Highland Farms

Nursing Home · Black Mountain, NC

CMS overall rating 5/5 Non profit - Corporation

CMS certification number345078

Contact & location

200 Tabernacle Road
Black Mountain, NC 28711
Buncombe County
Phone
(828) 669-6473
ZIP code
28711 – all care providers

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Facility details

Certified beds
60
Residents per day
47.8 (80% occupied)
Ownership
Non profit - Corporation
Legal name
Givens Highland Farms LLC
Medicare certified since
November 1, 1971
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Both council

CMS star ratings

Overall★★★★★ 5/5
State avg 2.9
Health inspections★★★★★ 4/5
State avg 2.9
Staffing★★★★★ 5/5
State avg 2.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.92 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
1.33 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.73 (state 0.89 · U.S. 0.86)
Nurse aides
2.86 (state 2.34 · U.S. 2.32)
Weekend total
4.33 (state 3.40 · U.S. 3.42)
Nursing staff turnover
28.1 (state 49.0 · U.S. 45.8)%
RN turnover
15.4 (state 45.7 · U.S. 42.9)%

Inspections

Last standard inspection
August 15, 2025
Health deficiencies (last cycle)
3.0 (state 4.8 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
14 health · 0 fire safety
DateCitationSeverityStatus
2025-08-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-12
2025-08-15 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
F0559 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-12
2025-08-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-12
2024-08-22 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.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-20
2024-08-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-20
2024-08-22 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2024-08-22 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.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-19
2023-04-27 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-04-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-24
2023-04-27 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-04-27 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-04-27 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-04-27 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-24
2023-04-27 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2023-05-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $4,271 in fines.

DateTypeAmount
2024-08-22Fine$4,271

Ownership & management

NameRoleSince
Givens Estates, INC. (organization)Administrator · NOT APPLICABLE
Hoke, Kristine (individual)Administrator · NOT APPLICABLE
Kerestes, David (individual)Administrator · NOT APPLICABLE
Hoke, Kristine (individual)Corporate Director · NOT APPLICABLE
Kerestes, David (individual)Corporate Director · NOT APPLICABLE
Givens Estates, INC. (organization)Direct Ownership Interest · NOT APPLICABLE
Givens Estates, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Hoke, Kristine (individual)Operational/managerial Control · NOT APPLICABLE
Kerestes, David (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Highland Farms?

Highland Farms has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Highland Farms have?

It has 60 certified beds and cares for about 48 residents per day.

Has Highland Farms been fined?

Yes. CMS lists 1 penalty totaling $4,271 in the last three years.

What is the phone number of Highland Farms?

(828) 669-6473. The facility is located at 200 Tabernacle Road, Black Mountain, NC 28711.

Other nursing homes in Black Mountain

Compare all nursing homes in Black Mountain, NC →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.