The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
Givens Highland Farms
Registered name: Highland Farms
Black Mountain, NC · Medicare-certified · 60 beds
In good standing
Non-profit
Data as of September 1, 2026
5 of 5 overall
Givens Highland Farms in Black Mountain, NC has a 5-star overall rating, with strong staffing at 4.92 hours per resident per day versus the 4.1 federal benchmark and no fines in the last 24 months. Its health inspection and quality measures ratings are both 4 stars, and recent inspection citations included food safety, resident communication about care, and abuse/neglect/theft prevention policies.
Facility ratings
Health inspections
Staffing
4.9208 hrs/resident/day
Quality measures
Last inspection: July 31, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9208.
Staffing detail
- Registered nurses
- 1.33
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.86
- Weekend nursing
- 4.33
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 15%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%7.7%Worsening
Residents with a fall causing major injury
15.9%7.5%Improving
Residents with pressure ulcers (bedsores)
5%3.7%Improving
Residents with a urinary tract infection
0%7.9%Worsening
Residents who lost too much weight
2.8%6.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.9%30%Worsening
Residents whose ability to walk got worse
—17.8%—
Long-stay residents on antianxiety or sleep medication
2.7%12.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33.8%32.4%Improving
Residents with depressive symptoms
2.3%5.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.3%—
Short-stay residents given the pneumonia vaccine
98.4%91.3%Worsening
What the inspectors found
The home failed to make sure residents fully understood their health status, care, and treatments. Cited July 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited July 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: D
The home failed to provide care or services that were trauma-informed and culturally competent. Cited July 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: D
The home failed to respect the resident’s right to choose a roommate or spouse and to give written notice before changing the room arrangement. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 559 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $4,271 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,271 in total fines.
- $4,271
Federal fine
Aug 22, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 47.8 residents on an average day (80% of 60 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.