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Nursing homeFAID #8899

Highland Farms

200 TABERNACLE ROAD, BLACK MOUNTAIN, NC, 28711
(828) 669-6473
60 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
CMS facility ID
345078
Care type
Nursing home
County
Buncombe
Facility name
Highland Farms
Street address
200 TABERNACLE ROAD
City / state / ZIP
Black Mountain, NC 28711
Phone
(828) 669-6473

About this facility — Highland Farms

Highland Farms is a Medicare/Medicaid-certified skilled nursing facility in Black Mountain, North Carolina. It is licensed for 60 beds — below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 19 senior care facilities in Black Mountain and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Highland Farms 14 times across 6 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $4,271 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Non profit - Corporation

Registered owners & officers

Givens Estates, Inc.
Direct owner · Operational control · Additional disclosable party — since 2012
Hoke, Kristine
Director · Operational control · Additional disclosable party — since 2022
Kerestes, David
Director · Operational control · Additional disclosable party — since 2014

Regulatory standing

Federal court records
1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1971-11-01
CMS overall rating
5 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$4,271 total
Last standard inspection
2025-08-15
Nurse staffing
4.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$1,202 per day (≈ $36,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
21% Medicaid · 15% Medicare · 64% private/other
Occupancy
82% (fiscal year 2023)
Vs. state median
222% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-15Health inspection3 citations
F-0559
D · No harm found
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-09-12
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-12
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-12
2024-08-22Health inspection4 citations
F-0726
D · No harm found
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.
Corrected 2024-09-20
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-20
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-19
F-0887
D · No harm found
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.
Corrected 2024-09-19
1 earlier / fire-safety inspection (7 citations)
2023-04-27Health inspection7 citations
F-0626
E · No harm found
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-05-19
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-05-19
F-0640
B · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-05-23
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-05-19
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-19
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-24
F-0867
D · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-05-24

Federal penalties

2024-08-22Fine$4,271
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345078.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 14 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered