Home / North Carolina / Fayetteville
Highland House Rehabilitation and Healthcare
1700 Pamalee Drive, Fayetteville, NC 28301 · Cumberland County · (910) 488-2295
106 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345353 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 13, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 12 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.50 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
68.4% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Liberty Senior Living, an affiliated group of 37 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
010/23
612/24
603/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
1B
0C
March 13, 2026Standard inspection, Complaint inspection · 6 citations
- D 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.
Inspectors wroteBased on observations, resident, and staff interviews, the facility failed to maintain two bathroom floors and door frames in good repair and to ensure one of the bathrooms was free of odor which affected 3 residents (Resident #51, Resident #65, and Resident #10) on 1 of 3 halls reviewed for clean, comfortable and homelike environment (A hall).
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review and interviews with resident and staff, the facility failed to protect the residents' right to be free from misappropriation for 3 of 6 residents (Residents #60, #10, and #45) reviewed for misappropriation of property. Resident #60's Oxycodone (narcotic pain medication) was misappropriated and Resident #10's and Resident #45's Healthcare Spending Cards (health insurance cards with monthly monetary benefits that can be utilized for purchasing approved food items and over-the-counter products) were taken by the Activities Assistant without their knowledge and used for her own personal purchases.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to code the Minimum Data Set (MDS) accurately in the areas of falls and restraints for 3 of 20 residents reviewed for MDS accuracy (Resident #54, #100, and #6).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on record review, and interviews with staff, contracted Transportation Aide, and Medical Director, the facility failed to reschedule an eye appointment for 1 of 3 residents reviewed for vision services (Resident #9).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, and staff, Wound Physician Assistant and Medical Director interviews the facility failed to initiate wound treatment for 4 days upon admission for a resident who was admitted with a pressure ulcer. This was for 1 of 3 residents reviewed for pressure ulcers (Resident #114).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and resident and staff interviews, the facility failed to secure smoking materials (cigarettes/lighters) for 1 of 3 residents reviewed for smoking (Resident #47).
December 19, 2024Standard inspection, Complaint inspection · 6 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review and interviews of the staff, a family member, and the resident, the facility failed to honor a dependent resident's preference for a shower and provided a bed bath instead (Resident #62). This deficient practice affected 1 of 3 sampled residents.
- D 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.
Inspectors wroteBased on record review and interview of the resident and staff, the facility failed to complete and provide a written grievance when a resident reported an error on his facility trust fund account statement. This deficient practice affected 1 of 4 residents reviewed for grievances (Resident #24).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) Assessment in the area of feeding tubes for 1 of 23 residents reviewed for MDS accuracy (Resident #6).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete a Preadmission Screening and Resident Review (PASRR) application for a resident with newly evident mental health diagnosis for 1 of 2 sampled residents reviewed for PASRR. (Resident #3)
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, and interview of the resident and staff, the facility failed to provide a dependent resident nail care (Resident #23). This deficient practice affected 1 of 3 sampled residents.
- B Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on record review and interviews of the resident, staff, and Department of Social Services, the facility failed to manage a resident's facility trust fund account when a billing discrepancy was discovered regarding the resident's patient monthly liability (PML) for February 2024. This deficient practice affected 1 of 1 resident reviewed for personal funds (Resident #24).
October 25, 2023Standard inspection · 0 citations
Fire safety inspections
18 fire safety citations on file: 7 on December 19, 2024, 3 on October 25, 2023, 8 on June 24, 2022.
Every fire safety citation18 citations
- D Have properly located and lighted "Exit" signs.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have proper medical gas storage and administration areas.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have proper power supply for life support equipment.
- D Install corridor and hallway doors that block smoke.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have properly located and lighted "Exit" signs.
