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HomeNorth CarolinaHighland Farms

Highland Farms

200 Tabernacle Road, Black Mountain, NC 287118286696473Google Maps
0.0on Google(0 reviews)
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
5/5
Quality
4/5
Beds
60
certified
1 fine(s) totaling $4,271

How Highland Farms Compares in North Carolina

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.

CMS overall rating
5/5
NC average
2.9/5
Above state average
Health inspection rating
4/5
NC average
2.9/5
Above state average
Staffing rating
5/5
NC average
2.7/5
Above state average
Nursing hours per resident
4.92 hrs/day
NC average
3.82 hrs/day
Above state average
RN hours per resident
1.33 hrs/day
NC average
0.61 hrs/day
Above state average
Staff turnover
28.1%
NC average
49.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the North Carolina average of 2.9/5.
Its 4/5 health inspection rating is above the North Carolina average of 2.9/5.
Reported nursing time is 4.92 hours per resident per day, above the state average of 3.82.
Reported RN time is 1.33 hours per resident per day, above the state average of 0.61.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
4
deficiency citations
Inspected Aug 22, 2024
Most recent cycle
3
deficiency citations
Inspected Aug 15, 2025
The most recent cycle recorded 1 fewer deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Buncombe County 65+
55,563
20.6% of county
County Population
269,449
Buncombe County

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.

Beds
60
Avg Residents/Day
47.8
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
16.0
Infection Citations
0

Deficiency Citations (14)

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
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
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
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
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
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
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
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
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: 2.32 hrs
LPN0.73 hrs
National avg: 0.86 hrs
RN1.33 hrs
National avg: 0.69 hrs
Total Nursing4.92 hrs
National avg: 3.86 hrs
Weekend Total4.33 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
28.1%
RN Turnover
15.4%
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 (9)

NameRoleTypeOwnership %Since
GIVENS ESTATES, INC.DIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2012
HOKE, KRISTINECORPORATE DIRECTORIndividualN/AAug 8, 2022
KERESTES, DAVIDCORPORATE DIRECTORIndividualN/ADec 18, 2014
GIVENS ESTATES, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 1, 2012
HOKE, KRISTINEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 8, 2022
KERESTES, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 18, 2014
GIVENS ESTATES, INC.ADP OF THE SNFOrganizationN/AJun 4, 2025
HOKE, KRISTINEADP OF THE SNFIndividualN/AAug 8, 2022
KERESTES, DAVIDADP OF THE SNFIndividualN/ADec 8, 2014

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Highland Farms and nearby alternatives.

All North Carolina facilities
Highland Farms
Black Mountain, NCCurrent facility
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $4,271
NC State Veterans Home - Black Mountain
Black Mountain, NC1.2 mi
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: $12,759
Mountain Ridge Rehabilitation and Healthcare Cente
Black Mountain, NC2.2 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $16,152
Black Mountain Neuro-Medical Treatment Center
Black Mountain, NC2.2 mi
CMS
5/5
Health
5/5
Staffing
N/A
Recorded fines: None
Swannanoa Valley Health and Rehabilitation
Swannanoa, NC5.2 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
The Laurels of Summit Ridge
Asheville, NC7.7 mi
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: None
Fleshers Fairview Health Care
Fairview, NC8.2 mi
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: $61,321
FacilityDistanceCMSHealthStaffingRecorded fines
Highland Farms
Black Mountain, NC · Current facility
—5/54/55/5$4,271
NC State Veterans Home - Black Mountain
Black Mountain, NC
1.2 mi2/51/55/5$12,759
Mountain Ridge Rehabilitation and Healthcare Cente
Black Mountain, NC
2.2 mi1/51/52/5$16,152
Black Mountain Neuro-Medical Treatment Center
Black Mountain, NC
2.2 mi5/55/5N/ANone recorded
Swannanoa Valley Health and Rehabilitation
Swannanoa, NC
5.2 mi4/54/53/5None recorded
The Laurels of Summit Ridge
Asheville, NC
7.7 mi3/52/54/5None recorded
Fleshers Fairview Health Care
Fairview, NC
8.2 mi2/51/55/5$61,321

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.

Frequently Asked Questions

What is the CMS rating for Highland Farms?▾
Highland Farms has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 5/5, and quality measures rating of 4/5. This facility is rated above average.
How much does Highland Farms cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Highland Farms participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Highland Farms had any health inspection violations?▾
Highland Farms had 3 deficiency citations in its most recent health inspection (Aug 15, 2025). The current CMS dataset records 1 fine(s) totaling $4,271.
What are the staffing levels at Highland Farms?▾
Highland Farms provides 4.92 total nursing staff hours per resident per day, including 1.33 RN hours, 0.73 LPN hours, and 2.86 nurse aide hours. The total staff turnover rate is 28.1%.
How many beds does Highland Farms have?▾
Highland Farms has 60 certified beds with an average of 47.8 residents per day, resulting in approximately 80% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Highland Farms?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 3 in Black Mountain. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Highland Farms?▾
On Google Maps, Highland Farms has a rating of 0.0 out of 5 based on 0 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.