Highland Farms
200 Tabernacle Road, Black Mountain, NC 28711
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident & Family Councils Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Highland Farms, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Highland Farms Compares
Highland Farms is a 60-bed nonprofit nursing facility in Black Mountain, North Carolina. It holds an overall CMS rating of 5 out of 5 stars, above the North Carolina average of 2.9 stars. Its strongest area is staffing, rated 5 stars. Its rate of falls resulting in major injury (13.8%) is above the North Carolina average of 3.5% — a measure worth asking the staff about. With 60 certified beds, it maintains moderate occupancy at roughly 85% occupied.
Among the 4 nursing facilities ElderVoice tracks in Black Mountain, 2 hold a 5-star rating and the local average is 3.8 stars.
By the numbers vs. North Carolina average
- Long-stay antipsychotic medication use: 1.1% — better than the North Carolina average of 14.1% (92% lower).
- Falls with major injury: 13.8% — worse than the North Carolina average of 3.5% (288% higher).
- High-risk pressure ulcers: 5.8% — about the same as the North Carolina average of 5.8%.
- Short-stay rehospitalization: 18.8% — better than the North Carolina average of 23.0%.
Comparisons use CMS Care Compare data (updated June 5, 2026) measured against North Carolina averages across 420 facilities tracked by ElderVoice.
Questions to Ask Highland Farms
Use these facility-specific questions when calling admissions, touring the building, or comparing Highland Farms with other nursing homes in Black Mountain.
What keeps Highland Farms's health inspections rating strong?
This category is rated 4 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What practices help Highland Farms keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 1.1% here versus 14.1% across North Carolina. Lower is generally better for this CMS measure.
What is Highland Farms doing to reduce falls with major injury?
Falls with major injury is 13.8% here versus 3.5% across North Carolina. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Highland Farms?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What explains Highland Farms's rating advantage in Black Mountain?
Its 5-star overall rating is above the local average of 3.8 stars across 4 facilities. Ask which practices families can observe during a tour.
What would the first 30 days look like for a new resident at Highland Farms?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Black Mountain
Black Mountain sits in Buncombe County, where adults 65 and older make up about 20.0% of the population — a higher share of seniors than North Carolina as a whole (16.3% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 51,876 (20.0%)
- Median age
- 42.3 years
- Median household income
- $55,032
- Median home value
- $250,600
Demographics for Buncombe County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Black Mountain.
Facility Details
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