Highland Farms
200 Tabernacle Road · Black Mountain, NC · 28711 · 8286696473
60 certified beds Non profit - Corporation Part of a CCRC
- Staffing hours comfortably above national benchmarks.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.15 | 0.55–0.75 |
| Weekend hours / resident-day | 4.18 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | 1 · $4,271 |
Inspection citations (14 in the current record)
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Potential for harm · D August 15, 2025
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected September 12, 2025 · Resident Rights
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Potential for harm · D August 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · E August 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2025 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
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.
Corrected September 20, 2024 · Nursing and Physician Services
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Potential for harm · D August 22, 2024
Provide and implement an infection prevention and control program.
Corrected September 20, 2024 · Infection Control
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Potential for harm · D August 22, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 19, 2024 · Infection Control
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Potential for harm · D August 22, 2024
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.
Corrected September 19, 2024 · Infection Control
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Potential for harm · E April 27, 2023
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected May 19, 2023 · Resident Rights
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Potential for harm · D April 27, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 27, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 19, 2023 · Pharmacy Service
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Potential for harm · D April 27, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 19, 2023 · Pharmacy Service
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Potential for harm · E April 27, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2023 · Nutrition and Dietary
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Potential for harm · D April 27, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 24, 2023 · Administration
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No harm found · B April 27, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 23, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 22, 2024 | Fine | $4,271 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345078 · certified since November 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.