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North Carolina nursing homes › Black Mountain › Highland Farms

Highland Farms

200 Tabernacle Road, Black Mountain, NC 28711 · Buncombe County · (828) 669-6473

★★★★★ (5/5)Overall CMS rating
★★★★☆ (4/5)Health inspection
★★★★★ (5/5)Staffing
★★★★☆ (4/5)Quality measures

Fewer inspection deficiencies (3) than 48% of nursing homes in North Carolina. Rated #1 of 4 nursing homes in Black Mountain by overall CMS stars. Nursing hours per resident day: 4.9 — above the North Carolina average of 3.85.

Quality details (CMS data, Oct 2026 release)

Certified beds60
Average residents per day47.8
OwnershipNon-profit
ParticipationMedicare and Medicaid
Nursing hours per resident per day4.92 (North Carolina average: 3.85)
— of which RN hours1.33
— of which nurse aide hours2.86
Staff turnover28%
RN turnover15%
Most recent health inspectionJul 31, 2026
Deficiencies cited (latest cycle)3 (North Carolina average: 4.7)
Weighted inspection score (lower is better)13
Federal fines in past 3 years1 fine(s) totaling $4,271
Payment denials / penalties1

Compare homes before you choose

Ratings change with every inspection cycle. Compare Highland Farms side by side with other homes in Black Mountain and check the latest red flags:

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Plan the cost of care in North Carolina

What does care cost in North Carolina? A semi-private nursing home room runs a median of $9,733 per month — see North Carolina senior care cost medians and check North Carolina Medicaid eligibility limits.

Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.