Highfield Nursing And Rehabilitation
Cary, Wake County, North Carolina · CCN 345403 · For-profit (Corporation) · part of Avardis Health (38 facilities, chain average 2 stars)
CMS rates Highfield Nursing And Rehabilitation 1 of 5 overall as of August 2026. 120 certified beds, 105 residents a day on average. 20 citations on record from the current inspection cycles, 4 at immediate jeopardy; 2 fines totalling $175,559.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | CMS withheld this rating (footnote 25) |
|---|---|
| Nursing staff turnover | 53.2% (registered nurses 66.7%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-26 complaint survey |
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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-13 |
| 2026-03-26 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-13 |
| 2025-02-28 complaint survey |
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 · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-02-08 |
| 2025-02-28 complaint survey |
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 · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2025-02-28 complaint survey |
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 · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2025-02-28 complaint survey |
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 · tag F0807 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2024-11-22 complaint survey |
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 · tag F0580 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-10-24 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-07-20 |
| 2024-06-27 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-24 |
| 2024-06-27 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-24 |
| 2024-06-27 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-24 |
| 2024-06-27 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-24 |
| 2024-06-27 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-06-20 |
| 2024-06-27 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-24 |
| 2024-06-27 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2024-07-24 |
| 2023-11-08 | 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. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-06 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-28 | Fine | $17,345 |
| 2024-11-22 | Fine | $158,214 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Fc Encore Cary, LLC Organization | 5% or greater security interest | — | 2025-05-01 |
| Fc Encore Cary, LLC Organization | adp of the snf | — | 2025-05-01 |
| Snf Mgr LLC Organization | adp of the snf | — | 2025-04-17 |
| Cary Parentco LLC Organization | direct ownership interest | — | 2025-06-01 |
| Ncop Holdco LLC Organization | indirect ownership interest | — | 2025-06-01 |
| Nu C II Irrevocable Trust Organization | indirect ownership interest | — | 2025-06-01 |
| Nu C Irrevocable Trust Organization | indirect ownership interest | — | 2025-06-01 |
| Snf Care Centers LLC Organization | indirect ownership interest | — | 2025-06-01 |
| Str Holdco LLC Organization | indirect ownership interest | — | 2025-06-01 |
| Zenith Holdco II LLC Organization | indirect ownership interest | — | 2025-06-01 |
| Zenith Holdco LLC Organization | indirect ownership interest | — | 2025-06-01 |
| Snf Mgr LLC Organization | operational/managerial control | — | 2025-05-01 |
| Hoback, Tiffany Individual | adp of the snf | — | 2025-05-01 |
| Jones, Tequilla Individual | adp of the snf | — | 2025-05-01 |
| Morgan, Daniel Individual | adp of the snf | — | 2025-05-01 |
| O Brien, Patrick Individual | adp of the snf | — | 2025-05-01 |
| O'Quinn, Vickie Individual | adp of the snf | — | 2025-05-01 |
| Salter, Jon Individual | adp of the snf | — | 2025-05-01 |
| Hoback, Tiffany Individual | managing control - governing body | — | 2025-05-01 |
| Morgan, Daniel Individual | managing control - governing body | — | 2025-05-01 |
| Hoback, Tiffany Individual | operational/managerial control | — | 2025-05-01 |
| Jones, Tequilla Individual | operational/managerial control | — | 2025-05-01 |
| Morgan, Daniel Individual | operational/managerial control | — | 2025-05-01 |
| O Brien, Patrick Individual | operational/managerial control | — | 2025-05-01 |
| O'Quinn, Vickie Individual | operational/managerial control | — | 2025-05-01 |
| Salter, Jon Individual | operational/managerial control | — | 2025-05-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Highfield Nursing And Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Wake County.