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Highland House Rehabilitation & Healthcare

1700 Pamalee Dr

3.2(55 ratings)· Fayetville average: 3.9

Highland House Rehabilitation & Healthcare, photo 11 / 5

Quick Facts

Year opened
1968
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
106
Ownership
Family-owned facility operating since 1968
Financial model
100% Medicare/Medicaid certified skilled nursing wings
On-site specialists
Pharmacy, dental, podiatry, ophthalmology, audiology, X-ray on-site
Language access
Bilingual staff members available for residents

What Families Think

Reviews for Highland House are sharply divided: many families and residents praise the therapy team, individual nurses and aides, and describe a clean, caring environment, while a substantial number of other reviewers report serious neglect, unanswered phones, and confusing billing. Long-term residents and short-term rehab patients often speak warmly of specific staff members, but the volume and severity of negative reports about medical care and responsiveness are notable.

The Good

  • Physical, occupational and speech therapy widely praised
  • Many reviewers describe kind, attentive nursing staff
  • Facility described as clean by multiple reviewers
  • Family-owned and operating in the community for decades
  • Bilingual staff available for Spanish-speaking families
  • Residents describe active social calendar and bingo/games

The Bad

  • Multiple reports of neglect: bed sores, dehydration, missed medication
  • Several reviewers say the front desk/phones go unanswered for days
  • Multiple complaints about surprise billing and unclear coverage explanations
  • One detailed report of mold, asbestos tile and odor issues

AI-generated from reviews and community data.

Highland House Rehabilitation & Healthcare is a senior living community in Fayetville, North Carolina offering Skilled Nursing / Long Term Care, Assisted Living and Independent Living. Amenities include Professional Chef, Outdoor Patio and Fitness Center. Families rate it 3.2 out of 5 across 54 reviews.

About Highland House Rehabilitation & Healthcare

Highland House Rehabilitation & Healthcare is a family owned 159-bed facility with 100% Medicare and Medicaid Certified Skilled Nursing wings to minimize or eliminate out of pocket expenses. We provide comprehensive services to those in need of assisted living, short-term rehabilitation, and extended nursing care stays. The Highland House family has been caring for our neighbors and their loved ones for more than fifty years. Our team is made up of well trained, professional caregivers who provide quality healthcare to individuals who need assistance in meeting the challenges of daily living that come with age and/or the decline of mental health.

Heartfelt compassion, dedication, caring, and quality of life are the cornerstones of Highland House Rehabilitation & Healthcare.

Our goal is to maximize the potential of every resident through a holistic approach with attention to clinical, physical, social, emotional and spiritual needs. We seek the support of families and welcome their participation in all aspects of our residents’ lives. Highland House provides an atmosphere of respect, understanding and support for the diversity of culture and the acceptance of all people regardless of limitations.

Opportunities for self-expression, enrichment and just plain fun abound at Highland House. Social interaction, cognitive stimulation and physical activity are important ingredients in the well-being and vitality of our residents. Monthly calendars are full of choices and provide activities for residents of all functional levels.

Highland House Rehabilitation & Healthcare is a special place for special people where the commitment to caring is shared by our dedicated staff and loyal volunteers.

Founded in 1968, Highland House is a locally owned business providing healthcare and rehabilitation services to our neighbors and their families. Our mission is to promote an environment of healing and comfort in our communities of assisted living, skilled nursing, and rehabilitative care that is tailored to the unique needs of every resident and patient. We are committed to providing for the physical, social, emotional, and spiritual needs of every individual, in a loving, caring environment.

Assisted Living

Assisted Living is for seniors who need assistance with activities of daily living, including medication management, dressing, bathing, and meals but do not require 24-hour skilled nursing care. Highland House team members create individualized personal care plans intended to meet each resident’s specific needs and preferences while working closely with residents, their family members and physicians.

•    100% of our Assisted Living companion rooms are Special Assistance certified to help minimize expenses for any eligible individuals approved through the State/County Adult Care Program.
•    Medication management
•    On-site supportive services including pharmacy, dental, hospice, podiatry, ophthalmology, audiology, X-ray, and mental health services
•    Private and companion rooms
•    Assistance with transportation to and from appointments

Long-Term Skilled Nursing

Skilled nursing services are for individuals who need 24-hour nursing care provided by registered and licensed professional nurses as well as other professionally trained staff. Private and companion rooms are available along with skilled services directed by your physician. Physician directed services may include but are not limited to general nursing care, physical therapy, occupational therapy, speech therapy, social services, medication administration, supplies, equipment, and other services necessary to the health and well-being of the of the patient.

•    Enteral feeding
•    Tracheotomy care
•    Wound care
•    Intravenous therapy
•    Medication management
•    On-site services include pharmacy, dental, hospice, podiatry, audiology ophthalmology, X-ray, and mental health
•    Companion and private rooms
•    Local transportation assistance for medical appointments
•    Hospice care for the terminally ill is available through hospice providers who have agreed to abide by established best practices
•    Respite care (short-term stays) provide service to seniors when family members are away or need a short break from caring for their loved one, or for seniors needing assistance after a hospital visit or during an illness

Rehabilitation

Transitional rehabilitation services are available to individuals who need 24-hour skilled nursing and therapy services, post-hospital or post-surgical care. Individualized care plans and regular health assessments are developed for each resident including a home site evaluation for a smooth and safe discharge home.

•    Physical, occupational and speech therapies
•    Restorative therapy program
•    Wound care management
•    Lab and x-ray services
•    Enteral feeding, tracheotomy, and ostomy services
•    Assistance with local transportation to and from follow-up appointments
•    Home evaluations

General Amenities

In addition to spacious rooms; planned diets and dining options; and many safety features; Highland House offers a quiet environment with the amenities your loved ones appreciate.

•    Four patio gardens
•    Barber and beauty shop
•    Complete pharmacy services
•    Private phone hook-up available
•    Televisions in every room with Cable TV included
•    Planned activities and community outings
•    Resident and Family Councils
•    Religious, inspirational and educational programs
•    Daily housekeeping and laundry services
•    Financial services and social services (From pre-admission to discharge).
•    Nutrition and dietary consultation and planning
•    Private spaces for resident/family gatherings are available
•    Pet visits

Types of Care at Highland House Rehabilitation & Healthcare

Assisted LivingHome Health and HospiceIndependent LivingRespite / Short-Term CareSkilled Nursing / Long Term Care

Amenities

Room Amenities

  • Private Rooms

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Professional Chef

Community Amenities

  • 24-Hour Staff
  • Fitness Center
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Medical Staff
  • Outdoor Patio
  • Pet Friendly
  • Security
  • Transportation Services
  • Walking Paths

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Highland House Rehabilitation & Healthcare

3.2overall · 55 ratings combined

3.2★ on Google (54) · 1★ on Yelp (1) · Yelp page ↗

Kay M.

Jul 2026

via Google

The office staff are nice, understanding, professional and personable.<br>I'm not sure I can say the same for the care team.<br>My love one was only there for 7 days and is already back in the hospital.<br>My love one is being treated for high sodium, dehydration, has bed sores, trach tube was clogged, lungs were clogged, sugar level was high, had a fever, currently fighting some type of infection,and was not giving all the medicine prescribed. No rehab was done. My love one is worst than when arrived. They were supposed to be healing and getting better not left to see how bad things could get in a week.

Christine Hopson

May 2026

via Google

I spent about 2 months here beginning of the year. After a 2 month stay in icu at Cape fear hospital (almost didn't make it out of hospital) I lost the ability to walk. Had to learn it all over. I gave the poor staff at highland house hell. Lol im glad they didn't kick me out. ABSOLUTELY WONDERFUL GROUP OF FOLKS!!! I LOVE THEM ALL!! THEY DESERVE 8 🌟 🤩 The mean old redhead in room 103(lol I think) Keep up the great work EVERYONE!!

samuel starling

May 2026

via Google

Multiple violations including asbestos tiles in bathrooms, black mold, strong urine odors, inadequate heat and cooling, along with much more inadequate care needs for residents.

Erin Avery

Apr 2026

via Google

This place doesn't deserve any stars. My mother-in-law passed away in this facility. It took weeks to get a signed death certificate as the doctor said that she had not checked her email and seen the request. Her work email! My husband has been billed since her passing, and now the bills are coming in my deceased family member's name. The business office manager sent a card offering her condolences , followed up by a bill as if to exploit my husband's grief. I would not recommend this facility .

Rose Fletcher

Mar 2026

via Google

I was admitted to liberty rehab for my hip, pelvic bone, and my left leg bone and my knee. The nurses, PT,OT are fantastic and they got me to where I can go home. It was so smooth and the administrators and House Keepers all made sure that my room was all set up and cleaned for me

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Government Inspection History

5 inspection visits in the last three years, 32 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Mar 13, 2026Health ComplaintHealth Standard6 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026

Dec 19, 2024Fire Safety StandardHealth ComplaintHealth Standard13 citations
  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 21, 2025

  • Have properly located and lighted "Exit" signs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

  • Install an approved automatic sprinkler system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

  • Install corridor and hallway doors that block smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

  • Have properly installed electrical wiring and gas equipment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

  • Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

  • Have proper medical gas storage and administration areas.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2025

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

    Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Jan 22, 2025

Oct 25, 2023Fire Safety StandardHealth Standard3 citations
  • Install a fire alarm system that can be heard throughout the facility.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 15, 2023

  • Have proper power supply for life support equipment.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 15, 2023

  • Install corridor and hallway doors that block smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 15, 2023

Aug 24, 2023Health Complaint2 citations
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 19, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 19, 2023

Jun 24, 2022Fire Safety Standard8 citations
  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 26, 2022

  • Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 26, 2022

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 26, 2022

  • Properly select, install, inspect, or maintain portable fire extinguishes.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 26, 2022

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 26, 2022

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 26, 2022

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 26, 2022

  • Have properly located and lighted "Exit" signs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 26, 2022

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Highland House Rehabilitation & Healthcare offer?

Highland House Rehabilitation & Healthcare offers Assisted Living, Independent Living, Respite / Short-Term Care and Skilled Nursing / Long Term Care.

Does Highland House Rehabilitation & Healthcare offer respite or short-term stays?

Yes. Highland House Rehabilitation & Healthcare lists respite and short-term care among its options. A respite stay gives a family caregiver a planned break while your loved one receives full care, and it also works as a low-commitment trial before a permanent move.

Is Highland House Rehabilitation & Healthcare pet friendly?

Yes. Highland House Rehabilitation & Healthcare lists pet-friendly accommodations among its amenities. Ask about any size or breed policies when you visit.

Where is Highland House Rehabilitation & Healthcare located?

Highland House Rehabilitation & Healthcare is located at 1700 Pamalee Dr in Fayetville, North Carolina.

What do families say about Highland House Rehabilitation & Healthcare?

Reviews for Highland House are sharply divided: many families and residents praise the therapy team, individual nurses and aides, and describe a clean, caring environment, while a substantial number of other reviewers report serious neglect, unanswered phones, and confusing billing. Long-term residents and short-term rehab patients often speak warmly of specific staff members, but the volume and severity of negative reports about medical care and responsiveness are notable.

How did Highland House Rehabilitation & Healthcare do on recent health and safety inspections?

Highland House Rehabilitation & Healthcare had 5 government inspection visits in the last three years, with 32 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Highland House Rehabilitation & Healthcare?

Submit the Request Information form on this page to connect with Highland House Rehabilitation & Healthcare and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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