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Skilled NursingContinuing Care (CCRC / Life Plan)CMS verified

Highland Farms

200 Tabernacle Road, Black Mountain, NC 28711 · Buncombe County

5.0CMS overall rating(828) 669-6473
93
Exceptional
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates exceptional.
Availability outlookFills quickly

Typically 85% full (51 of 60 beds occupied on an average day).

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

One of Black Mountain's top-rated skilled nursing communities

Highland Farms is a non-profit skilled nursing facility in Black Mountain, NC, with 60 certified beds and an average of about 51 residents per day. It is part of a continuing care retirement community, so residents can often move between levels of care on one campus.

Medicare rates it 5 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 5/5 on staffing, 4/5 on quality measures.

Staff provide about 4.86 total nurse hours per resident each day (1.15 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 24.6%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 3 health deficiencies at its most recent standard survey, and 1 federal fine totaling $4,271 in the recent record.

Strengths

  • 5-star overall CMS rating
  • Strong health-inspection rating
  • Above-average nurse staffing (4.86 hrs/resident/day)
  • Low staff turnover (continuity of care)
  • Full sprinkler system
  • Active resident & family council

Things to ask about

None noted in the public data.

Best for: Families who want a highly rated, well-staffed setting in Black Mountain for 24/7 skilled nursing or post-hospital rehabilitation.

At a glance

Certified beds
60
Avg. residents/day
51
Ownership
Non profit - Corporation
Part of a chain
Independent
Continuing care
Yes — multiple care levels
CMS provider #
345078

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$8,570–$11,120/mo (median $9,570)Local market estimate
Continuing Care (CCRC / Life Plan)$3,270–$8,010/mo (median $6,500)Local market estimate

2024–2026 published survey medians, state median adjusted to local Asheville prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Highland Farms

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
4.86
National avg ≈ 3.9
RN hrs / resident / day
1.15
National avg ≈ 0.75
Nursing staff turnover
24.6%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey)
3
Federal fines
1 ($4,271)
Total penalties
1
Last standard survey
2025-08-15
Sprinkler system
Yes
Resident & family council
Both

What inspectors found

The most recent findings from federal health inspections (14 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-08-15Severity E — potential for harmNutrition and Dietary Deficiencies

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

2025-08-15Severity D — potential for harmResident 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.

2025-08-15Severity D — potential for harmQuality of Life and Care Deficiencies

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

2024-08-22Severity D — potential for harmNursing 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.

2024-08-22Severity D — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2024-08-22Severity D — potential for harmInfection Control Deficiencies

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

2024-08-22Severity D — potential for harmInfection 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.

2023-04-27Severity E — potential for harmResident Rights Deficiencies

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

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2024-08-22Fine$4,271

Services & amenities

  • Continuing care community (multiple care levels on one campus)
  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy

Location

200 Tabernacle Road, Black Mountain, NC

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Highland Farms.

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Common questions about Highland Farms

How much does Highland Farms cost?

Highland Farms does not publish exact rates. Comparable skilled nursing in the Black Mountain, NC area typically runs $8,570–$11,120 per month (median $9,570, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Highland Farms's Medicare rating?

Medicare (CMS) rates Highland Farms 5 out of 5 stars overall, including 4/5 for health inspections, 5/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Highland Farms?

Staff provide about 4.86 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 24.6% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Highland Farms?

Highland Farms has 14 health citations on its recent federal inspection record (last standard survey: 2025-08-15). The full citation-by-citation detail, with severity levels, is published on this page.

Does Highland Farms have availability?

Typically 85% full (51 of 60 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Highland Farms offer?

Highland Farms in Black Mountain, NC offers skilled nursing, continuing care (ccrc / life plan) and is licensed for 60 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Asheville.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Highland Farms — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verified

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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