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Nursing homes in Black Mountain, NC

4 Medicare- or Medicaid-certified facilities in Black Mountain. Buncombe County overall has 19 certified facilities (county average rating 3.2/5). Across the 4 rated facilities here the average CMS overall rating is 4/5, against 2.92/5 across the 411 rated facilities elsewhere in North Carolina.

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Local staffing, inspection dates and questions to ask →

In Black Mountain

How to read this table: "Overall" is the CMS star rating, which combines inspections, staffing, and quality measures from resident assessments and claims; "Inspection" is the on-site health inspection rating — the most independent signal, and the one CMS grades on a curve against other facilities in the same state. Flags are federal abuse citations and Special Focus status.

FacilityLocationOverallInspectionStaffingFlagsFines (3y)Beds
Black Mountain Neuro-Medical Treatment CenterBlack Mountain★★★★★5/5—/5no Medicare—163
Highland FarmsBlack Mountain★★★★★4/55/5$4,27160
Mountain Ridge Rehabilitation and Healthcare CenteBlack Mountain★☆☆☆☆1/52/5$16,15297
NC State Veterans Home - Black MountainBlack Mountain★★★★★3/55/5$12,759100

What to check in Black Mountain

These figures cover the 4 facilities in this city, excluding nearby alternatives. They describe published records, not current vacancies or a recommendation.

Nurse staffing in Black MountainAdjusted hours per resident per day · Source: CMS, 2026-08-01
All-week averageWeekend average
Mean of 3 facilities with both values
All-week average: 5.21
Weekend average: 4.37

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

Both averages use the same 3 facilities, with equal weight per facility. 1 facility is excluded because one or both values are unavailable. These are CMS case-mix-adjusted measures, not the hours any individual resident is guaranteed to receive.

Weekend staffing is lower than the all-week figure at 3 of these 3. Ask how weekend coverage and response times are maintained. This difference alone does not establish unsafe care.

Check the facility-level figures behind this summary
FacilityAll-week hoursWeekend hoursLatest standard health survey
Black Mountain Neuro-Medical Treatment Center——Sep 25, 2025
Highland Farms6.095.36Aug 15, 2025
Mountain Ridge Rehabilitation and Healthcare Cente3.843.22May 30, 2025
NC State Veterans Home - Black Mountain5.704.54Dec 4, 2025

Hours use the same adjusted basis as the chart. A dash means unavailable. Survey dates are the latest standard health surveys reported in this CMS file; complaint investigations may have different dates. Calculation and verification details.

Nearby alternatives (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Swannanoa Valley Health and Rehabilitation4.3 miSwannanoa, NC★★★☆☆3/5
The Laurels of Summit Ridge6.7 miAsheville, NC★★★★☆3/5
Fleshers Fairview Health Care8.1 miFairview, NC★★☆☆☆1/5
Bear Mountain Health and Rehabilitation9.0 miAsheville, NC★★★☆☆3/5
The Laurels of Greentree Ridge9.8 miAsheville, NC★★★★★4/5
Elevate Health and Rehabilitation10.6 miAsheville, NC★☆☆☆☆1/5
Stonecreek Health and Rehabilitation11.0 miAsheville, NC★★★☆☆2/5
Givens Health Center11.1 miAsheville, NC★★★★★4/5
Deerfield Episcopal Retirement11.4 miAsheville, NC★★★★★5/5

Distances are straight-line from the Black Mountain area, based on CMS-published coordinates — driving distance will be longer. Inspection quality varies a lot even within one county: check each facility's page for what inspectors actually found.

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