Brevard, NC

Transylvania Regional Hospital

5-star overall rating with 4-star inspections with $12,415 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

260 Hospital Drive, Brevard, NC

(828) 883-5156

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

10

Certified beds

Average residents

6

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hca Healthcare

Operator or chain grouping

Approved since

1997-05-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

3.42

Registered nurse staffing

LPN hours / resident day

0.78

Licensed practical nurse staffing

Aide hours / resident day

3.80

Nurse aide staffing

Weekend hours

7.66

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

27%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	79.9% 16.8 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	15.0%	13.2% 1.8 pts worse	12.0% 3 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.5% 0.8 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.9%	78.1% 7.8 pts better	79.7% 6.2 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.3%	22.9% 0.4 pts worse	23.9% 0.6 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-25 · Fire 2024-09-25

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-09-25 · Fire 2023-06-20

2 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-06-20 · Fire 2021-11-24

1 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-09-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-26

D · Potential for more than minimal harm 2024-09-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-26

D · Potential for more than minimal harm 2024-09-25

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-11-26

D · Potential for more than minimal harm 2023-06-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-06-20

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2023-08-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-11-25

F554 · Resident Rights Deficiencies

Health

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

Corrected 2026-01-01

F · Potential for more than minimal harm 2024-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-28

E · Potential for more than minimal harm 2024-09-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-28

E · Potential for more than minimal harm 2023-06-20

F868 · Administration Deficiencies

Health

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

Corrected 2023-08-22

Penalties and ownership

What sits behind the stars

$6,207 2023-06-20

Fine

Fine · fine $6,207

Fine

$6,208 2023-06-20

Fine

Fine · fine $6,208

Fine

Ownership

Mh Master Holding Lllp

5% Or Greater Direct Ownership Interest · Organization

99% 2 facilities 2019-02-01

Frisco Inc