Avendelle Assisted Living on Tryon
State licensed6645 Tryon Road, Cary, NC 27518
Assisted Living
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Prices not published
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Medicare-certifiedSkilled Nursing
Highfield Nursing and Rehabilitation
Cary, North CarolinaMedicare inspection record
About Highfield Nursing and Rehabilitation
Highfield Nursing and Rehabilitation brings expert medical care and recovery support to Cary, North Carolina. Our skilled nursing and rehabilitation team focuses on helping patients regain independence through personalized treatment plans, compassionate nursing staff, and evidence-based therapies designed for meaningful progress.
Community at a glance
Capacity
120 residents
Location
Cary, NC
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
6590 Tryon Road, Cary, North Carolina 27518
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 26, 2026, state inspectors cited 2 health deficiencies (the North Carolina average is 4.7).
Medicare fined Highfield Nursing and Rehabilitation 2 times in the last three years, $175,559 in total.
Staffing
| Measure | This home |
|---|---|
| Nursing staff who left in the past year | 53%Above the North Carolina average |
1 administrator has left the home in the past year.
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 26, 2026 · Standard inspection · 2 citations
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 13, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 13, 2026
February 28, 2025 · Complaint investigation · 4 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Feb 8, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Mar 20, 2025Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Mar 20, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 20, 2025
November 22, 2024 · Standard inspection · 5 citations+
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Dec 18, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Dec 18, 2024Provide enough food/fluids to maintain a resident's health.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Dec 18, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 18, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 18, 2024
October 24, 2024 · Complaint investigation · 1 citation+
Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jul 20, 2024
June 27, 2024 · Complaint investigation · 7 citations+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 24, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jul 24, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 24, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 24, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 24, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jun 20, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted
November 8, 2023 · Standard inspection · 1 citation+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 6, 2023
Fines and payment denials
2 fines totaling $175,559 in the last three years.
- February 28, 2025Fine: $17,345
- November 22, 2024Fine: $158,214
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- 6590 Tryon Road Opco LLC
- Medicare-certified beds
- 120
- Average residents per day
- 105
- Accepts
- Medicare and Medicaid
- First certified
- September 24, 1991
- Part of a chain
- Avardis Health, 38 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 345403
Location
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6590 Tryon RoadCary, NC 27518
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Questions about Highfield Nursing and Rehabilitation
How did Highfield Nursing and Rehabilitation do on its last inspection?+
State inspectors visited on March 26, 2026 and cited 2 health deficiencies, 1 of them from complaint investigations. The North Carolina average is 4.7.
Has Highfield Nursing and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Highfield Nursing and Rehabilitation 2 times in the last three years, totaling $175,559.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.