I feel very comfortable leaving my mom here - the staff are warm, caring and go above and beyond (Nurse Lisa is amazing), the place is clean, secure and feels like family, and meals/snacks are excellent. The building is older but renovations and new ownership are making positive changes daily, so I have real peace of mind and am grateful for the attentive, compassionate team.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.21·(28)
Overall rating
5
4
3
2
1
Care
4.3
Staff
4.7
Meals
3.0
Amenities
2.5
Value
2.5
Pros
Compassionate, family‑oriented staff
Engaged nursing and caregiving team
Warm, home‑like community atmosphere
Dedicated housekeeping efforts and attention to sanitation
Consistent meal program (three meals and three snacks)
Active social activities and resident interaction
Affordable pricing
Supportive ownership and ongoing improvement efforts
Welcoming admission practices and resident orientation
Cons
Cleanliness issues in resident rooms and select common areas
Inconsistent facility maintenance and aging infrastructure
Operational and managerial disorganization
Medication administration and documentation weaknesses
Variable care quality and inconsistent operational performance
Renovation‑related disruption to the resident environment
Allegations of financial misconduct by ownership
Mixed family communication and responsiveness
Summary of reviews
Reviews of Highlands Senior Living Forest City show a facility with a pronounced strength in interpersonal care and community atmosphere, paired with operational and facility maintenance challenges. A recurring theme is that staff — including licensed nurses and caregiving personnel — are described as warm, compassionate, and family‑focused. Multiple accounts praise individual caregivers, nursing attention, crisis support, and a generally welcoming culture (welcome baskets, resident engagement, and friendliness from other residents). Families and visitors frequently note that staff provide emotional support and companionship, which many say contributes to residents’ sense of security and social connection.
Clinical care impressions are mixed. Many reviewers emphasize caring nursing and direct‑care staff who go above and beyond routine duties, and some specifically commend particular team members. At the same time, there are consistent indications of uneven operational performance: reviewers described concerns with medication administration areas and processes, and some expressed uncertainty about medication handling and documentation. These comments suggest a need for clearer medication‑management protocols and oversight to ensure consistency across shifts.
Dining and activities are generally seen as positive. The facility’s meal program is frequently noted as robust — three meals and three snacks daily — and several families complimented the quality of food and staff engagement during meals. Recreational and social programming receive positive mentions as well, with reports of active interactions, seasonal events, and staff encouragement that support resident engagement. Such programming appears to contribute to the home‑like feel reported by many families.
Facility condition and housekeeping assessments are mixed. While some reviewers praise dedicated housekeeping staff and an overall pleasant scent in common areas, others cite cleanliness concerns in resident rooms, bathing or shower areas, and dining spaces. Physical infrastructure is also characterized as aging: reviewers mention concrete walls, older finishes, and areas that could use upgrades. Renovations and “sprucing up” efforts are underway according to several accounts, but those projects are also noted as a source of temporary disruption to the resident environment.
Management and organizational issues are another recurring topic. Several comments point to organizational and managerial disorganization that can affect daily operations and family communication. Conversely, other reviewers describe recent positive change under supportive ownership and an active improvement trajectory. There is at least one serious claim framed as an allegation regarding ownership financial priorities; that claim is isolated within the set of summaries but warrants attention and, if present, follow‑up through appropriate channels.
Overall pattern: Highlands appears to offer a strong, compassionate caregiving culture and active social environment that many families find comforting. Simultaneously, the facility faces operational challenges — uneven cleanliness, aging infrastructure, medication‑process concerns, and some management inconsistencies — that have produced polarized impressions. Prospective residents and families should weigh the evident strengths in staff engagement and programming against the noted areas for operational improvement, and consider an on‑site visit that inspects resident rooms, medication procedures, dining areas, and the status of ongoing renovations. Asking management about recent quality‑improvement actions, medication‑management protocols, housekeeping schedules, and documentation of any ownership‑related complaints will help clarify current performance and trajectory.
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Location
Highlands Senior Living Forest City is located at 2270 Oakland Rd, Forest City, NC, 28043.
