Independent Living Home

Givens Highland Farms

Independent Living Home

Givens Highland Farms

200 Tabernacle Rd, Black Mountain, NC 28711 View map
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.

(828) 357-3611

Managed by Matt Sharpe

Executive Director

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
North Carolina average: 3.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
North Carolina average: 3.4/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
North Carolina average: 3.3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
North Carolina average: 3.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
5h 34m per day

This home provides 13% more nursing time per resident than the North Carolina average.

North Carolina average: 4h 57m per day

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.

Lower demand than the North Carolina average
Occupancy rate 82.2%
Residents per day (avg) 48
Occupancy rate
82.2%
Residents per day (avg)
48

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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
$21,627,841.00
Operating loss
$-658,555.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.2M
33.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.1M
Total costs $22.3M
Years in operation
55 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 12 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Additional licensing details

CMS Certification Number: 345078

Safety & Compliance

Emergency Systems: Emergency call system responded to by 24/7 Safety and Security Team Member.

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Mr. Ken Kramer, Executive Director

Care Services

Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Independent Living
Skilled Nursing
Home Care

Amenities & Lifestyle

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.

Programs & Activities

Specific Programs
Life Enrichment, Dining, Outdoor Life, Community Services, Home Care, Skilled Nursing

Pricing & Financial Information

Dining & Nutrition

Food Description
Givens 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.

Payment & Funding Options

Medicare Long-term care insurance

Health Inspection History

Inspections
Total health inspections 3

State average 4


Last Health inspection on Aug 2025

Total health citations 14
Citations per inspection
4.67

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 More info 0
100% better than State average

State average: 1.3


Serious Health citations More info 0
100% better than State average

State average: 0.9

0 critical citations More info State average: 1.3

0 serious citations More info State average: 0.9

13 moderate citations More info State average: 17.1

1 minor citation More info State average: 1.6
Citations history (last 3 years)
Nutrition moderate citation Aug 15, 2025
Corrected

Quality of Care moderate citation Aug 15, 2025
Corrected

Resident Rights moderate citation Aug 15, 2025
Corrected

Infection Control moderate citation Aug 22, 2024
Corrected

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.
Carol Woods
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Chapel Hill
119
No
A+
13
-
Givens Highland Farms
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Black Mountain
60
No
-
12
Studio / 1 Bed / 2 Bed / 3 Bed
Loretto Community Residences NY
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

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

Address 1.7 miles from city center — 7.76 miles to nearest hospital (Asheville VA Medical Center)

Address 200 Tabernacle Rd, Black Mountain, NC 28711

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

121
Total Staff
77
Employees
44
Contractors
25,346
Total Hours (Quarter)
33
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse 13 9 No
Licensed Practical Nurse 11 9.5 Yes
Certified Nursing Assistant 65 9.4 Yes
Staff by Category
Administration
2 staff
8.1hs shift avg
Nursing Staff
94 staff
9.3hs shift avg
Physicians & Practitioners
3 staff
8.8hs shift avg
Therapy Services
14 staff
3.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
7.2hs shift avg
Dietary Services
4 staff
7.9hs shift avg
Other Services
1 staff
7.5hs shift avg
Contractor Analysis
11%
of total hours from contractors
2,790 contractor hours this quarter
Certified Nursing Assistant: 22 Speech Language Pathologist: 3 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 4 Physical Therapy Aide: 2 Qualified Social Worker: 3 Licensed Practical Nurse: 4 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

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.

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 Info 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 average

North Carolina average: 11.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.9
11% worse than North Carolina average

North Carolina average: 20.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.7%
52% worse than North Carolina average

North Carolina average: 17.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.7%
50% better than North Carolina average

North Carolina average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.3%
42% worse than North Carolina average

North Carolina average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 15.7%
330% worse than North Carolina average

North Carolina average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
24% better than North Carolina average

North Carolina average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
76% better than North Carolina average

North Carolina average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
58% better than North Carolina average

North Carolina average: 7.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.1%
29% better than North Carolina average

North Carolina average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.0%
55% better than North Carolina average

North Carolina average: 13.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
5% better than North Carolina average

North Carolina average: 91.6%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than North Carolina average

North Carolina average: 94.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.0%
6% better than North Carolina average

North Carolina average: 79.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than North Carolina average

North Carolina average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
23% better than North Carolina average

North Carolina average: 78.1%

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 average

North Carolina average: $76K

Number of fines 1
57% fewer fines than North Carolina average

North Carolina average: 2.3

Payment Denials Info 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 average

North 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 22, 2024
$4K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for North Carolina Seniors

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Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled, North Carolina resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand; waitlists common in urban areas.

North Carolina Senior Care Options

NC SCO (via NFCSP)

Caregiver of someone 60+ (or with dementia), North Carolina resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural/urban balance.

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+, NC resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+, NC resident, unable to perform 1+ ADL, at risk of nursing home placement.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Family can be aides; varies by county funding.

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled, NC resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Low-Income Energy Assistance Program (LIHEAP)

North Carolina LIHEAP

Age 60+ prioritized, NC resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid via Crisis Intervention Program (CIP).

Senior Community Service Employment Program (SCSEP)

North Carolina SCSEP

Age 55+, unemployed, low-income, NC resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NC resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized, NC resident, homeowner, low-income.

~$30,258/year (50% AMI, varies by county).

Not strictly assessed; home value considered.

Forgivable at $2,000/year; statewide via local partners.

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled), NC resident, in licensed adult care home, low-income.

~$1,255/month (individual, 100% FPL); varies by facility rate.

$2,000 (individual).

Covers assisted living; counties supplement state funds.

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