Highland Farms — nursing home in Black Mountain, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 48.0 CMS, MDS-derived
CMS Certification Number: 345078
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 1, 1971
Ownership type: Non profit - Corporation
Operator (legal business name): Givens Highland Farms LLC
CMS chain: Not part of a CMS-reported chain
Phone: (828) 669-6473
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 31, 2026

Citations

10

10 health · 0 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E1	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$4,271

Payment denials

0

Latest

Aug 22, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345078
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Nov 1, 1971
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 31, 2026	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Aug 15, 2025	Health	Health Standard	3	Potential harm	—	Open →
Aug 22, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 22, 2024	Health	Health Standard	4	Potential harm	—	Open →
Apr 27, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 28, 2021	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Aug 22, 2024	Civil money penalty (fine)	$4,271	—	345078\|Fine\|42597

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E1	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 31, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 27, 2026	Complaint
Jul 31, 2026	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 27, 2026
Jul 31, 2026	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 27, 2026
Aug 15, 2025	F-0559	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 12, 2025
Aug 15, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2025
Aug 15, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 12, 2025
Aug 22, 2024	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 22, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 22, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 19, 2024
Aug 22, 2024	F-0887	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. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 19, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.95

State avg 3.87US avg 3.90

Registered nurse (RN)1.36

State avg 0.62US avg 0.69

Licensed practical nurse0.75

State avg 0.88US avg 0.86

Nurse aide2.85

State avg 2.37US avg 2.35

Weekend total nurse4.26

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.16 (case-mix index 1.12).

Staff turnover

Total nursing staff turnover25.9%

State avg 48.7%US avg 45.3%

Registered nurse turnover21.4%

State avg 45.7%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 31, 2026
Cycle 1 health score: 12
Total weighted score: 13

Operating entity

Givens Highland Farms LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Givens Estates, Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Givens Estates, Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2012
Givens Estates, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2012
Kristine Hoke	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 8, 2022
David Kerestes	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 18, 2014
Kristine Hoke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 8, 2022
David Kerestes	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 18, 2014
Givens Estates, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 4, 2025
Kristine Hoke	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 8, 2022
David Kerestes	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 8, 2014

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 200 Tabernacle Road, Black Mountain, NC 28711
ZIP: 28711
County: Buncombe County FIPS 37021
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Nc State Veterans Home - Black Mountain 62 Lake Eden Road, Black Mountain, NC 28711 CCN 345558	1.9 km	100	Dec 4, 2025	171 harm1 open	$13k
Mountain Ridge Rehabilitation and Healthcare Cente 611 Old US Highway 70 East, Black Mountain, NC 28711 CCN 345048	3.6 km	97	Jul 9, 2026	262 IJ1 harm	$32k
Black Mountain Neuro-Medical Treatment Center 932 Old US Highway 70, Black Mountain, NC 28711 CCN 34A001	3.6 km	163	Sep 25, 2025	121 IJ	—
Swannanoa Valley Health and Rehabilitation 1984 US Highway 70, Swannanoa, NC 28778 CCN 345418	8.4 km	106	Oct 6, 2025	211 open	—
The Laurels of Summit Ridge 100 Riceville Road, Asheville, NC 28805 CCN 345438	12.4 km	68	Jul 2, 2026	341 harm	—
Fleshers Fairview Health Care 3016 Cane Creek Road, Fairview, NC 28730 CCN 345413	13.2 km	106	Sep 22, 2025	466 harm1 open	$61k
Bear Mountain Health and Rehabilitation 500 Beaverdam Road, Asheville, NC 28804 CCN 345010	16.4 km	77	Jul 15, 2026	382 open	—
Greentree Ridge Health & Rehab Center 70 Sweeten Creek Road, Asheville, NC 28803 CCN 345303	17.2 km	90	Aug 20, 2026	283 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345078	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345078	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345078

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction