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A
Very Good

Highland Farms

200 Tabernacle Road · Black Mountain, NC 28711

8286696473 · Non profit - Corporation

60 beds47.7 residents136 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A+
Excellent
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Highland Farms receives an overall staffing grade of A (Very Good). With 4.7779 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.88 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 14.8% compared to weekdays. The facility has low agency staff usage (5.13% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.7779hrs/resident/day▲ 0.88
CMS benchmark: 3.48
RN HPRD
1.2542hrs/resident/day▲ 0.57
Recommended: 0.75
Weekend Drop-off
14.8%
4.9865 weekday → 4.2486 weekend
Agency Staff
5.13%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8603hrs/resident/day
Direct care aides
LPN HPRD
0.6634hrs/resident/day
Licensed practical nurses
Consistency
0.4827std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Buncombe County Average+1.04 HPRD
3.74
04.78 HPRD
vs. North Carolina State Average+1.01 HPRD
3.77
04.78 HPRD
vs. National Average+0.88 HPRD
3.90
04.78 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Highland Farms ★
Black Mountain · This facility
—
A
4.77791.2542★★★★☆
Mountain Ridge Health and Rehab
Black Mountain
2.2 mi
F
3.3860.2132★☆☆☆☆
Bear Mountain Health and Rehabilitation
Asheville
10.2 mi
D
3.02560.3762★★★☆☆
The Laurels Of Greentree Ridge
Asheville
10.7 mi
B
3.79221.0043★★★★★
Elevate Health and Rehabilitation
Asheville
11.5 mi
D
3.21060.3972★☆☆☆☆
StoneCreek Health and Rehabilitation
Asheville
11.9 mi
C
3.11990.4557★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
14
Total Deficiencies
$4,271
Fines Assessed
Aug 15, 2025Health
3 deficiencies cited
▼
Aug 22, 2024Health
4 deficiencies cited
▼
Apr 27, 2023Health
7 deficiencies cited
▼

Penalty History

Aug 22, 2024Fine
$4,271
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.