Highland Farms

Name: Highland Farms
Address: 200 Tabernacle Road, Black Mountain, NC, 28711, US
Telephone: 8286696473

200 Tabernacle Road, Black Mountain, NC 28711 · Buncombe County · 60 certified beds · avg 48 residents/day · certified since Nov 1, 1971

4/5

Health inspection rating (on-site)

Serious findings on record

$4,271

Fines, last 3 years

6.09

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 15, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 15, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Aug 15, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Apr 27, 2023	E · Potential for harm, repeated	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed.
Apr 27, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 27, 2023	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Apr 27, 2023	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	7	E
2024	4	D
2025	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $4,271.

Date	Type	Amount / length
Aug 22, 2024	Fine	$4,271

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.09	4.01	3.95	top 6% in North Carolina; top 4% in the U.S.
Registered Nurse hours	1.65	0.64	0.69	top 4% in North Carolina; top 3% in the U.S.
Weekend total nurse staffing	5.36	3.56	3.50	top 6% in North Carolina; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.90	0.41	0.48	top 5% in North Carolina; top 8% in the U.S.
Total nursing staff turnover (%)	28.1	49.0	45.8	top 7% in North Carolina; top 11% in the U.S.
RN turnover (%)	15.4	45.7	42.9	top 8% in North Carolina; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.92, RN 1.33, weekend 4.33. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Givens Estates, INC.	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2012
Givens Estates, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2012
Givens Estates, INC.	Organization	ADP of the SNF	NOT APPLICABLE	06/04/2025
Hoke, Kristine	Individual	Corporate Director	NOT APPLICABLE	08/08/2022
Hoke, Kristine	Individual	Operational/Managerial Control	NOT APPLICABLE	08/08/2022
Hoke, Kristine	Individual	ADP of the SNF	NOT APPLICABLE	08/08/2022
Kerestes, David	Individual	Corporate Director	NOT APPLICABLE	12/18/2014
Kerestes, David	Individual	Operational/Managerial Control	NOT APPLICABLE	12/18/2014
Kerestes, David	Individual	ADP of the SNF	NOT APPLICABLE	12/08/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
NC State Veterans Home - Black Mountain	1.2 mi	Black Mountain, NC	★★★★★	3/5
Mountain Ridge Rehabilitation and Healthcare Cente	2.2 mi	Black Mountain, NC	★☆☆☆☆	1/5
Black Mountain Neuro-Medical Treatment Center	2.2 mi	Black Mountain, NC	★★★★★	5/5
Swannanoa Valley Health and Rehabilitation	5.2 mi	Swannanoa, NC	★★★☆☆	3/5
The Laurels of Summit Ridge	7.7 mi	Asheville, NC	★★★★☆	3/5
Fleshers Fairview Health Care	8.2 mi	Fairview, NC	★★☆☆☆	1/5
Bear Mountain Health and Rehabilitation	10.2 mi	Asheville, NC	★★★☆☆	3/5
The Laurels of Greentree Ridge	10.7 mi	Asheville, NC	★★★★★	4/5
Elevate Health and Rehabilitation	11.6 mi	Asheville, NC	★☆☆☆☆	1/5
Givens Health Center	11.7 mi	Asheville, NC	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Black Mountain →

Facility data as of CMS processing date 2026-08-01. CCN 345078.

The Care File

Visit checklist — Highland Farms

200 Tabernacle Road, Black Mountain, NC 28711 · 8286696473

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $4,271

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345078 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)