94/100
Excellent
200 Tabernacle Road, Black Mountain, NC 28711
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
$4,271 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 15, 2025 (1 year ago).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| GIVENS ESTATES, INC. | Organization | DIRECT OWNERSHIP INTEREST | — |
| HOKE, KRISTINE | Individual | CORPORATE DIRECTOR | — |
| KERESTES, DAVID | Individual | CORPORATE DIRECTOR | — |
| GIVENS ESTATES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HOKE, KRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| KERESTES, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| GIVENS ESTATES, INC. | Organization | ADP OF THE SNF | — |
| HOKE, KRISTINE | Individual | ADP OF THE SNF | — |
| KERESTES, DAVID | Individual | ADP OF THE SNF | — |
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Highland Farms holds an ElderGrade of A (94 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.92 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 14 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Highland Farms is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.