- D Inspect, test, and maintain automatic sprinkler systems.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.50 | 3.85 | 3.86 |
| Registered nurses | 0.28 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.42 | 3.42 |
| Nurse aides | 2.20 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 68.4% | 49.0% | 45.8% |
| Registered nurse turnover | 83.3% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.62 on weekdays and 3.18 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 42.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.50 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.50 | 0.28 | 3.62 | 3.18 | 42.4% | 0 of 90 | 97 |
| Oct to Dec 2025 | 3.35 | 0.34 | 3.48 | 3.03 | 44.2% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.12 | 0.25 | 3.30 | 2.66 | 25.3% | 1 of 92 | 86 |
| Apr to Jun 2025 | 3.27 | 0.25 | 3.49 | 2.71 | 22.0% | 4 of 91 | 75 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.6 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.3 | 12.9 | 12.0 |
Owners and operators
Legal business name: LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND. CMS links this home to Liberty Senior Living, a group of 37 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Miller, Robert | Corporate director | Individual | 04/29/2025 | |
| Calcutt, Joseph | Corporate officer | Individual | 10/01/2022 | |
| Purifoy, Penny | Corporate officer | Individual | 04/29/2025 | |
| Wilson, Jeffrey | Corporate officer | Individual | 10/01/2022 | |
| Drake, Tonya | Operational/managerial control | Individual | 04/29/2025 | |
| McNeill, John | Limited partnership interest | Individual | 04/29/2025 | |
| McNeill, Robert | Trustee of the SNF | Individual | 04/29/2025 | |
| Oliver, Anna | Trustee of the SNF | Individual | 04/29/2025 | |
| Purvis, Jenny | Trustee of the SNF | Individual | 04/29/2025 | |
| Liberty Healthcare Management Inc | Adp of the SNF | Organization | 04/29/2025 | |
| Liberty Healthcare Properties of Highland House, LLC | Adp of the SNF | Organization | 04/29/2025 | |
| Liberty Real Properties IV LLC | Adp of the SNF | Organization | 04/29/2025 | |
| Long Term Care Management Services LLC | Adp of the SNF | Organization | 04/29/2025 | |
| Calcutt, Joseph | Adp of the SNF | Individual | 04/29/2025 | |
| Drake, Tonya | Adp of the SNF | Individual | 04/20/2026 | |
| Gonzalez, Jose | Adp of the SNF | Individual | 06/26/2026 | |
| Miller, Robert | Adp of the SNF | Individual | 04/29/2025 | |
| Wilson, Jeffrey | Adp of the SNF | Individual | 04/29/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 13, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 13, 2026: "Assist a resident in gaining access to vision and hearing services."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 13, 2026: "Ensure each resident receives an accurate assessment."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 13, 2026: "Protect each resident from the wrongful use of the resident's belongings or money."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.18 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Woodlands Nursing & Rehabilitation Center Fayetteville, 0.5 mi · 4 of 5 stars · 10 citations
- Haymount Rehabilitation & Nursing Center, Inc. Fayetteville, 1.3 mi · 5 of 5 stars · 4 citations
- Whispering Pines Nursing & Rehab Center Fayetteville, 2.1 mi · 4 of 5 stars · 5 citations
- Village Green Health and Rehabilitation Fayetteville, 3.4 mi · 5 of 5 stars · 6 citations
- Bethesda Health Care Facility Eastover, 5.4 mi · 4 of 5 stars · 4 citations
- The Carrolton of Fayetteville Fayetteville, 5.4 mi · 3 of 5 stars · 26 citations
- Autumn Care of Fayetteville Fayetteville, 5.8 mi · 5 of 5 stars · 3 citations
- Carolina Rehab Center of Cumberland Fayetteville, 6.2 mi · 3 of 5 stars · 25 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Highland House Rehabilitation and Healthcare's Medicare star rating?
- CMS rates Highland House Rehabilitation and Healthcare 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Highland House Rehabilitation and Healthcare get at its last inspection?
- 3 health deficiencies at the standard inspection on March 13, 2026. The North Carolina average is 4.7.
- Has Highland House Rehabilitation and Healthcare been fined?
- CMS lists no fines in the last three years.
- Does Highland House Rehabilitation and Healthcare accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Highland House Rehabilitation and Healthcare?
- CMS lists 18 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.