nursing home in Black Mountain, NC
Highland Farms
200 Tabernacle Road, Black Mountain, NC 28711 · (828) 669-6473
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Highland Farms at a glance
Highland Farms is a 60-bed non-profit nursing home in Black Mountain, North Carolina (Buncombe County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 4.9 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (July 31, 2026) found 3 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $4,271.
Nursing staff turnover is 28.1% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 1, 1971
- Continuing care retirement community
- Yes
- Resident/family council
- Both
- County
- Buncombe County
- CMS Certification Number
- 345078
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.92 hrs | 3.85 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.33 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.86 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.33 hrs | 3.42 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 28.1% | 49% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 15.4% | 45.6% | 42.9% | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 13 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $4,271 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 105 | 107 | |
| Average residents per day | 48 | 87 | 86 | |
| Occupancy | 79.7% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 11.1% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 2.1% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 25.8% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.8% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.3% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.9% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 6.8% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.1% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 92% | 93.6% | Better |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.3% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.2% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 31, 2026 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected August 27, 2026 |
| July 31, 2026 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 27, 2026 |
| July 31, 2026 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected August 27, 2026 |
| August 15, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 12, 2025 |
| August 15, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 12, 2025 |
| August 15, 2025 Standard | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected September 12, 2025 |
| August 22, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected September 20, 2024 |
| August 22, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected September 19, 2024 |
| August 22, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 19, 2024 |
| August 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 20, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $4,271 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 22, 2024 | Fine | $4,271 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GIVENS ESTATES, INC. Organization | adp of the snf | NOT APPLICABLE | 06/04/2025 |
| HOKE, KRISTINE Individual | adp of the snf | NOT APPLICABLE | 08/08/2022 |
| KERESTES, DAVID Individual | adp of the snf | NOT APPLICABLE | 12/08/2014 |
| HOKE, KRISTINE Individual | corporate director | NOT APPLICABLE | 08/08/2022 |
| KERESTES, DAVID Individual | corporate director | NOT APPLICABLE | 12/18/2014 |
| GIVENS ESTATES, INC. Organization | direct ownership interest | NOT APPLICABLE | 12/01/2012 |
| GIVENS ESTATES, INC. Organization | operational/managerial control | NOT APPLICABLE | 12/01/2012 |
| HOKE, KRISTINE Individual | operational/managerial control | NOT APPLICABLE | 08/08/2022 |
| KERESTES, DAVID Individual | operational/managerial control | NOT APPLICABLE | 12/18/2014 |
Other nursing homes near Highland Farms
Nc State Veterans Home - Black Mountain
62 Lake Eden Road, Black Mountain, NC 28711 · 1.2 mi
For-profit · 100 beds · Part of Pruitthealth
★★★★★5Much above averageBlack Mountain Neuro-Medical Treatment Center
932 Old US Highway 70, Black Mountain, NC 28711 · 2.2 mi
Government · 163 beds
★★★★★5Much above averageMountain Ridge Rehabilitation and Healthcare Cente
611 Old US Highway 70 East, Black Mountain, NC 28711 · 2.2 mi
For-profit · 97 beds
★★★★★1Much below averageSwannanoa Valley Health and Rehabilitation
1984 US Highway 70, Swannanoa, NC 28778 · 5.2 mi
For-profit · 106 beds · Part of Ascent Healthcare Management
★★★★★3Average- ★★★★★4Above average
- ★★★★★2Below average
All nursing homes in Black Mountain, NC · Compare side by side
Frequently asked questions
What is Highland Farms's rating?
Highland Farms has 5 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Highland Farms receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Highland Farms accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Highland Farms?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Highland Farms and how do I contact it?
Highland Farms is at 200 Tabernacle Road, Black Mountain, NC 28711. Phone: (828) 669-6473.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.