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Highland Farms

200 Tabernacle Road
Black Mountain, NC 28711 · 8286696473 · Buncombe County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds60
OwnershipNon profit - Corporation
State rank#59

By the numbers

14
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$4,271
Federal fines (CMPs)
The trend: Citations are trending down — 3 in the most recent cycle versus 7 two cycles ago.

Recent Health Citations

Aug 15, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 15, 2025 · Health survey · F-tag 0559
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Aug 15, 2025 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 22, 2024 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
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.
Aug 22, 2024 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Aug 22, 2024 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 22, 2024 · Health survey · F-tag 0726
D — No actual harm
Nursing and Physician Services Deficiencies
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.
Apr 27, 2023 · Health survey · F-tag 0640
B — Cited
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Apr 27, 2023 · Health survey · F-tag 0867
D — No actual harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Apr 27, 2023 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Apr 27, 2023 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Apr 27, 2023 · Health survey · F-tag 0636
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Apr 27, 2023 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 27, 2023 · Health survey · F-tag 0626
E — No actual harm
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Showing the 14 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in North Carolina →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.