Highland Farms: Staffing, Turnover, and Inspection Record
Highland Farms is a 60-bed nonprofit nursing home in Black Mountain, North Carolina. In the CMS August 2026 release it reported 2.86 nurse aide hours per resident per day, 22% above the North Carolina average of 2.34, and 28.1% nursing staff turnover (North Carolina average 49.0%).
Highland Farms
200 Tabernacle RoadBlack Mountain, NC 28711
Buncombe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highland Farms, nurse aides logged 2.86 hours per resident per day, 22% above the North Carolina average. With about 48 residents a day, that works out to roughly 137 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.86 | 2.34 | 2.32 |
| Licensed practical nurses | 0.73 | 0.89 | 0.86 |
| Registered nurses | 1.33 | 0.61 | 0.69 |
| All nursing staff | 4.92 | 3.83 | 3.86 |
| All nursing staff, weekends | 4.33 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
28.1% of nursing staff at Highland Farms left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 15.4%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 15, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $4,271 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 22, 2024 | Fine | $4,271 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highland Farms holds 5 of 5 overall; the North Carolina average is 2.9.
About Highland Farms
- Ownership: Non profit - Corporation
- Legal name: Givens Highland Farms LLC
- Medicare and Medicaid certified since: Nov 1, 1971
- Part of a continuing care retirement community
- Councils: resident and family councils
- Area: urban
Nursing homes near Highland Farms
The closest homes by distance, with the same CMS figures. Select a column to sort.
| NC State Veterans Home - Black Mountain Black Mountain | 1.2 | 100 | 3.20 | 5.43 | 45.3% | 5 | $12,759 |
| Black Mountain Neuro-Medical Treatment Center Black Mountain | 2.2 | 163 | — | — | — | 5 | None |
| Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain | 2.2 | 97 | 2.20 | 3.47 | 42.0% | 1 | $16,152 |
| Swannanoa Valley Health and Rehabilitation Swannanoa | 5.2 | 106 | 2.17 | 3.22 | 57.8% | 3 | None |
| The Laurels of Summit Ridge Asheville | 7.7 | 68 | 2.34 | 4.17 | 38.2% | 4 | None |
| Fleshers Fairview Health Care Fairview | 8.2 | 106 | 2.10 | 3.96 | 46.2% | 2 | $61,321 |
| Bear Mountain Health and Rehabilitation Asheville | 10.2 | 77 | 2.21 | 3.28 | 60.5% | 3 | None |
| The Laurels Of Greentree Ridge Asheville | 10.7 | 90 | 2.12 | 3.72 | 40.8% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.