PlainNursing
CMS Nursing Home Compare · March 2026

Transylvania Regional Hospital

260 Hospital Drive, Brevard, NC 28712

Transylvania Regional Hospital, a 10-bed for profit - corporation nursing facility in Brevard, NC, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8288835156

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5 / 5
Much above average · CMS overall · nat'l 3.0
8.01
Well above average · nurse hrs/day · nat'l 3.89
5
Inspection findings
$12K
Federal penalties (2)

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

N/A

Facility Information

Provider Number
345484
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
10
Residents
6
In Hospital
Yes
County
Transylvania
Last Inspection
Nov 25, 2025

Staffing Data

How the 8.01 total nursing hours per resident-day are staffed:

RN Hours
3.42 (nat'l avg: 0.68)
LPN Hours
0.78
CNA Hours
3.80
Total Nursing Hours
8.01 (nat'l avg: 3.89)
PT Hours
0.33
Nursing Turnover
26.7%
RN Turnover
20.0%

What the CMS Record Reveals About Transylvania Regional Hospital

Transylvania Regional Hospital operates 10 certified beds in Brevard, NC with approximately 6 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 4★).

The inspection file contains 5 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $12K levied against this facility. Reported nurse staffing runs 8.01 total hours per resident day (national average 3.89); RN hours specifically are 3.42 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Transylvania Regional Hospital falls into a category where comparative context matters. Reported nursing turnover at this facility is 26.7%, within a range generally associated with stable care teams.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (5 most recent)

E - Pattern - Minimal harm Nov 25, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 24, 2025

D - Isolated - Minimal harm Nov 25, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jan 1, 2026

F - Widespread - Minimal harm Sep 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 28, 2024

E - Pattern - Minimal harm Sep 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2024

E - Pattern - Minimal harm Jun 20, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Aug 22, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.9% No

Penalty History 2 penalties totaling $12K

Date Type Amount
Jun 20, 2023 Fine $6K
Jun 20, 2023 Fine $6K

Frequently Asked Questions

What is the overall CMS rating for Transylvania Regional Hospital?
Transylvania Regional Hospital has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Transylvania Regional Hospital?
Transylvania Regional Hospital reports 8.01 total nursing hours per resident day (national average: 3.89). RN hours are 3.42 per resident day (national average: 0.68). Nursing staff turnover is 26.7%.
How many beds does Transylvania Regional Hospital have?
Transylvania Regional Hospital has 10 certified beds with approximately 6 residents. The facility is located at 260 Hospital Drive, Brevard, NC 28712.
Does Transylvania Regional Hospital have any deficiencies on record?
Yes, Transylvania Regional Hospital has 5 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Transylvania Regional Hospital received any fines or penalties?
Yes, Transylvania Regional Hospital has received 2 penalties totaling $12K.
Who owns Transylvania Regional Hospital?
Transylvania Regional Hospital is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Transylvania Regional Hospital last inspected?
The most recent health inspection for Transylvania Regional Hospital was on Nov 25, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Transylvania Regional Hospital?
Transylvania Regional Hospital is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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