Total health inspections
3
State average 4
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Independent Living in North Carolina
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Givens Highland Farms
Independent Living in North Carolina
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Givens Highland Farms
Overview of Givens Highland Farms
At Givens Highland Farms, the vision is to empower seniors to lead fulfilling lives, fostering independence, community, and security. Offering home care and enhanced independent living, residents can explore their interests through numerous resident-led groups and enjoy the beauty of Black Mountain’s nature. With quality health services available on-site, seniors experience peace of mind knowing their needs will be met.
The community offers an array of amenities, including a winter greenhouse, dog park, and woodworking shop. Residents can engage in indoor activities like arts and crafts or utilize the fitness programs and medical services. Givens Highland Farms prioritizes active senior living and well-being from spacious residences to transportation services. Givens Highland Farms is the top choice for independent living and home services in Black Mountain, North Carolina.
Matt Sharpe serves as the Executive Director at Givens Highland Farms, leading the community with a focus on professionalism, compassion, and expert care. Under his leadership, the staff demonstrates loyalty and stability, with many members recognized for long-term service. Matt is the driving force behind the team’s outstanding service and strong guidance.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
82.2%
Residents per day (avg)
48
Occupancy rate
82.2%
Residents per day (avg)
48
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
62% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
38% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
6 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$21.6M
Operating loss
-$658.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$21.6M
Operating loss
-$658.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.3M
55 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 12 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
CMS Certification Number345078
Emergency SystemsEmergency call system responded to by 24/7 Safety and Security Team Member.
Staffing
Key information about the people who lead and staff this community.
ContactMr. Ken Kramer, Executive Director
Accept Medicare
Rehabilitation Services
Respite Care
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Home Care
Winter Greenhouse
Expansive Community Garden
Two Dog Parks
Extensive Library
Well-Equipped Woodworking Shop
Arts And Crafts Studio
Beauty Salon And Barbershop
Exercise Equipment Room
Exercise Studio
Walk-In Medical Clinic
Multiple Walking Trails
Specific ProgramsLife Enrichment, Dining, Outdoor Life, Community Services, Home Care, Skilled Nursing
Food DescriptionGivens Highland Farms offers chef-created menus that combine home-cooked favorites with restaurant-style entrees, available in the dining room or as grab-and-go options.
Types of Care at Givens Highland Farms
Assisted Living
Independent Living
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health citations
14
State average 20.9
Citations per inspection
4.67
State average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 14 citations resulted from standard inspections; and 7 of 14 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than State averageState average: 1.3
Serious Health citations
0
0
100% better than State averageState average: 0.9
0 critical citations
0 serious citations
13 moderate citations
1 minor citation
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 15, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 15, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 15, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 15, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 22, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 22, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Independent Living around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
Filter by care type
Carol Woods
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Chapel Hill
119
No
13
76.7%
A+
-
Givens Highland Farms
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Black Mountain
60
No
12
82.2%
-
Studio / 1 Bed / 2 Bed / 3 Bed
Loretto Community Residences NY
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Syracuse
-
No
0
-
-
-
Living Spaces & Floor Plans
Givens Highland Farms F 10
Givens Highland Farms F 9
Givens Highland Farms F 8
Givens Highland Farms F 7
Givens Highland Farms F 6
Givens Highland Farms F 5
Givens Highland Farms F 4
Givens Highland Farms F 3
Givens Highland Farms F 2
Givens Highland Farms F 1
Places of interest near Givens Highland Farms
1.7 miles from city center — 7.76 miles to nearest hospital (Asheville VA Medical Center)
Calculate Travel Distance to Givens Highland Farms
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
121
Employees
77
Contractors
44
Staff to resident ratio
2.47:1
33% better than North Carolina averageNorth Carolina average ratio: 1.85:1
Avg staff/day
33
Average shift
8.4 hours
