Highland Farms

Continuing care retirement community · CCN 345078 · GIVENS HIGHLAND FARMS LLC · Non profit - Corporation · 60 certified beds · Buncombe · NC


With 60 certified beds in Black Mountain, North Carolina, Highland Farms has been a Medicare and Medicaid provider since 1971-11-01, averaging 47.8 residents a day.

Has Highland Farms been cited for violations?

CMS lists 14 health-inspection deficiencies for Highland Farms since 2023-04-27, 7 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-08-15.

Survey dateTagDeficiencySeverity
2025-08-15F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-08-15F0559, F0689Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-08-22F0726, F0880, F0883, F0887Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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.D
2023-04-27F0626, F0812Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-04-27F0636, F0756, F0757, F0867Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D
2023-04-27F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B

Why was Highland Farms fined?

DateTypeAmount
2024-08-22Fine$4,271

How is Highland Farms staffed?

MeasureThis facilityNC average
Total nurse staffing hours per resident per day4.920833.83430
Total nursing staff turnover (%)28.149.0
Average number of residents per day47.886.9

Who owns Highland Farms?

Highland Farms is registered with CMS as Non profit - Corporation, operates under the legal business name GIVENS HIGHLAND FARMS LLC.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTGIVENS ESTATES, INC.since 12/01/2012
CORPORATE DIRECTORHOKE, KRISTINE, KERESTES, DAVIDsince 08/08/2022
OPERATIONAL/MANAGERIAL CONTROLGIVENS ESTATES, INC., HOKE, KRISTINE, KERESTES, DAVIDsince 08/08/2022
ADP OF THE SNFGIVENS ESTATES, INC., HOKE, KRISTINE, KERESTES, DAVIDsince 06/04/2025

Were you or a family member harmed at Highland Farms?