CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Highland Farms is a 5-star Medicare and Medicaid certified nursing home in Black Mountain, North Carolina with 60 certified beds. It has been operating since 1971. Its overall CMS rating is 5 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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. | DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2012 |
| HOKE, KRISTINE | CORPORATE DIRECTOR | Individual | N/A | Aug 8, 2022 |
| KERESTES, DAVID | CORPORATE DIRECTOR | Individual | N/A | Dec 18, 2014 |
| 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 |
| GIVENS ESTATES, INC. | ADP OF THE SNF | Organization | N/A | Jun 4, 2025 |
| HOKE, KRISTINE | ADP OF THE SNF | Individual | N/A | Aug 8, 2022 |
| KERESTES, DAVID | ADP OF THE SNF | Individual | N/A | Dec 8, 2014 |
Compare CMS ratings and recorded fines for Highland Farms and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.