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Assisted Living
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Medicare-certifiedSkilled Nursing
Highland Farms
Black Mountain, North CarolinaMedicare inspection record
About Highland Farms
Highland Farms is a non profit - corporation nursing home in Black Mountain, NC with 60 certified beds.
Community at a glance
Capacity
60 residents
Location
Black Mountain, NC
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
200 Tabernacle Road, Black Mountain, North Carolina 28711
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 31, 2026, state inspectors cited 3 health deficiencies (the North Carolina average is 4.7).
Nurses and nurse aides spend 4 hours 55 minutes with each resident a day, above the North Carolina average of 3 hours 51 minutes.
Medicare fined Highland Farms once in the last three years, $4,271 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 55 minutesAbove the North Carolina average |
| Registered nurse time per resident, per day | 1 hour 20 minutesAbove the North Carolina average |
| Nursing staff who left in the past year | 28%Below the North Carolina average |
Inspections
10 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 31, 2026 · Standard inspection · 3 citations
Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it acceptedProvide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it acceptedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationPlan to fix it accepted
August 15, 2025 · Standard inspection · 3 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 12, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 12, 2025Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 12, 2025
August 22, 2024 · Standard inspection · 4 citations+
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.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 19, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 20, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Sep 20, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 19, 2024
Fines and payment denials
1 fine totaling $4,271 in the last three years.
- August 22, 2024Fine: $4,271
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- Givens Highland Farms LLC
- Medicare-certified beds
- 60
- Average residents per day
- 48
- Accepts
- Medicare and Medicaid
- First certified
- November 1, 1971
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 345078
Location
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200 Tabernacle RoadBlack Mountain, NC 28711
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Questions about Highland Farms
How did Highland Farms do on its last inspection?+
State inspectors visited on July 31, 2026 and cited 3 health deficiencies, 1 of them from complaint investigations. The North Carolina average is 4.7.
How much nursing care does each resident get at Highland Farms?+
Nurses and aides spend 4 hours 55 minutes with each resident per day, including 1 hour 20 minutes from registered nurses. 28% of nursing staff left over the past year.
Has Highland Farms been fined by Medicare?+
Yes. Medicare fined Highland Farms once in the last three years, totaling $4,271.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.