Overview
Highland Farms has a Medicare overall rating of 5 out of 5, above the North Carolina average of 3.0. It ranks 3rd of 4 nursing homes in Black Mountain. Its strongest area is staffing (5 of 5), and its weakest is health inspections (4 of 5).
Residents receive about 5.0 hours of nursing care per day, more than at 91% of nursing homes in North Carolina (the state average is 3.9 hours). Of that, 1.4 hours come from registered nurses.
Its most recent standard inspection, on July 31, 2026, found 3 health deficiencies, fewer than the North Carolina average of 4.5. 1 of them came from complaint investigations. Medicare records 1 fine totaling $4,271 in the past three years.
Highland Farms is a nonprofit facility with 60 certified beds, caring for about 48 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1971. It is part of a continuing care retirement community.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 75%
Top 20%
Top 15%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- July 31, 2026
- Health deficiencies cited
- 3
- Complaint-related deficiencies
- 1
- Fines in the last 3 years
- 1 totaling $4,271
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff4.95 hrs
- Registered nurses (RN)1.36 hrs
- Licensed practical nurses (LPN)0.75 hrs
- Nurse aides2.85 hrs
- Physical therapists0.08 hrs
Facility details
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Average residents per day
- 48
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- November 1, 1971
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes