Highland Farms
Black Mountain, NC · Medicare and Medicaid-certified nursing home (CCN 345078) · 60 certified beds
Health inspection: 4 · Quality measures: 4 · Staffing: 5
Federal fines: 1 totaling $4,271
Phone: (828) 669-6473 · Verify on Medicare Care Compare ↗
Highland Farms has an overall CMS rating of 5 stars, above the North Carolina state average of 2.93 stars. Its health inspection rating is 4 stars and its staffing rating is 5 stars.
Highland Farms reports 4.92 total nurse hours per resident per day, including 1.33 RN hours per resident per day, with a staffing rating of 5 stars from CMS. Nursing staff turnover is reported at 28.1%.
CMS records show 1 federal fine totaling $4,271.00 for Highland Farms, with 0 payment denials. No abuse icon or Special Focus designation is indicated in the available CMS data for this facility.
About this facility
Highland Farms is a Medicare and Medicaid certified nursing home located in Black Mountain, Buncombe County, North Carolina. It is operated as a non-profit corporation and has been certified since November 1971. The facility has 60 certified beds and an average daily census of 47.8 residents.
According to CMS Care Compare, Highland Farms carries an overall rating of 5 stars, above the North Carolina state average of 2.93 stars. Its component ratings are 4 stars for health inspections, 4 stars for quality measures, and 5 stars for staffing.
Nurse staffing totals 4.92 hours per resident per day, including 1.33 RN hours per resident per day. Nursing staff turnover is reported at 28.1%.
On penalties, CMS records show 1 federal fine totaling $4,271.00 for this facility, and 0 payment denials. There is no abuse icon flagged for this facility in the supplied data, and it is not listed under CMS's Special Focus Facility program, which designates homes with a history of persistent poor performance placed under increased CMS scrutiny.
No chain affiliation is indicated in the data provided, and there has been no change of ownership in the past 12 months, so current ratings reflect the present operator.
This profile is based on data from CMS Medicare Care Compare and reflects the most recent reporting period supplied. Families should verify current details directly on Care Compare before making a decision.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Highland Farms has an overall rating of 5 stars, above the North Carolina state average of 2.93 stars.
Does this facility accept Medicare, Medicaid, or both?
Highland Farms is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
The facility reports 4.92 total nurse hours per resident per day, including 1.33 RN hours per resident per day, with a nursing staff turnover rate of 28.1% and a staffing rating of 5 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $4,271.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility designation for Highland Farms.
How large is this facility and how many residents live there?
Highland Farms has 60 certified beds and an average of 47.8 residents.
Who owns this facility — and is it part of a chain?
Highland Farms is owned by a non-profit corporation, and no chain affiliation is indicated in the available data.
How long has this facility been Medicare/Medicaid certified?
Highland Farms has been certified since November 1, 1971.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures — which combine to form the overall score; Highland Farms scores 4, 5, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the available data; contact the facility at 8286696473 or verify on Medicare Care Compare.
What should I look for when touring this facility?
Specific tour guidance is not part of CMS data; contact the facility at 8286696473 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current CMS data for Highland Farms at https://www.medicare.gov/care-compare/details/nursing-home/345078?state=NC.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.