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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaHighland Farms

Highland Farms

200 Tabernacle Road, Black Mountain, NC 287118286696473
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
5/5
Quality
4/5
Beds
60
certified
1 fine(s) totaling $4,271

Key Findings

• 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.

Beds
60
Avg Residents/Day
47.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 1, 1971
Sprinklers
Yes
Council
Both
County
Buncombe
Last Inspection
Aug 15, 2025
Deficiencies (Cycle 1)
3
Weighted Score
24.0
Infection Citations
0

Deficiency Citations (14)

F0559Potential for Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0887Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0626Potential for Harm

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0640Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Apr 27, 2023Corrected: NoCycle: 3
Total Fines
$4,271
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineAug 22, 2024
$4,271

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.86 hrs
National avg: 2.35 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN1.25 hrs
National avg: 0.68 hrs
Total Nursing4.77 hrs
National avg: 3.89 hrs
Weekend Total4.25 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
35.4%
RN Turnover
25.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
GIVENS ESTATES, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 1, 2012
GIVENS ESTATES, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 1, 2012
HOKE, KRISTINEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 8, 2022
KERESTES, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 18, 2014
HOKE, KRISTINECORPORATE DIRECTORIndividualN/AAug 8, 2022
KERESTES, DAVIDCORPORATE DIRECTORIndividualN/ADec 18, 2014

Nearby Nursing Homes

All North Carolina facilities

NC State Veterans Home - Black Mountain

Black Mountain, NC · 100 beds

For profit$240,964 in fines
Health
Staffing
Quality
1.2 mi

Mountain Ridge Health and Rehab

Black Mountain, NC · 97 beds

For profit$24,850 in fines
Health
Staffing
Quality
2.2 mi

Black Mountain Neuro-Medical Treatment Center

Black Mountain, NC · 163 beds

Government$15,269 in fines
Health
Staffing
Not Rated
Quality
2.2 mi

Frequently Asked Questions

What is the CMS rating for Highland Farms?▾
Highland Farms has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 5/5, and quality measures rating of 4/5. This facility is rated above average.
Has Highland Farms had any health inspection violations?▾
Highland Farms had 3 deficiency citations in its most recent health inspection (Aug 15, 2025). The facility has been fined a total of $4,271 across 1 fine(s).
What are the staffing levels at Highland Farms?▾
Highland Farms provides 4.77 total nursing staff hours per resident per day, including 1.25 RN hours, 0.66 LPN hours, and 2.86 nurse aide hours. The total staff turnover rate is 35.4%.
How many beds does Highland Farms have?▾
Highland Farms has 60 certified beds with an average of 47.7 residents per day, resulting in approximately 80% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Highland Farms?▾
Yes, there are 3 other nursing homes in Black Mountain, North Carolina with an average rating of 3.5/5. You can compare all facilities on the Black Mountain nursing homes page.