Nursing home
Highland Farms
200 Tabernacle Road, Black Mountain, NC 28711 · Map
Non profit - Corporation · 60 certified beds
Highland Farms is a Medicare-certified nursing home in Black Mountain, North Carolina. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.77 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Aug 15, 2025 cited 3 deficiencies.
- 1 fine totaling $4,271In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highland Farms compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.77 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.25 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.86 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 35.4% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $4,271, 1 total penalty.
What inspectors found at Highland Farms
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 15, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 15, 2025 · Full report (PDF) - Potential for harm
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 · Aug 15, 2025 · Full report (PDF) - Potential for harm
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 · Aug 22, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 22, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 22, 2024 · Full report (PDF) - Potential for harm
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 · Aug 22, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 27, 2023 - Potential for harm
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Apr 27, 2023 - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Apr 27, 2023 - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Apr 27, 2023 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Apr 27, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 200 Tabernacle Road
Black Mountain, NC 28711 - CMS certification #
- 345078
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 47.7
- Provider type
- Medicare and Medicaid
- First certified
- 1971-11-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highland Farms using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2018, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 15, 2018: programmed (planned) inspection, complete (health). Case closed Nov 28, 2018. 4 violations cited (2 serious, 2 other). Penalties: $1,050 proposed, $787 now. OSHA record. OSHA recorded the employer as 139769 - Givens Highland Farms, LLC.
Details
- Serious: Abrasive wheel machinery (1910.215(a)(4)). Penalty $1,050 proposed, $787 now. To be fixed by Oct 5, 2018.
- Serious: Abrasive wheel machinery (1910.215(b)(9)). Penalty $0 proposed, $0 now. To be fixed by Oct 5, 2018.
- Other than serious: Electrical wiring methods and equipment (1910.305(g)(2)(iii)). Penalty $0 proposed, $0 now. To be fixed by Oct 1, 2018.
- Other than serious: Use of electrical equipment (1910.334(a)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Oct 1, 2018.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Memorial Mission Hospital And Asheville Surgery Ce, Asheville. 11.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- NC State Veterans Home - Black Mountain, Black Mountain. 1.2 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Asheville. 7.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Ingles Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28711 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Asheville Kidney Center, Asheville, 10.0 miles away, straight line (CMS rating 5 of 5 stars)
Davita Biltmore Home Training, Asheville, 11.6 miles away, straight line
Davita Weaverville Dialysis, Weaverville, 13.4 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 28711.
Carepartners Hospice & Palliative Care Services, office in Asheville, 10.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Carepartners Hospice & Palliative Care Services, office in Marion, 19.8 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of Yancey County, office in Burnsville, 20.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 11.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Highland Farms a good nursing home?
CMS gives Highland Farms an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highland Farms staffed?
Highland Farms reports 4.77 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Highland Farms had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Highland Farms have?
Highland Farms is certified for 60 beds.