Home›Browse›North Carolina›Cary›Highfield Nursing and Rehabilitation

Nursing homeFAID #9144

Highfield Nursing and Rehabilitation

6590 TRYON ROAD, CARY, NC, 27518

(919) 851-8000

www.highfieldnursing.com

120 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

6590 Tryon Road

Cary, NC 27518

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Public record summary

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Bed capacity

120

CMS facility ID

345403

Care type

Nursing home

County

Wake

Facility name

Highfield Nursing and Rehabilitation

Street address

6590 TRYON ROAD

City / state / ZIP

Cary, NC 27518

Phone

(919) 851-8000

Website

www.highfieldnursing.com

About this facility — Highfield Nursing and Rehabilitation

Highfield Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Cary, North Carolina. It is licensed for 120 beds — above the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 29 senior care facilities in Cary and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Highfield Nursing and Rehabilitation 53 times across 11 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $175,559 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avardis Health

Ownership type

For profit - Corporation

Registered owners & officers

Cary Parentco Llc

Direct owner — since 2025

Fc Encore Cary, Llc

Security-interest holder · Additional disclosable party — since 2025

Hoback, Tiffany

Governing body · Operational control · Additional disclosable party — since 2025

Jones, Tequilla

Operational control · Additional disclosable party — since 2025

Morgan, Daniel

Governing body · Operational control · Additional disclosable party — since 2025

Ncop Holdco Llc

Indirect owner — since 2025

Nu C Ii Irrevocable Trust

Indirect owner — since 2025

Nu C Irrevocable Trust

Indirect owner — since 2025

O Brien, Patrick

Operational control · Additional disclosable party — since 2025

O'quinn, Vickie

Operational control · Additional disclosable party — since 2025

Salter, Jon

Operational control · Additional disclosable party — since 2025

Snf Care Centers Llc

Indirect owner — since 2025

Snf Mgr Llc

Operational control · Additional disclosable party — since 2025

Str Holdco Llc

Indirect owner — since 2025

Zenith Holdco Ii Llc

Indirect owner — since 2025

Zenith Holdco Llc

Indirect owner — since 2025

Regulatory standing

Licensed / certified since

1991-09-24

CMS overall rating

1 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

$175,559 total

Last standard inspection

2026-03-26

Cost & payer profile (FY2023 cost report)

Average billed charges

$425 per day (≈ $12,920/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

73% Medicaid · 9% Medicare · 18% private/other

Occupancy

74% (fiscal year 2023)

Vs. state median

14% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-26Health inspectionComplaint-triggered2 citations

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2026-04-13

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-13

2025-02-28Health inspectionComplaint-triggered4 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2025-03-20

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-08

F-0806

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-03-20

F-0807

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2025-03-20

7 earlier / fire-safety inspections (47 citations)

2024-11-22Health inspectionComplaint-triggered5 citations

F-0580

J · Immediate jeopardyFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-18

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-12-18

F-0684

J · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-18

F-0692

J · Immediate jeopardyFrom a complaint

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-18

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-12-18

2024-10-24Health inspectionComplaint-triggered1 citation

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-20

2024-06-27Health inspectionComplaint-triggered7 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-24

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-07-24

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-20

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-07-24

F-0657

B · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-07-24

F-0677

E · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-24

F-0835

E · No harm foundFrom a complaint

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-07-24

2023-11-08Health inspection1 citation

F-0578

E · No harm found

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.

Corrected 2023-12-06

2026-03-26Fire-safety inspection13 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K-0324

D · No harm found

Provide properly protected cooking facilities.

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

K-0751

D · No harm found

Have restrictions on the use of flammable curtains.

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

2024-11-22Fire-safety inspection11 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-14

K-0281

D · No harm found

Install proper backup exit lighting.

Corrected 2025-04-14

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-14

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-04-14

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-14

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-04-14

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-14

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-14

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-14

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-04-14

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-14

2023-11-08Fire-safety inspection9 citations

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-02-21

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-21

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-21

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-21

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-02-21

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-02-21

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-21

K-0915

F · No harm found

Have proper power supply for life support equipment.

Corrected 2024-02-21

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-02-21

Federal penalties

2025-02-28Fine$17,345

2024-11-22Fine$158,214

Total fines$175,559

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345403.

Visitor reviews

What people say on Google.

3.841 ratings on Google

★★★★★Bernadette Woods · 2026-07-21 · via Google
“My loved one was a patient here at one point and the staff was very helpful and friendly. The spaciousness and cleanliness of her room was excellent and I was very impressed with the therapy she received. The Administrator as well as the DON where also very quick to respond to any and all questions when needed.”

★★★★★Mike Stevens · 2026-07-25 · via Google
“My loving niece lived at Highfield Nursing Home for over a year before passing. Each and every time I would visit her the facility was always clean, well organized and staff was helpful. My niece Janice spend the final days of her life very comfortable. Mike”

★★★★★Jennifer Cowell · 2026-06-22 · via Google
“I spent almost a year here, I started in the rehab side and moved to long term care due to my chronic illness. I left there on May 28th. There is good and bad here. The facility itself is old and in need of some major pest control and other repairs. The CNA Staff and nurses are top notch. There's a few that need to be weeded out but that is gonna happen everywhere. The facility changed management …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 53 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered