5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 16th out of 97 homes in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 9m per day | ▲ 88% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 23% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 2m per day | ▲ 30% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 11m per day | ▲ 22% State avg: 3h 26m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▼ 15% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 44m per day | ▲ 82% State avg: 24m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
North Carolina average 4
Last Health inspection on Aug 2025
North Carolina average 20.9
North Carolina 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).
100% better than North Carolina averageNorth Carolina average: 1.3
100% better than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% more staff per resident than North Carolina average
8% better than North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
10 total: 6 full-time employees and 4 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
62 total: 43 full-time employees and 19 contractors.
62
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,917 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 19 | 62 | 14,148 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 6 | 4 | 10 | 3,186 | 92 | 100% | 10.1 |
| Registered Nurse | 11 | 0 | 11 | 3,180 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,682 | 90 | 98% | 9 |
| Speech Language Pathologist | 0 | 4 | 4 | 666 | 69 | 75% | 4.5 |
| Nurse Practitioner | 1 | 0 | 1 | 503 | 63 | 68% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 475 | 62 | 67% | 5.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 411 | 63 | 68% | 5.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 400 | 68 | 74% | 5.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 352 | 66 | 72% | 3.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 86 | 6 | 7% | 14.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 66 | 6 | 7% | 10.9 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
| RN Director of Nursing | 1 | 0 | 1 | 9 | 2 | 2% | 4.3 |
Includes penalties issued in 2024
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)
94% lower than North Carolina averageNorth Carolina average: $76K
57% fewer fines than North Carolina averageNorth Carolina average: 2.3
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 22, 2024 · $4K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 22, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
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%
Percent of long-stay residents whose ability to move independently worsened
11.7%
50% better than North Carolina averageNorth Carolina average: 23.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
4.8%
24% better than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.6%
76% better than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
3.1%
58% better than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
3.1%
29% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
6.0%
55% better than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
5% better than North Carolina averageNorth Carolina average: 91.6%
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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
6% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than North Carolina averageNorth Carolina average: 1.5%
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.
62% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Givens Highland Farms from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #30 / 104Payroll — State benchmarkedThis home is ranked 30th out of 104 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #51 / 104Payroll % — State benchmarkedThis home is ranked 51st out of 104 homes in North Carolina. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
1.7 miles from city center
Estimated distance in miles from Black Mountain's city center to Givens Highland Farms's address, calculated via Google Maps.
— 7.76 miles to nearest hospital (Asheville VA Medical Center)
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Givens Highland Farms | NH HC IL NC RC | Black Mountain | 60
Facility
60
NC AVG
72
Rank
#233 / 390 |
82.2%
Facility
82.2%
NC AVG
76.4%
Rank
#92 / 271 | +8% | 5.57
Facility
5.57
NC AVG
3.98
Rank
#16 / 97 | +11% | +40% | $4.3k
Facility
$4.3k
NC AVG
$74.6k
Rank
#49 / 105 | 14
Facility
14
NC AVG
20.9
Rank
#50 / 101 | 4.7
Facility
4.7
NC AVG
5.0
Rank
#58 / 101 | - | 51 | - |
12
Facility
12
NC AVG
33
Rank
#440 / 572 | Givens Estates, Inc. | $21.1M
Facility
$21.1M
NC AVG
$13.2M
Rank
#31 / 104 | $8.2M
Facility
$8.2M
NC AVG
$4.9M
Rank
#30 / 104 | 38.9%
Facility
38.9%
NC AVG
39.8%
Rank
#51 / 104 | 345078 | ||||
| Brookdale Carriage Club Providence | NH AL IL MC | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
72
Rank
#168 / 390 |
71.5%
Facility
71.5%
NC AVG
76.4%
Rank
#145 / 271 | -6% | 8.12
Facility
8.12
NC AVG
3.98
Rank
#4 / 97 | +78% | +104% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 105 | 11
Facility
11
NC AVG
20.9
Rank
#39 / 101 | 3.7
Facility
3.7
NC AVG
5.0
Rank
#43 / 101 | - | 7 | A+ |
12
Facility
12
NC AVG
33
Rank
#440 / 572 | Bkd Fm Holding Company LLC | $19.6M
Facility
$19.6M
NC AVG
$13.2M
Rank
#99 / 104 | $8.1M
Facility
$8.1M
NC AVG
$4.9M
Rank
#39 / 104 | 41.6%
Facility
41.6%
NC AVG
39.8%
Rank
#1 / 104 | 345482 | ||||
| Wesley Pines | NH AL IL MC | Lumberton | 62
Facility
62
NC AVG
72
Rank
#225 / 390 |
86.1%
Facility
86.1%
NC AVG
76.4%
Rank
#74 / 271 | +13% | 4.60
Facility
4.60
NC AVG
3.98
Rank
#28 / 97 | -29% | +16% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 105 | 4
Facility
4
NC AVG
20.9
Rank
#12 / 101 | 2.0
Facility
2.0
NC AVG
5.0
Rank
#13 / 101 | - | 58 | A+ |
9
Facility
9
NC AVG
33
Rank
#462 / 572 | The United Methodist Retirement Homes, Incorporated | $10.2M
Facility
$10.2M
NC AVG
$13.2M
Rank
#79 / 104 | $5.8M
Facility
$5.8M
NC AVG
$4.9M
Rank
#64 / 104 | 56.7%
Facility
56.7%
NC AVG
39.8%
Rank
#17 / 104 | 345180 | ||||
| Walnut Ridge | NH AL IL MC | Walnut Cove (Windmill Street) | 63
Facility
63
NC AVG
72
Rank
#224 / 390 |
100.0%
Facility
100.0%
NC AVG
76.4%
Rank
#1 / 271 | +31% | 3.12
Facility
3.12
NC AVG
3.98
Rank
#94 / 97 | -50% | -22% | $40.1k
Facility
$40.1k
NC AVG
$74.6k
Rank
#76 / 105 | 23
Facility
23
NC AVG
20.9
Rank
#72 / 101 | 4.6
Facility
4.6
NC AVG
5.0
Rank
#57 / 101 | 3 | 63 | A+ |
50
Facility
50
NC AVG
33
Rank
#149 / 572 | Nita Davis | $10.4M
Facility
$10.4M
NC AVG
$13.2M
Rank
#68 / 104 | $3.9M
Facility
$3.9M
NC AVG
$4.9M
Rank
#97 / 104 | 37%
Facility
37%
NC AVG
39.8%
Rank
#100 / 104 | 345089 | ||||
| The Cypress of Charlotte | NH AL HC IL MC | Charlotte (Beverly Woods) | 65
Facility
65
NC AVG
72
Rank
#210 / 390 |
78.2%
Facility
78.2%
NC AVG
76.4%
Rank
#121 / 271 | +2% | - | +26% | - | $58.0k
Facility
$58.0k
NC AVG
$74.6k
Rank
#83 / 105 | 14
Facility
14
NC AVG
20.9
Rank
#50 / 101 | 4.7
Facility
4.7
NC AVG
5.0
Rank
#58 / 101 | 2 | 58 | - |
15
Facility
15
NC AVG
33
Rank
#414 / 572 | The Cypress Of Charlotte LLC | $7.3M
Facility
$7.3M
NC AVG
$13.2M
Rank
#14 / 104 | $14.1M
Facility
$14.1M
NC AVG
$4.9M
Rank
#20 / 104 | 194.2%
Facility
194.2%
NC AVG
39.8%
Rank
#79 / 104 | 345495 |
Givens Highland Farms is located in Black Mountain, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Givens Highland Farms is in the Black Mountain neighborhood of Black Mountain.
Givens Highland Farms has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
Givens Highland Farms's occupancy is 82.2%.
Yes — there are 19 photos of Givens Highland Farms in the photo gallery on this page.
(828) 357-3611 will put you in contact with the team at Givens Highland Farms.
Yes — Givens Highland Farms is a CMS-certified provider of Medicare and Medicaid.
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