All states › North Carolina › Black Mountain › Highland Farms
200 Tabernacle Road Black Mountain, NC 28711 · Buncombe County
All 4 nursing homes in Black Mountain, NC (4 take Medicaid)
CMS certification number 345078 · See this home on Medicare Care Compare
Is Highland Farms a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highland Farms as of October 2026.
CMS rates it 5 out of 5 stars overall, above the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.95 hours per resident per day at Highland Farms, above the North Carolina median of 3.57 (US median: 3.72). About 1.36 of those hours are from registered nurses. On weekends it falls to 4.26 hours, 14% below its all-week average. 25.9% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team.
About this nursing home
Paying for care at Highland Farms: Medicare and Medicaid
Highland Farms is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 31, 2026 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 10 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 10 citations at Highland Farms across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (3) and quality of life and care (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, August 15, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
July 31, 2026 · 3 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide care or services that was trauma informed and/or culturally competent.
August 15, 2025 · 3 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 22, 2024 · 4 citations
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
Questions to ask on a tour of Highland Farms
- CMS cited the home under its abuse and neglect rules on July 31, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $4,271 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 22, 2024 | Fine | $4,271 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
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Location
Hospitals near Highland Farms
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
- 7.7 mi
- 10.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Highland Farms with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.