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)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
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
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
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.
Date
Severity
What the facility was cited for
Aug 15, 2025
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
Aug 15, 2025
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
Aug 15, 2025
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
Aug 22, 2024
D · Potential for more than minimal harm, isolated
The 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, 2024
D · Potential for more than minimal harm, isolated
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. · F-0880
Aug 22, 2024
D · Potential for more than minimal harm, isolated
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Aug 22, 2024
D · Potential for more than minimal harm, isolated
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. · F-0887
Apr 27, 2023
E · Potential for more than minimal harm, pattern
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. · F-0626
Apr 27, 2023
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
Apr 27, 2023
D · Potential for more than minimal harm, isolated
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. · F-0636
Apr 27, 2023
D · Potential for more than minimal harm, isolated
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. · F-0756
Apr 27, 2023
D · Potential for more than minimal harm, isolated
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. · F-0757
Apr 27, 2023
D · Potential for more than minimal harm, isolated
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Apr 27, 2023
B · Potential for minimal harm, pattern
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. · 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.
Year
Citations
Serious (G–L)
Worst severity that year
2023
7
0
E
2024
4
0
D
2025
3
0
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.
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.
Date
Type
Amount / length
Aug 22, 2024
Fine
$4,271
Nurse staffing (from payroll records, adjusted for how much care residents need)
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.
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 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.
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.
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.