Highland Farms
Nursing home in Black Mountain, North Carolina, CMS certification number 345078
200 Tabernacle Road, Black Mountain, NC 28711 · Buncombe County
- CMS overall rating
- 5 of 5 stars
- Certified beds
- 60
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 31, 2026
- Deficiencies at that inspection
- 3
- Fines in 3 years
- $4,271 (1)
Does Highland Farms take Medicare and Medicaid?
Yes to both. Highland Farms is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 5 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Highland Farms reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.95
- Registered nurse hours
- 1.36
- Licensed practical nurse hours
- 0.75
- Nurse aide hours
- 2.85
- Weekend total hours
- 4.26
- Nursing staff turnover
- 25.9%
- Registered nurse turnover
- 21.4%
Health inspections and complaints
Inspectors last made a standard visit on July 31, 2026 and cited 3 deficiencies, plus 1 from complaint visits.
The visit before, on August 15, 2025, found 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Highland Farms 1 time in the past 3 years, for $4,271 in total.
Beds and residents
On an average day 48 residents live here, about 80% of its 60 certified beds.
- Certified beds
- 60
- Average residents per day
- 48
- Certified since
- November 1, 1971
- Part of a continuing care community
- Yes
- Resident or family council
- Both
Who owns Highland Farms
- Legal business name
- Givens Highland Farms LLC
- Ownership type
- Non profit - Corporation
Other nursing homes near Highland Farms
- NC State Veterans Home - Black Mountain62 Lake Eden Road, Black Mountain 28711
- Mountain Ridge Rehabilitation and Healthcare Cente611 Old US Highway 70 East, Black Mountain 28711
- Black Mountain Neuro-Medical Treatment Center932 Old US Highway 70, Black Mountain 28711
- Swannanoa Valley Health and Rehabilitation1984 US Highway 70, Swannanoa 28778
- The Laurels of Summit Ridge100 Riceville Road, Asheville 28805
Who inspects nursing homes in North Carolina
North Carolina's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in North Carolina, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Highland Farms, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Highland Farms
What is the CMS star rating of Highland Farms?
5 out of 5 stars overall.
Does Highland Farms accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Highland Farms?
3 cited at the last standard visit.
Who owns Highland Farms?
Givens Highland Farms LLC, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.