5% better than North Carolina averageNorth Carolina average: 8 hours
Total staff hours (quarter)
25,346
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11%
2,790 contractor hours this quarter
Certified Nursing Assistant: 22
Respiratory Therapy Technician: 4
Licensed Practical Nurse: 4
Speech Language Pathologist: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Physical Therapy Aide: 2
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 43 | 22 | 65 | 12,587 | 91 | 100% | 9.4 |
| Registered Nurse | 13 | 0 | 13 | 3,727 | 91 | 100% | 9 |
| Licensed Practical Nurse | 7 | 4 | 11 | 2,108 | 91 | 100% | 9.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 938 | 68 | 75% | 7.9 |
| Dietitian | 2 | 0 | 2 | 884 | 89 | 98% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 771 | 66 | 73% | 9.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 599 | 58 | 64% | 9.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 475 | 63 | 69% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 440 | 66 | 73% | 3.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 427 | 57 | 63% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 392 | 61 | 67% | 6.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 372 | 66 | 73% | 3.3 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 325 | 69 | 76% | 2.9 |
| Medication Aide/Technician | 3 | 0 | 3 | 131 | 18 | 20% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 99 | 6 | 7% | 16.5 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 3 | 3% | 9.3 |
65 Certified Nursing Assistant
% of Days
100%
13 Registered Nurse
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
2 Other Dietary Services Staff
% of Days
75%
2 Dietitian
% of Days
98%
2 RN Director of Nursing
% of Days
73%
2 Clinical Nurse Specialist
% of Days
64%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
68%
3 Qualified Social Worker
% of Days
69%
3 Speech Language Pathologist
% of Days
73%
1 Mental Health Service Worker
% of Days
63%
2 Physical Therapy Aide
% of Days
67%
3 Physical Therapy Assistant
% of Days
73%
4 Respiratory Therapy Technician
% of Days
76%
3 Medication Aide/Technician
% of Days
20%
1 Occupational Therapy Aide
% of Days
7%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
49 residents
Residents by payment source
Medicare
6 residents (12.2%)
Medicaid
8 residents (16.3%)
Private pay or other
35 residents (71.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
8% worse than North Carolina averageNorth Carolina average: 11.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
11% worse than North Carolina averageNorth Carolina average: 20.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.7%
Percent of long-stay residents whose need for help with daily activities has increased
26.7%
52% worse than North Carolina averageNorth Carolina average: 17.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.7%
Percent of long-stay residents whose ability to move independently worsened
11.7%
50% better than North Carolina averageNorth Carolina average: 23.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
42% worse than North Carolina averageNorth Carolina average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
15.7%
Percent of long-stay residents experiencing one or more falls with major injury
15.7%
330% worse than North Carolina averageNorth Carolina average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
24% better than North Carolina averageNorth Carolina average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
76% better than North Carolina averageNorth Carolina average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
58% better than North Carolina averageNorth Carolina average: 7.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.1%
Percent of long-stay residents who have depressive symptoms
3.1%
29% better than North Carolina averageNorth Carolina average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.0%
Percent of long-stay residents who received an antipsychotic medication
6.0%
55% better than North Carolina averageNorth Carolina average: 13.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
5% better than North Carolina averageNorth Carolina average: 91.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina averageNorth Carolina average: 94.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
6% better than North Carolina averageNorth Carolina average: 79.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than North Carolina averageNorth Carolina average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
23% better than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$4K
94% lower than North Carolina averageNorth Carolina average: $76K
Number of fines
1
57% fewer fines than North Carolina averageNorth Carolina average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than North Carolina averageNorth Carolina average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$4K
North Carolina average
$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Givens Highland Farms based on CMS SNF Cost Reports.
Occupancy Rate
82.2%
↑ 10.0pp vs 2022
Net Income
-$658.6K
↑ ~$1.3M vs 2022
Total Payroll
$9.5M
↑ ~$1.1M vs 2022
Profit Margin
-3.0%
↑ 8.2pp vs 2022
Loading trend charts...
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