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Nursing HomeMedicaid Top Rated

Highland Farms

Strong Medicare quality ratings; families often praise beautiful, well-maintained campus. Still worth an in-person visit.

200 Tabernacle Road, Black Mountain, NC 2871160 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 101 Google reviews

5
4
3
2
1
Highland Farms Nursing Home in Black Mountain, NC — Street View
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What this means for your family

Givens Highland Farms offers a vibrant, community-focused environment that is highly rated by independent living residents. However, families considering the health center or rehab wing should be aware of reports regarding outdated room conditions and high costs; we recommend touring these specific areas personally and asking about planned renovations.

Google Reviews

Google Reviews

101 reviews on Google
Givens Highland Farms is a well-regarded retirement community praised for its beautiful, scenic campus and friendly, active resident population. While independent living residents frequently highlight the strong sense of community and staff attentiveness, some visitors and family members of those in the health center/rehab wing have expressed concerns regarding outdated facility aesthetics and high costs.

Quality Themes

Tap a score for details
Food7.0Staff8.0Clean8.0Activities9.0MedsN/AMemoryN/AComms6.0Value3.0

Strengths

  • Beautiful, well-maintained campus
  • Warm and attentive staff
  • Strong sense of community among residents
  • Engaging activities and social opportunities

Concerns

  • High cost relative to facility condition (mentioned by 4 reviewers)
  • Outdated or institutional feel in health/rehab areas (mentioned by 3 reviewers)
  • Staff responsiveness and attitude issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(1)'18(16)'20(8)'22(21)'24(5)'26(5)

Distribution · 102 analyzed

5
68
4
19
3
4
2
4
1
7

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the 5-star staffing rating, how does your team ensure that level of attention translates into consistent, personalized responsiveness for each resident throughout the day?
  • 2I noticed the campus is beautiful and well-maintained; could you walk me through how you balance those aesthetic updates with the maintenance of the health and rehab areas?
  • 3With a capacity of 60 residents, what are some of the most popular social activities or community traditions that help new residents feel at home here?
  • 4I see that you are very active in responding to feedback online; how do you use that resident and family input to shape the daily experience here at Highland Farms?
  • 5Regarding the health inspection ratings, could you share the steps you are currently taking to address those specific areas and ensure the highest standard of care?
  • 6How do you approach the balance between the cost of care and the value provided to ensure families feel their loved ones are receiving the best possible support?

Personalized based on this facility's data


Key Review Excerpts

The care and kindness far exceeds my other options - even over nearer beautiful facilities. My husband feels he is among FRIENDS!

Memory care family member · 2022★★★★★

Nursing home/rehab area is depressing, although the people are really nice. Small, ancient rooms are shared and overpriced, and there's nothing for a cognizant, ambulatory person to do.

Visitor · 2022★★★☆☆

I was very surprised at the high cost for a facility that obviously uses none of its funds to provide an attractive environment for the residents.

Visitor · 2022★★☆☆☆
Source: 101 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.15hrs
OK
Registered nurses for medical care
Total Nursing
4.86hrs
OK
All nurses + aides combined
Staff Turnover
25%
Lower is better (< 30% = good)
RN Turnover
8%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
19.5%
NC
21.5%
Buncombe
23.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
15.4%
NC
14.1%
Buncombe
18.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
14.4%
NC
16.4%
Buncombe
16.3%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility13.8%
Worse than Avg
Here
13.8%
US
3.2%
NC
3.5%
Buncombe
5.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
19.4%
NC
21.0%
Buncombe
25.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.1%
Mixed vs Avgs
Here
3.1%
US
12.1%
NC
5.4%
Buncombe
2.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
79.7%
NC
78.1%
Buncombe
74.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.0%
Better than Avg
Here
93.0%
US
81.8%
NC
80.1%
Buncombe
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Buncombe
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Near state avg (5.6)
7 complaint-triggered
$4,271 in fines

Highland Farms has 14 federal deficiencies across three surveys, with half triggered by family complaints. The most recurring issues involve infection control policies, medication management, and resident assessment procedures. All deficiencies show correction dates, suggesting the facility addresses problems when identified, though the pattern of complaint-driven findings indicates families have raised concerns about care quality that required federal intervention to resolve.

Aug 15, 2025Routine
3
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 22, 2024Routine
4
0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

Apr 27, 2023Complaint
7
0626Potential for harm · PatternCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Federal Penalties

Fine

Aug 22, 2024

$4,271

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highland Farms

Organization Type

nonprofit

Ownership & Management

Owners

Givens Estates, INC.

Owner · Organization

Key personnel

Hoke, KristineOfficer / DirectorKerestes, DavidOfficer / DirectorGivens Estates, INC.ManagerHoke, KristineManagerKerestes, DavidManager
Source: Medicare provider data

Contact

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References & Resources

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