Nursing home
Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC 27518 · Map
For profit - Limited Liability company · Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities) · 120 certified beds
Highfield Nursing and Rehabilitation is a Medicare-certified nursing home in Cary, North Carolina. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.19 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Nov 22, 2024 cited 5 deficiencies.
- 3 fines totaling $201,978In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highfield Nursing and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.19 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.76 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 44.4% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 26, 2026 inspection was corrected by April 13, 2026
Penalties in CMS records: 3 fines totaling $201,978, 3 total penalties.
What inspectors found at Highfield Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 26, 2026 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Feb 28, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Feb 28, 2025 · Full report (PDF) - Immediate jeopardy
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Nov 22, 2024 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 22, 2024 · Full report (PDF) - Immediate jeopardy
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 24, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 6590 Tryon Road
Cary, NC 27518 - CMS certification #
- 345403
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 94.0
- Provider type
- Medicare and Medicaid
- First certified
- 1991-09-24
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities)
- Setting
- Urban
Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care operates 36 nursing facilities across the United States. View all Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highfield Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Wakemed, Cary Hospital, Cary. 0.8 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Swift Creek Health Center, Cary. 1.4 miles away, straight line.
- Nearest home health agency office
- Phc Home Health-Wake, Cary. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27518 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Cary Kidney Center, Cary, 0.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Fresenius Medical Care Morrisville, Cary, 5.9 miles away, straight line (CMS rating 4 of 5 stars)
Fmcna Southwest Wake Dialysis, Raleigh, 6.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 27518.
Transitions Lifecare, office in Raleigh, 4.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Heartland Hospice (Raleigh ), office in Raleigh, 11.0 miles away, straight line (CMS family survey rating 2 of 5 stars)
Duke Hospice, office in Durham, 14.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Wakemed Specialists Group LLC, Cary. 0.8 miles away, straight line. 2 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 risk
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 high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, 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.
What we checked
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 |
|---|---|---|
| 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 very 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 |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Highfield Nursing and Rehabilitation a good nursing home?
CMS gives Highfield Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highfield Nursing and Rehabilitation staffed?
Highfield Nursing and Rehabilitation reports 3.19 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Highfield Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Highfield Nursing and Rehabilitation have?
Highfield Nursing and Rehabilitation is certified for 120 beds.