About Highlands Senior Living Forest City
Highlands Senior Living Forest City sits near downtown Forest City and the Blue Ridge Mountains, offering a quiet place for seniors to live. The building has only one floor, which helps with mobility and wheelchair access, and the inside has both private studio apartments with living areas and baths, plus common spaces for relaxing and visiting with others. Residents get freshly prepared meals with snacks between, and there are meal options for different diets, family-style meals, and picnics outside when the weather's nice. The community doesn't allow pets, so folks with allergies or concerns about animals won't have to worry. Studio apartments come in various price ranges, though the exact numbers aren't listed, and the rent covers most things like Wi-Fi, cable, daily meals, maintenance, housekeeping, laundry, and trash removal. There's help for bathing, dressing, grooming, feeding, toileting, and medication reminders, with staff always nearby 24 hours daily. The community supports many care levels including independent living, assisted living, memory care for those with Alzheimer's or dementia, companion care, and even nursing home options for folks who need extra support. Seniors can get help using wheelchairs, transferring, managing personal care needs, and even reminders for appointments, phone calls, and oral hygiene. Highlands Senior Living Forest City brings in medical alert systems, home security, medication dispensers, health checks, and the grounds have serene spots for residents to enjoy nature and visit with family who drop by. There are senior-specific technology services like Wi-Fi, internet in the units, and cable TV. Hearing aid resources include brands like Jabra and MDHearingAid, and the community shares reviews and information for seniors considering over-the-counter hearing aids, which isn't something you find everywhere. Community areas offer games, music, arts and crafts, special events throughout the year, and spaces for families to join residents for dinner as guests. The staff helps set up transportation for medical appointments, grocery runs, or shopping trips, and assists with scheduling and reminders. Seniors can also use services like pest control, linen changes, and maintenance without having to call someone from outside. Fitness and wellness activities, salon services, and dietary planning go on regularly, and folks with memory care needs get extra support to prevent wandering and reduce confusion. The place is clean and described as friendly and family-like, and staff earn praise for being caring and down-to-earth. Residents have access to affordable financial guidance, and the facility accepts several payment methods including Medicaid, state programs, credit cards, checks, and private pay. The community aims to keep things comfortable, warm, and respectful, and the setting helps folks keep their independence while getting the attention they need as they age. Reviews have been positive, often mentioning the quality of meals, the clean environment, and the individualized support, and families like the simple process for getting connected to the right kind of care through a free service. Privacy, safety, comfort, and help with daily living are all taken seriously here, with extra touches to help residents feel secure and supported in their day-to-day routines.
People often ask...
Highlands Senior Living Forest City offers competitive pricing, with rates starting at a cost of $3,834 per month.
Highlands Senior Living Forest City offers assisted living.
There are 9 photos of Highlands Senior Living Forest City on Mirador.
The full address for this community is 2270 Oakland Rd, Forest City, NC 28043.
No, Highlands Senior Living Forest City does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.
Investigated a mold-related complaint and found black mold on closet ceilings and asbestos in building finishes, with moisture sources unaddressed.
10A NCAC 13F .0306(a)(1)Housekeeping-Clean and repaired
10A NCAC 13F .0306Housekeeping And Furnishings
28 May 2024Follow-Up
28 May 2024Follow-Up
Found that there was no posted calendar for May 2024 activities and residents could not reference an activity schedule.
10A NCAC 13F .0905 (d)Activities Program
28 May 2024Follow-Up
28 May 2024Follow-Up
Found deficiencies in the activities program, including no posted monthly calendar of planned activities and no evidence of 14 hours per week of planned group activities, due to the vacancy of the Activities Director.
10A NCAC 13F .0905(c)Activities Program
10A NCAC 13F .0905(d)Activities Program
21 Nov 2023Complaint
21 Nov 2023Complaint
Investigated a complaint and found multiple deficiencies, including a staff member residing in a licensed resident room, burnt meals served to residents, failures in medication administration, and commingling of resident funds.
10A NCAC 13F .0301Application Of Physical Plant Requirements
10A NCAC 13F .0909Resident Rights
10A NCAC 13F .1004 (i)Medication Administration
10A NCAC 13F .1104 (d)Accounting For Resident's Personal Funds
21 Feb 2023Follow-Up
21 Feb 2023Follow-Up
Identified deficiencies in staff background checks, activity programming, and medication administration records.
Investigated multiple deficiencies across management, resident safety, medication administration, and dietary services, including untrained staff giving meds, improper discharge practices, missing care plans, and inadequate activity and snack oversight.
Type A10A NCAC 13F .0302 (b)Design And Construction
Type A10A NCAC 13F .0407(a)(7)Other Staff Qualifications
Type A10A NCAC 13F .0501Personal Care Training And Competency
Type A10A NCAC 13F .0601Management Of Facilities
Type A10A NCAC 13F .0702(b)Discharge Of Residents
Type A10A NCAC 13F .0801(b)Resident Assessment
10A NCAC 13F .0904(c)Nutrition And Food Service
10A NCAC 13F .0904(d)(2)Nutrition And Food Service
10A NCAC 13F .0905 (d)Activities Program
Type A10A NCAC 13F .0909Resident Rights
10A NCAC 13F .1004 (b)Medication Administration
10A NCAC 13F .1004 (j)Medication Administration
10A NCAC 13F .1005(a)Self-Administration Of Medications
10A NCAC 13F .1009(a)(1)Pharmaceutical Care
10A NCAC 13F .1212(d)Reporting of Accidents and Incidents
04 Jan 2023Follow-Up
04 Jan 2023Follow-Up
Investigated a complaint and found multiple deficiencies in staff background checks, training, and care practices, including dietary substitutions and snack provision.
—Background checks
—Staff training—personal care
—Staff orientation and background checks
—Dietary substitutions not documented
—Snack/dietary compliance
—Resident status/transfer documentation
—Continued monitoring of snacks and menu
22 Sept 2021Inspection
22 Sept 2021Inspection
Investigative findings showed deficiencies in meal planning and serving, insulin administration, and infection-control practices during the visit.
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—
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22 Sept 2021Inspection
22 Sept 2021Inspection
Identified deficiencies in menu management, medication administration, and infection prevention and control. The findings showed missing kitchen menus, improper insulin administration, and inadequate visitor/staff PPE practices.
10A NCAC 13F .0904(c)(2)Nutrition And Food Service
10A NCAC 13F .1004(a)Medication Administration
10A NCAC 13F .1801 (b)Infection Prevention & Control Program
18 Sept 2019Construction
18 Sept 2019Construction
Identified multiple building safety, sanitation, and maintenance deficiencies during an on-site review, including missing current safety reports and several unsafe conditions.
10A NCAC 13F .0302Must Have Current Sanitation & Fire Safety Reports
10A NCAC 13F .0305Food Storage-Comply with Sanitation
10A NCAC 13F .0305Exit Door Locks-Single Hand Motion
10A NCAC 13F .0305Outside Premises-Clean, Safe
10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
Investigated a complaint and found deficiencies in safety-related building maintenance, housekeeping, and facility furnishings that needed correction.
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0300 or 13F .03xx (Physical Plant/Facilities)Physical Plant – General Safety and Maintenance
27 Jun 2018Follow-Up
27 Jun 2018Follow-Up
Identified multiple deficiencies in corridors, exterior lighting, housekeeping, hazards, safety equipment, and general lighting; some issues were noted as corrected during the survey.
10A NCAC 13F .0305Corridors-Free of equipment and Obstructions
Identified multiple deficiencies in housekeeping, pest control, fire safety equipment, activities programming, and resident outings.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
Type B10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
Type B10A NCAC 13F .0311(a)Other Requirements
10A NCAC 13F .0905 (d)Activities Program
10A NCAC 13F .0905 (f)Activities Program
Type BG.S. 131D-21(2)Declaration of Residents' Rights
20 Sept 2017Follow-Up
20 Sept 2017Follow-Up
Investigators found multiple deficiencies related to unsafe and unsanitary conditions, inadequate housekeeping, and failure to protect residents’ rights and provide adequate activities.
Type B—Continued From page 2
Type B—Continued From page 4
Type B—Continued From page 12
Type B10A NCAC 13F.0905 (f)Activities Program
Type BG.S. 131D-21(2)Declaration of Residents' Rights
27 Oct 2016Follow-Up
27 Oct 2016Follow-Up
Found multiple deficiencies related to safety hazards, health care follow-up, and inadequate resident activities and outings.
10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
10A NCAC 13F .0902(b)Health Care
10A NCAC 13F .0905 (d)Activities Program
10A NCAC 13F .0905 (f)Activities Program
02 Aug 2016Follow-Up
02 Aug 2016Follow-Up
Investigated found multiple life-safety deficiencies, including obstructed exit access and numerous fire-safety and building maintenance issues requiring remediation.
10A NCAC 13F .0306(a)(5); 10A NCAC 13F .0306(e)Housekeeping and Furnishings
Inspected found several fire-safety and facility-maintenance deficiencies, including a nonfunctional fire alarm system and doors that could allow the spread of fire and smoke when not properly closed.
Type A10A NCAC 13F .0300Physical Plant - Fire safety
Type A10A NCAC 13F .0300Physical Plant - Fire safety
Type A10A NCAC 13F .0300Physical Plant - Fire safety
21 Jul 2016Construction
21 Jul 2016Construction
Investigated a bed bug-related complaint and found issues with how donated clothing and bed bugs were handled in multiple rooms.
—Continued From page 1
21 Jul 2016Construction
21 Jul 2016Construction
Identified bed bugs in 15 resident rooms and noted cleaning/maintenance deficiencies.
10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
18 Jul 2016Follow-Up
18 Jul 2016Follow-Up
Investigated multiple deficiencies including significant housekeeping and maintenance failures, bed bug concerns, inadequate activities and outings, improper medication handling, and insufficient staff training and oversight.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
10A NCAC 13F .0901Personal Care and Supervision
10A NCAC 13F .0904(b)(2)Nutrition And Food Service
10A NCAC 13F .0905(d)Activities Program
10A NCAC 13F .0905(f)Activities Program
10A NCAC 13F .1004(a)Medication Administration
10A NCAC 13F .1008(b)Controlled Substance
G.S. § 131D-4.5B(b)ACH Medication Aides; Training and Competency
G.S. 131D-21(2)Declaration of Residents' Rights
18 Jul 2016Follow-Up
18 Jul 2016Follow-Up
An inspection identified multiple deficiencies across housekeeping, resident care, nutrition, activities, medication management, and records, including bed bug issues, unsafe furnishings, inadequate nail care, improper tableware, insufficient activities, and medication administration problems.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
10A NCAC 13F .0901Personal Care and Supervision
10A NCAC 13F .0904(b)Nutrition And Food Service
10A NCAC 13F .0905(d)Activities Program
10A NCAC 13F .0905(f)Activities Program - Outings
10A NCAC 13F .1004(a)Medication Administration
10A NCAC 13F .1008(b)Controlled Substances
G.S. 131D-21(2)Declaration of Residents' Rights
G.S. § 131D-4.5B(b)ACH Medication Aides; Training and Competency
01 Jun 2016Construction
01 Jun 2016Construction
Found unvented and portable electric heaters in use, violating heating requirements and prohibitions on such devices.
10A NCAC 13F .0311Unvented & Portable Electric Heaters Prohibited
01 Jun 2016Construction
01 Jun 2016Construction
Found deficiencies for soot buildup in the living area and an unvented fireplace heater.
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0311OTHER REQUIREMENTS
01 Jun 2016Follow-Up
01 Jun 2016Follow-Up
Found multiple fire-safety and building defects, including a nonfunctional fire alarm system and compromised fire-rated barriers.
10A NCAC 13F .0311Physical Plant
01 Jun 2016Follow-Up
01 Jun 2016Follow-Up
Identified several safety deficiencies, including a dirty smoke-detector sampling tube, doors that do not close properly, and damaged attic structural components.
—Continued From page 2 – occupancy findings
20 May 2016Complaint
20 May 2016Complaint
Investigated a complaint and found extensive cleanliness, maintenance, safety, and furnishing deficiencies across resident rooms and common areas.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
10A NCAC 13F .0306(a)(3)Housekeeping And Furnishings
Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
10A NCAC 13F .0306(a)(6)Housekeeping And Furnishings
10A NCAC 13F .0306(a)(9)Housekeeping And Furnishings
10A NCAC 13F .0306(b)(1)Housekeeping And Furnishings
10A NCAC 13F .0306(b)(8)Housekeeping And Furnishings
G.S. 131D-21(2)Declaration of Residents' Rights
11 Feb 2016Construction
11 Feb 2016Construction
Identified safety and physical-plant deficiencies requiring corrective actions, including prohibition of portable electric heaters and concerns about building equipment safety.
Type A10A NCAC 13F.0300PHYSICAL PLANT
Type A10A NCAC 13F.0300PHYSICAL PLANT
11 Feb 2016Construction
11 Feb 2016Construction
Identified multiple safety and maintenance deficiencies, including missing fire safety reports and several hazards to exits, wiring, and fixtures. Found numerous issues related to accessibility, cleanliness, and heating equipment.
10A NCAC 13F .0302Current sanitation and fire safety inspection reports
10A NCAC 13F .0305Physical Environment - Hand Grips
10A NCAC 13F .0305Physical Environment - Hand Grips
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0306Housekeeping and Furnishings
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
05 Aug 2015Follow-Up
05 Aug 2015Follow-Up
Investigated an activities and resident engagement deficiency, noting residents had limited participation and few meaningful activities.
10A NCAC 13F .0905 (e)Activities Program
05 Aug 2015Follow-Up
05 Aug 2015Follow-Up
Investigated a complaint about activities and resident engagement; observed residents largely uninterested in activities and gaps in documenting the activity calendar.
10A NCAC 13F .0905 (e) Activities ProgramActivities program
05 Aug 2015Follow-Up
05 Aug 2015Follow-Up
Found that residents lacked adequate opportunities for activities and one-to-one engagement, with schedules and participation not meeting the required program guidelines.
10A NCAC 13F .0905 (e)Activities Program
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