Highland Farms
Nursing home in Black Mountain, NC
Medicare & Medicaid certified5★ overall (CMS)
Public-record details
- Address
- 200 Tabernacle Road, Black Mountain, NC 28711
- Phone
- (828) 669-6473
- Listed under
- Nonprofit, 4–5 star overall rating, Part of a retirement community
- Medicare CCN
- 345078
- Overall star rating
- 5 of 5 ★★★★★
- Health inspection rating
- 4 of 5
- Staffing rating
- 5 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 60
- Average residents per day
- 48
- Ownership
- Nonprofit, corporation
- Legal business name
- Givens Highland Farms LLC
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 1, 1971
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- Yes
- Located inside a hospital
- No
- Resident or family council
- Resident and family councils
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 15, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 27, 2023 to Aug 15, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Aug 15, 2025 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D |
| Aug 15, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Aug 15, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Aug 22, 2024 | 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. | D |
| Aug 22, 2024 | Provide and implement an infection prevention and control program. | D |
| Aug 22, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| Aug 22, 2024 | 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… | D |
| Apr 27, 2023 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| Apr 27, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| Apr 27, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| Apr 27, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| Apr 27, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
Fines and payment denials
CMS records 1 fine totalling $4,271 in the last three years.
| Aug 22, 2024 | Fine: $4,271 |
Staffing
- Total nurse staffing per resident per day
- 4.92 hours
- Registered nurse (RN) time per resident per day
- 1.33 hours
- Nurse aide time per resident per day
- 2.86 hours
- Total nurse staffing on weekends
- 4.33 hours
- Nursing staff turnover (yearly)
- 28%
- RN turnover (yearly)
- 15%
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.