• CMS rates this facility 4/5 stars (above average)
• Has 60 certified beds with an average of 47.7 residents per day (80% occupancy)
• Last health inspection found 3 deficiencies (inspected Aug 15, 2025)
• Has been fined a total of $4,271 across 1 fine(s)
• Total nursing staff: 4.77 hours per resident per day
• Staff turnover rate: 35.4%
Highland Farms is a 4-star Medicare and Medicaid certified nursing home in Black Mountain, North Carolina with 60 certified beds. It has been operating since 1971. The facility scored above average compared to North Carolina facilities.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GIVENS ESTATES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Dec 1, 2012 |
| GIVENS ESTATES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2012 |
| HOKE, KRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 8, 2022 |
| KERESTES, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 18, 2014 |
| HOKE, KRISTINE | CORPORATE DIRECTOR | Individual | N/A | Aug 8, 2022 |
| KERESTES, DAVID | CORPORATE DIRECTOR | Individual | N/A | Dec 18, 2014 |