Assisted Living
Highlands Senior Living
2270 Oakland Road, Forest City, NC 28043 · Map
Licensed for 44 residents · Highlands Senior Living LLC
Highlands Senior Living is a state-licensed assisted living community in Forest City, North Carolina. It is licensed for 44 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last state inspection: Jun 25, 2026. See the record
License
Active, 44 residents
Adult Care Home HAL-081-054. Licensee Highlands Senior Living LLC.
Nearest emergency room
5.4 miles
Rutherford Regional Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Highlands Senior Living this community | 44 | Not published | Active | DHSR star rating 0 stars, 0 Type A, 0 Type B | |
| Lisa's Family Care Home #2 | 0.6 mi | 6 | Not published | Active | DHSR star rating 4 stars, 0 Type A, 0 Type B |
| Sunnyside Retirement Home | 1.5 mi | 34 | Not published | Active | DHSR star rating 2 stars, 0 Type A, 0 Type B |
| Brookdale Forest City | 2.3 mi | 76 | $4,835/mo | Active | DHSR star rating 3 stars, 0 Type A, 0 Type B |
| Oakland Living Center | 2.4 mi | 40 | Not published | Active | DHSR star rating 3 stars, 0 Type A, 0 Type B |
State inspection recordDHSR star rating 0 stars, 0 Type A, 0 Type B
- DHSR star rating
- 0 stars, score 49.00 issued August 12, 2026 after an annual inspection
- Last state inspection
- June 25, 2026 (ACLS Annual and Follow-up)
- Inspections posted since October 15, 2023
- 4, 0 with no deficiencies cited
- Type A1 violations
- 0 death or serious harm, abuse, neglect or exploitation
- Type A2 violations
- 0 substantial risk of those
- Type B violations
- 0 detrimental to health, safety or welfare
- Other rules not met
- 4
- Penalties (last 36 months)
- None
3 reports could not be read automatically; the counts above leave them out. Open them on the state’s site.
Inspections since October 15, 2023
- June 25, 2026: ACLS Annual and Follow-up, deficiencies cited. Report
- September 9, 2025: Constr Complaint, deficiencies cited. Report
- May 28, 2024: ACLS Annual and Follow-up, deficiencies cited. Report
- November 21, 2023: ACLS Complaint, 4 other rules not met. Report
Other rules found not met
- Application of physical plant requirements
- Residents' rights under state law (G.S. 131D-21) must be protected
- Medications and treatments must be given as ordered by the prescriber
- Accounting for resident's personal funds
Read every report on the state’s site → · DHSR star rating worksheet
What these terms mean
The DHSR star rating is the state's rating, not ours. DHSR: each facility “begins with a base score of 100 points. Based on the facility's compliance or non-compliance with rule areas during inspections, the facility earns merit or demerit points which are added or subtracted from the 100 base points.” Scale: 4 stars = 100 or more points on two consecutive annual surveys; 3 stars = 90.0 to 99.9 points (or 100 or more on one annual inspection); 2 stars = 80.0 to 89.9; 1 star = 70.0 to 79.9; 0 stars = 69.9 or lower.
DHSR: “months will typically pass between inspections and much could change for the better or worse in a facility between inspections. Therefore, it is advised that consumers visit the facility themselves before making such an important decision.”
Type A1 violation: “a violation by a facility of applicable laws and regulations governing a facility which results in death or serious physical harm, abuse, neglect, or exploitation of a resident.”
Type A2 violation: “a violation by a facility of applicable laws and regulations governing the licensure of a facility which results in substantial risk that death or serious physical harm, abuse, neglect, or exploitation will occur.”
Type B violation: “a violation by a facility of applicable laws and regulations governing a facility which is detrimental to the health, safety, or welfare of any resident, but which does not result in substantial risk that death or serious physical harm, abuse, neglect, or exploitation will occur.” There is no fine for a Type B violation; an “Unabated B” is one not corrected within 45 days, which can be fined up to $400 a day.
A deficiency cited without a violation type is a rule not met that DHSR did not classify as a Type A or Type B violation.
IDR pending means the facility asked for Informal Dispute Resolution, “a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection.”
DHSR posts Statements of Deficiencies for inspections since November 1, 2014 where deficiencies were found; inspections with no deficiencies are listed as “No Deficiencies Cited” without a report. Violation counts cover inspections since October 15, 2023 and are read from DHSR’s reports; penalties cover the last 36 months. This home is licensed for 44 residents; larger homes are inspected and reported on more often, so read counts with size in mind. Source: North Carolina Division of Health Service Regulation, Adult Care Licensure Section, data as of October 15, 2026. Always visit in person and ask the community and the county Department of Social Services adult home specialist about anything listed here.
License and ownershipActive license, licensee Highlands Senior Living LLC
- License type
- Adult Care Home
- License number
- HAL-081-054
- License status
- Active
- Licensed capacity
- 44
- Licensee
- Highlands Senior Living LLC
- County
- Rutherford County
Source: North Carolina state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in North Carolina, and other programs
How Medicaid pays for care in North Carolina
- NC Medicaid Personal Care Services (PCS). Yes. NC Medicaid's Personal Care Services benefit covers hands-on personal care for eligible residents of licensed adult care homes. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 5.4 mi, nursing home 0.8 mi, pharmacy 2.4 mi
- Nearest hospital with an emergency room
- Rutherford Regional Medical Center, Rutherfordton. 5.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Fair Haven of Forest City, LLC, Forest City. 0.8 miles away, straight line.
- Nearest home health agency office
- Carolina Home Care, Spindale. 5.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 2.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28043 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Dialysis Care Of Rutherford County, Forest City, 2.8 miles away, straight line (CMS rating 3 of 5 stars)
Dci - Dialysis Clinic, Inc, Shelby, 13.4 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 28043.
Via Health Partners - Cleveland, office in Shelby, 22.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of The Carolina Foothills, office in Saluda, 24.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Prisma Health University Medical Group, Duncan. 31.9 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in June 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| North Carolina Division of Health Service Regulation, Adult Care Licensure Section inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Highlands Senior Living provide?
Highlands Senior Living is licensed by the state of North Carolina for assisted living in Forest City, North Carolina. Its licensed capacity is 44 residents.
Does Lilisity rate Highlands Senior Living?
No. We publish state licensing details for Highlands Senior Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Highlands Senior Living cost?
Assisted Living in North Carolina typically starts at $3,700 to $6,000 a month. Based on 100 communities that publish prices. These are area figures, not this community's price. Highlands Senior Living does not publish its prices.
How do I contact Highlands Senior Living?
Visit Highlands Senior Living at 2270 Oakland Road, Forest City, NC 28043.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid