Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC 27518
Highfield Nursing and Rehabilitation is a nursing home in Cary, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (919) 851-8000
- Last standard health inspection
- March 26, 2026 (7 months ago)
- Certified beds
- 120
- Residents per day, on average
- 102.9
- Ownership type
- For profit - Corporation
- Legal business name
- 6590 Tryon Road Opco LLC
- Chain
- Avardis Health
- Takes part in
- Medicare and Medicaid
More health citations than the North Carolina average (20 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Ownership
CMS lists this home under a new chain.
2 citations
Health inspection on March 26, 2026
CMS lists this as a standard inspection and a complaint inspection.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 13, 2026.
CMS has cited this home for F0584 2 times since 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 13, 2026.
13 citations
Fire safety inspection on March 26, 2026
CMS lists this as a standard inspection.
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0222 2 times since 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 17, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0372 2 times since 2024.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on September 17, 2026.
CMS has cited this home for K0511 2 times since 2024.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0521 3 times since 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on August 8, 2026.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0321 3 times since 2023.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 17, 2026.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 17, 2026.
CMS has cited this home for K0345 2 times since 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0363 3 times since 2023.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0712 2 times since 2024.
Citation K0751. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of flammable curtains.
CMS lists it as corrected on August 8, 2026.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 8, 2026.
CMS has cited this home for K0918 2 times since 2024.
CMS update of March 25, 2026
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of January 14, 2026
Name
CMS lists a new name for this home. It was Cary Health And Rehabilitation.
CMS update of November 20, 2025
Name
CMS lists a new legal business name for this home.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Fine
CMS changed the fine from February 28, 2025 from $26,685 to $17,345.
CMS update of May 28, 2025
CMS abuse icon
CMS added its abuse icon to this home.
Fine
CMS changed the fine from November 22, 2024 from $158,041 to $158,213.
CMS update of April 30, 2025
Fine
CMS changed the fine from November 22, 2024 from $243,140 to $158,041.
4 citations
Health inspection on February 28, 2025
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
64 of 419 North Carolina homes (15%) got a citation at the immediate jeopardy level in 2025.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on February 8, 2025.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2025.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on March 20, 2025.
Citation F0807. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
CMS lists it as corrected on March 20, 2025.
Fine
February 28, 2025 (1 year ago)
CMS fine of $17,345 on February 28, 2025.
CMS update of February 26, 2025
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
5 citations
Health inspection on November 22, 2024
CMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
88 of 419 North Carolina homes (21%) got a citation at the immediate jeopardy level in 2024.
Citation F0580. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on December 18, 2024.
Citation F0684. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 18, 2024.
Citation F0692. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on December 18, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on December 18, 2024.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on December 18, 2024.
11 citations
Fire safety inspection on November 22, 2024
CMS lists this as a standard inspection.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 14, 2025.
Citation K0351. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 14, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 14, 2025.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on April 14, 2025.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on April 14, 2025.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 14, 2025.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 14, 2025.
Citation K0281. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on April 14, 2025.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on April 14, 2025.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 14, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 14, 2025.
Fine
November 22, 2024 (1 year ago)
CMS fine of $158,214 on November 22, 2024.
1 citation
Health inspection on October 24, 2024
CMS lists this as a complaint inspection.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on July 20, 2024.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
7 citations
Health inspection on June 27, 2024
CMS lists this as a complaint inspection.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 24, 2024.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 24, 2024.
Citation F0835. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on July 24, 2024.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on July 24, 2024.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on June 20, 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on July 24, 2024.
Citation F0657. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on July 24, 2024.
CMS update of January 31, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
1 citation
Health inspection on November 8, 2023
CMS lists this as a standard inspection.
Citation F0578. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 6, 2023.
9 citations
Fire safety inspection on November 8, 2023
CMS lists this as a standard inspection.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on February 21, 2024.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on February 21, 2024.
Citation K0915. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper power supply for life support equipment.
CMS lists it as corrected on February 21, 2024.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on February 21, 2024.
Citation K0293. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on February 21, 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 21, 2024.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on February 21, 2024.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 21, 2024.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on February 21, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CARY PARENTCO LLCDirect ownership interest · not applicable · since 06/01/2025
- NCOP HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- NU C II IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 06/01/2025
- NU C IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 06/01/2025
- SNF CARE CENTERS LLCIndirect ownership interest · not applicable · since 06/01/2025
- STR HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- ZENITH HOLDCO II LLCIndirect ownership interest · not applicable · since 06/01/2025
- ZENITH HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- SNF MGR LLCOperational/managerial control · not applicable · since 06/01/2025
- BROWN, DONALDOperational/managerial control · not applicable · since 09/15/2025
- CARTER, DEBBIEOperational/managerial control · not applicable · since 08/31/2025
- GHANNAM, WASEEMOperational/managerial control · not applicable · since 02/20/2026
- HOBACK, TIFFANYOperational/managerial control · not applicable · since 06/01/2025
- HOUSTON, INGRIDOperational/managerial control · not applicable · since 08/16/2025
- JONES, TEQUILLAOperational/managerial control · not applicable · since 06/01/2025
- MORGAN, DANIELOperational/managerial control · not applicable · since 06/01/2025
Questions
When was Highfield Nursing and Rehabilitation last inspected?
CMS lists March 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Highfield Nursing and Rehabilitation have?
CMS lists 20 health citations since November 8, 2023. CMS also calls these deficiencies.
Has Highfield Nursing and Rehabilitation been fined?
CMS lists 2 fines in the past three years, $175,559 in total.
What is the CMS star rating of Highfield Nursing and Rehabilitation?
Its CMS overall star rating is 1 of 5.
Is Highfield Nursing and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.