In the first quarter of 2026, Highland Farms was under the ownership of Givens Estates, Inc., data from the Centers for Medicare and Medicaid Services (CMS) shows. Located in Buncombe County, the facility has been managed by Givens Estates, Inc. since Dec. 1, 2012.
Highland Farms operates as a non-profit nursing home.
During this timeframe, the nursing home achieved an overall CMS rating of four, surpassing North Carolina’s average nursing home rating of 2.9. CMS ratings assess facilities based on key indicators, including health inspections, staffing, and resident care quality.
Data indicate that Highland Farms served approximately 50.8 residents per day in the first quarter of 2026, with a total of 60 beds onsite. The facility currently is not affiliated with any hospital.
As of the first quarter of 2026, Highland Farms incurred one fine totaling $4,271 and was subject to one penalty.
Buncombe County reported four non-profit nursing homes overall.
According to U.S. Census Bureau estimates, the national older adult population has continued to expand as younger demographics decrease. From 2020 through 2024, the group age 65 and older rose by 13%, while the under-18 population dropped 1.7%. Over the past century, the country’s older adult population has grown significantly, from 4.9 million in 1920 to over 61 million as of 2024.
A 2021 study found that about half of this age category—an estimated 28 million people—may need long-term services and support. The report also forecasts that more than one-third in this group could eventually require care at a nursing home.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, which focuses on insurance education. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Bear Mountain Health and Rehabilitation | Nebo Holdco, LLC | For profit – Limited Liability company | 3 | 69.7 |
| Elevate Health and Rehabilitation | Pisgah Holdco, LLC | For profit – Limited Liability company | 1 | 97.6 |
| Fleshers Fairview Health Care | Susan Cole, Lisa Dee, and Cheryl Mitchell | For profit – Corporation | 1 | 50.3 |
| Givens Health Center | Givens Estates, Inc. | Non profit – Corporation | 5 | 57.4 |
| Highland Farms | Givens Estates, Inc. | Non profit – Corporation | 4 | 50.8 |
| Mountain Ridge Health and Rehab | Steven Womack and Melvin Woodward | For profit – Corporation | 1 | 88 |
| NC State Veterans Home – Black Mountain | NC Department of Miltary and Veterans Affairs NC Division of Veteran AFF | For profit – Corporation | 4 | 78.5 |
| Pisgah Manor Health Care Center | Long Term Care Management Services, LLC | For profit – Corporation | 1 | 102.7 |
| River Bend Health and Rehabilitation | Asheville Health and Rehabilitation Skilled Nursing Facility Holding, LLC | For profit – Limited Liability company | 1 | 80.5 |
| Stonecreek Health and Rehabilitation | Christopher Sprenger | For profit – Corporation | 2 | 102.2 |
| Swannanoa Valley Health and Rehabilitation | Pisgah Holdco, LLC | For profit – Limited Liability company | 4 | 100.8 |
| The Greens at Weaverville | Bync Holdings, LLC | For profit – Limited Liability company | 4 | 99.4 |
| The Laurels of Greentree Ridge | Laurel Health Care Holdings, Inc. | For profit – Corporation | 5 | 85.4 |
| The Laurels of Summit Ridge | Laurel Health Care Holdings, Inc. | For profit – Corporation | 3 | 59.8 |
The information in this report is sourced from the Centers for Medicare and Medicaid Services. Access the original data here.
