North Carolina ›Black Mountain

Highland Farms

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200 Tabernacle Road, Black Mountain, NC 28711 (opens Google Maps) · Buncombe County · (828) 669-6473· 60 certified beds · avg 48 residents/day · certified since Nov 1, 1971 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5
Health inspection rating (on-site)
inspected Aug 15, 2025
0
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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    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. F-0812

  2. D · Potential for more than minimal harm, isolated

    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. F-0559

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Aug 15, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0559
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0887
Apr 27, 2023E · Potential for more than minimal harm, patternThe 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. · F-0626
Apr 27, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 27, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0636
Apr 27, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0756
Apr 27, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0757
Apr 27, 2023D · Potential for more than minimal harm, isolatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Apr 27, 2023B · Potential for minimal harm, patternThe 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. · F-0640

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202370E
202440D
202530E

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)

How to file a complaint about care →

1 fine totaling $4,271.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 22, 2024Fine$4,271

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 6.09
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 1.65
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.36
North Carolina average: 3.56
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)6.094.013.95top 6% in North Carolina; top 4% in the U.S.
Registered Nurse hours1.650.640.69top 4% in North Carolina; top 3% in the U.S.
Weekend total nurse staffing5.363.563.50top 6% in North Carolina; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)0.900.410.48top 5% in North Carolina; top 8% in the U.S.
Total nursing staff turnover (%)28.149.045.8top 7% in North Carolina; top 11% in the U.S.
RN turnover (%)15.445.742.9top 8% in North Carolina; top 9% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.92 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Highland Farms. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Givens Estates, INC.OrganizationDirect Ownership InterestNOT APPLICABLE12/01/2012
Givens Estates, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE12/01/2012
Givens Estates, INC.OrganizationADP of the SNFNOT APPLICABLE06/04/2025
Hoke, KristineIndividualCorporate DirectorNOT APPLICABLE08/08/2022
Hoke, KristineIndividualOperational/Managerial ControlNOT APPLICABLE08/08/2022
Hoke, KristineIndividualADP of the SNFNOT APPLICABLE08/08/2022
Kerestes, DavidIndividualCorporate DirectorNOT APPLICABLE12/18/2014
Kerestes, DavidIndividualOperational/Managerial ControlNOT APPLICABLE12/18/2014
Kerestes, DavidIndividualADP of the SNFNOT APPLICABLE12/08/2014

All 9 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 28% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 26 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
NC State Veterans Home - Black Mountain1.2 miBlack Mountain, NC★★★★★3/5
Mountain Ridge Rehabilitation and Healthcare Cente2.2 miBlack Mountain, NC★☆☆☆☆1/5
Black Mountain Neuro-Medical Treatment Center2.2 miBlack Mountain, NC★★★★★5/5
Swannanoa Valley Health and Rehabilitation5.3 miSwannanoa, NC★★★☆☆3/5
The Laurels of Summit Ridge7.7 miAsheville, NC★★★★☆3/5
Fleshers Fairview Health Care8.2 miFairview, NC★★☆☆☆1/5
Bear Mountain Health and Rehabilitation10.2 miAsheville, NC★★★☆☆3/5
The Laurels of Greentree Ridge10.7 miAsheville, NC★★★★★4/5
Elevate Health and Rehabilitation11.6 miAsheville, NC★☆☆☆☆1/5
Givens Health Center11.7 miAsheville, NC★★★★★4/5
Stonecreek Health and Rehabilitation11.9 miAsheville, NC★★★☆☆2/5
Deerfield Episcopal Retirement12.1 miAsheville, NC★★★★★5/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Buncombe, NC — 19 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Black Mountain →

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

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