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Highland House Rehabilitation and Healthcare

⌖ Fayetteville, NC · Cumberland County
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Medicare overall rating 2 of 5 stars
Certified beds106
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About Highland House Rehabilitation and Healthcare

Highland House Rehabilitation and Healthcare is a 106-bed for-profit nursing home in Fayetteville, NC. Medicare rates it 2 out of 5 stars overall (below average); the average in North Carolina is 2.9.

  • Inspections: 6 problems at its last full inspection (Mar 2026), more than the North Carolina average of 4.7. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 30 min a day with each resident, about the same as the North Carolina average of 3 hr 51 min. About 68% of nursing staff left in the past year.
  • Fines: no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameHighland House Rehabilitation And Healthcare
LocationCumberland County, North Carolina
Address1700 Pamalee Drive, Fayetteville, NC 28301 · Cumberland County
Medicare provider number345353
Ownership typeFor-profit (limited liability company)
Operating companyLiberty Senior Living · 37 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMarch 5, 1991 (35 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections3 of 5Average
Quality measures2 of 5Below average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since Mar 2026No citations for actual harm or immediate jeopardy since Mar 2026.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Nurse staffing per resident3 hr 30 min a dayNorth Carolina average: 3 hr 51 min
    About average

Things to ask about

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  • Health citations at last inspection6 (Mar 2026)North Carolina average: 4.7.
    Worse than state average
  • Registered nurse time per resident17 min a dayNorth Carolina average: 37 min
    Worse than state average
  • Nursing staff turnover68% a yearNorth Carolina average: 49%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Carolina average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 1 of 5 (much below average)

  • Sent back to the hospital34.7%State average: 22.9%
    Worse than average
  • Needed an emergency room visit20.3%State average: 12.9%
    Worse than average
  • Newly given antipsychotic drugs1.3%State average: 1.4%
    About average

Physical therapist time: about 1 minute a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 5 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury0.4%State average: 3.5%
    Better than average
  • Pressure sores (bedsores)4.4%State average: 5.5%
    Better than average
  • Given antipsychotic drugs18.4%State average: 14.0%
    Worse than average

Source: Medicare (CMS) quality measures, compared with the North Carolina average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In North Carolina, Medicaid pays for 64% of resident days at a typical home.

  • 61% Medicaid
  • 6% Medicare
  • 33% Private pay, insurance and other
Beds in use, on average55%North Carolina typical: 82%
Facility operating cost per resident day$311North Carolina typical: $346

Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, up from 1 star in January 2019. It has ranged from 1 to 4 stars and changed 10 times.

Overall rating2★
Health inspections3★
Staffing1★
Quality of care2★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201912315.1
Jan 202034214.1
Jan 202144–24.4
Jan 202213112.7
Jan 202312113.4
Jan 202412113.7
Feb 202513113.5
Feb 202613113.1
Sep 202623123.5

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.