★★★★★CMS 5/560 bedsNon-profitMedicaid
- Nurse hours
- 4.92 /day
- Staff turnover
- 28%
- Serious cites
- 0
Highland Farms runs on a nonprofit model with 60 certified beds in Black Mountain, and the staffing numbers are the first thing worth noticing. At 4.92 nurse hours per resident day, it sits roughly 27% above the national average, and weekend coverage only dips about 12% below its own weekday level, a smaller drop than many homes show. Staff turnover lands at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record backs this up: 14 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,271. State surveyors visited recently, in August 2025, so the picture is current.
★★★★★CMS 5/5100 bedsFor-profitMedicaid
- Nurse hours
- 5.43 /day
- Staff turnover
- 45%
- Serious cites
- 0
Nc State Veterans Home - Black Mountain runs a 100-bed for-profit operation where the nursing hours look strong on paper, 5.43 per resident day, well clear of the 3.86 national figure, but weekends drop roughly 20% below the home's own weekday coverage, so the care your family member gets depends heavily on which day it is. Turnover sits at 45.3%, essentially the national rate. What troubles me is the inspection record: 20 deficiencies, three at harm or jeopardy level, two tied to abuse, and a single $12,759 fine. The most recent inspection was December 2025. Ask directly what changed since then.
★★★★★CMS 5/5163 bedsGovernmentMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Black Mountain Neuro-Medical Treatment Center is state-run, with 163 certified beds, and the federal inspection picture looks strong on paper: five stars for health inspections, five for quality measures. But the deficiency record tells a more complicated story. Five deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, are the kind of findings that matter more than a star rating. Inspections were recent, last dated September 25, 2025. State ownership can mean stable funding and oversight, but it can also mean slower fixes when something goes wrong. Ask directly about those two serious deficiencies and what changed afterward.
★☆☆☆☆CMS 1/597 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 42%
- Serious cites
- 0
Mountain Ridge runs on 3.47 nurse staffing hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays. The inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $16,152; the most recent inspection was May 30, 2025. Staff turnover sits at 42%, a bit better than the 45.8% national figure, and the quality measure rating is strong at 4 out of 5. But a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating carry more weight when you're choosing care.