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
Highland Farms
Black Mountain, NC · Medicare-certified · 60 beds
Needs attention
Non-profit
5 of 5 overall
Highland Farms in Black Mountain, NC has a 5-star overall rating, with 5 stars for staffing and 4 stars for health inspections and quality measures. Reported nurse staffing is above the federal benchmark (4.86 vs. 4.1 hours per resident per day), and the facility has had $4,271 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.8591 hrs/resident/day
Quality measures
Last inspection: August 15, 2025Penalties, last 24 months: $4,271recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8591.
Staffing detail
- Registered nurses
- 1.15
- Licensed practical nurses
- 0.68
- Nurse aides
- 3.03
- Weekend nursing
- 4.18
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 8%
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
3.8%0%Improving
Residents with a fall causing major injury
17.8%7.9%Improving
Residents with pressure ulcers (bedsores)
4.9%4.4%Improving
Residents with a urinary tract infection
2.4%2.9%No change
Residents who lost too much weight
0%10.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
37.1%25%Improving
Residents whose ability to walk got worse
—16.8%—
Long-stay residents on antianxiety or sleep medication
5.7%9.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.1%2.1%No change
Residents with new or worsening incontinence
30.1%22.8%Improving
Residents with depressive symptoms
2.3%2.8%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
97.8%97.4%No change
Short-stay residents given the seasonal flu vaccine
—96.3%—
Short-stay residents given the pneumonia vaccine
95.9%90.5%Worsening
What the inspectors found
The home failed to let a resident come back after a hospital stay or therapeutic leave that went beyond its bed-hold policy. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 626 — 42 CFR §483.15 — S/S: E
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
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — 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
- 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
- 50.8 residents on an average day (85% 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.