Unc Rex Rehab & Nursing Care Center of Apex
Apex · 5.0 mi · 107 beds
Citations0Substantiated0
Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC, 27518
Nursing home120 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 2 deficiencies against Highfield Nursing and Rehabilitation in Cary, North Carolina at its most recent standard inspection on 2026-03-26, 1 of them arising from complaints. 4 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $175,559. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
120certified beds
2deficiencies at the last inspection
4immediate-jeopardy findings on record
0actual-harm findings on record
2federal fines, $175,559
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.4
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.15
Potential for minimal harmThe least serious band.1
Most recentEDJDDDJJJDDDEEEDDDBE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0584 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm
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 · F0600 · 2025-02-28 · from a complaint · Immediate jeopardy to resident health or safety
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 · F0584 · 2025-02-28 · from a complaint · No actual harm, potential for more than minimal 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 · F0806 · 2025-02-28 · from a complaint · No actual harm, potential for more than minimal 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 · F0807 · 2025-02-28 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0580 · 2024-11-22 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-11-22 · from a complaint · Immediate jeopardy to resident health or safety
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2024-11-22 · from a complaint · Immediate jeopardy to resident health or safety
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2024-10-24 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-06-27 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-06-27 · from a complaint · No actual harm, potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2024-06-27 · from a complaint · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2024-06-27 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2024-06-27 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0655 · 2024-06-27 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0657 · 2024-06-27 · from a complaint · No actual harm, potential for minimal harm
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 · F0578 · 2023-11-08 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.12852
Nursing staff turnoverShare of nursing staff who left in a year53.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$175,559
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Highfield Nursing and Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CARY PARENTCO LLC | Organization | NOT APPLICABLE | since 06/01/2025 |
| NCOP HOLDCO LLC | Organization | NOT APPLICABLE | since 06/01/2025 |
| NU C II IRREVOCABLE TRUST | Organization | NOT APPLICABLE | since 06/01/2025 |
| NU C IRREVOCABLE TRUST | Organization | NOT APPLICABLE | since 06/01/2025 |
| SNF CARE CENTERS LLC | Organization | NOT APPLICABLE | since 06/01/2025 |
| STR HOLDCO LLC | Organization | NOT APPLICABLE | since 06/01/2025 |
| ZENITH HOLDCO II LLC | Organization | NOT APPLICABLE | since 06/01/2025 |
| ZENITH HOLDCO LLC | Organization | NOT APPLICABLE | since 06/01/2025 |
| FC ENCORE CARY, LLC | Organization | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Individual | NOT APPLICABLE | since 05/01/2025 |
| MORGAN, DANIEL | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | Organization | NOT APPLICABLE | since 05/01/2025 |
Part of the AVARDIS HEALTH group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Pruitthealth-raleigh
Raleigh · 5.2 mi · 150 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345403.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction