Highland House Rehabilitation and Healthcare

1700 Pamalee Drive · Fayetteville, NC · 28301 · 9104882295

106 certified beds For profit - Limited Liability company Chain: Liberty Senior Living

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 100
Staffing 20% 52
Federal penalties 15% 100
Trend 10% 71
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day3.03≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)none

Inspection citations (15 in the current record)

  • Potential for harm · D March 13, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 13, 2026 · found via complaint

    Assist a resident in gaining access to vision and hearing services.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2026 · found via complaint

    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.

    Corrected April 10, 2026 · Resident Rights

  • Potential for harm · D March 13, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D December 19, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected January 21, 2025 · Resident Rights

  • Potential for harm · D December 19, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 21, 2025 · Resident Rights

  • Potential for harm · D December 19, 2024 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected January 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 19, 2024 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 19, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 21, 2025 · Quality of Life and Care

  • No harm found · B December 19, 2024 · found via complaint

    Honor the resident's right to manage his or her financial affairs.

    Corrected January 22, 2025 · Resident Rights

  • Potential for harm · D August 24, 2023 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected September 19, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E August 24, 2023 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 19, 2023 · Quality of Life and Care

  • Potential for harm · D June 14, 2023 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected June 30, 2023 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345353 · certified since March 5, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.