina facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Carolina state average. Higher is better on all four CMS measures.
Where Highfield Nursing and Rehabilitation ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Highfield Nursing and Rehabilitation’s 1-star overall rating is higher than 0% of them. The bars show how all North Carolina homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
90 North Carolina homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 94 |
| Ownership | For profit - Limited Liability company |
| County | Wake |
| Penalties | 3 |
| Deficiencies | 25 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Highfield Nursing and Rehabilitation? ▾
1 out of 5 stars is Highfield Nursing and Rehabilitation's current CMS overall rating, built from a health inspection rating of 1/5, a staffing rating of 3/5, and a quality measures rating of 3/5.
How much does a nursing home cost per month in North Carolina? ▾
CareScout's 2025 survey puts North Carolina's median semi-private nursing home rate at $9,733 per month ($116,800 per year), with private rooms averaging $10,798 per month.
What services does Highfield Nursing and Rehabilitation offer? ▾
Highfield Nursing and Rehabilitation operates as a skilled nursing facility (120 beds with approximately 94 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 25 deficiencies and 3 penalties there.
Does Highfield Nursing and Rehabilitation have any deficiencies or penalties? ▾
Highfield Nursing and Rehabilitation has multiple deficiencies (25 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Carolina? ▾
In North Carolina, alternatives include assisted living ($6,496/mo), home health aides ($5,720/mo), and adult day care ($1,831/mo).
Keep reading
Also see the North Carolina elder-care overview and highest-rated states. Provider ID: 345403.
Read our methodology - how this data is sourced, computed, and verified.