Highland House Rehabilitation and Healthcare
1700 Pamalee Drive, Fayetteville, NC 28301
Fayetteville, North Carolina · CMS verdict
Highland House Rehabilitation and Healthcare reflects below-average quality on the federal five-star scale, below the North Carolina 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.
Highland House Rehabilitation and Healthcare in Fayetteville, North Carolina holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 25 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 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 star rating shown at the top of the page. How this is calculated.
How the 25 is built
Each segment is a dimension's weighted points toward the score, summing to 25.
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.
Highland House Rehabilitation and Healthcare's lower-tercile CMS stars
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Highland House Rehabilitation and Healthcare on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the North Carolina average below.
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 Fayetteville, North Carolina. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 81%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within North Carolina, Highland House Rehabilitation and Healthcare is one of 177 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.7 stars, ahead of roughly 0% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied 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 Highland House Rehabilitation and Healthcare'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 Highland House Rehabilitation and Healthcare ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Highland House Rehabilitation and Healthcare’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 | 106 |
| Residents | 86 |
| Ownership | For profit - Corporation |
| County | Cumberland |
| Penalties | 2 |
| Deficiencies | 24 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Highland House Rehabilitation and Healthcare? ▾
Highland House Rehabilitation and Healthcare has an overall CMS quality rating of 1 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the North Carolina average in the chart on this page.
How much does a nursing home cost per month in North Carolina? ▾
The median cost for a semi-private nursing home room in North Carolina is $9,733 per month ($116,800 annually). A private room averages $10,798 per month. Costs are from the CareScout 2025 survey.
What services does Highland House Rehabilitation and Healthcare offer? ▾
CMS classifies Highland House Rehabilitation and Healthcare as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Highland House Rehabilitation and Healthcare have any deficiencies or penalties? ▾
Highland House Rehabilitation and Healthcare has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. 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: 345353.
Read our methodology - how this data is sourced, computed, and verified.