Federal inspection record · CMS data as of October 1, 2026

Transylvania Regional Hospital

260 Hospital Drive, Brevard, NC · (828) 883-5156

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
10
Residents per day
4
Ownership
For-Profit
Chain
Hca Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 29, 1997

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Transylvania Regional Hospital carries 15 inspection points. That is fewer than 67% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 15 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–4 pts
  • 4★ 4–15 pts
  • 3★ 15–35 pts
  • 2★ 35–73.5 pts
  • 1★ over 73.5 pts

Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

5 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary2E
  1. E

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

    November 25, 2025 · Standard · F812 · Corrected December 24, 2025

  2. E

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

    September 25, 2024 · Standard · F812 · Corrected October 28, 2024

Resident Rights1D
  1. D

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

    November 25, 2025 · Standard · F554 · Corrected January 1, 2026

Infection Control1F
  1. F

    Provide and implement an infection prevention and control program.

    September 25, 2024 · Standard · F880 · Corrected October 28, 2024

Administration1E
  1. E

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

    June 20, 2023 · Standard · F868 · Corrected August 22, 2023

Inspection history

  1. 2025-11-25

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  2. 2024-09-25

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-06-20

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 14 h 20 min of nursing staff time a day, 5 h 54 min of it from a registered nurse.

This home

14 h 20 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 15% of nursing staff and 0% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.3 pts better98.8%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.8 pts worse19.5%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse3.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.7 pts better96.8%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse24.2%22.2%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Mh Master Holding Lllp5% Or Greater Direct Ownership Interest · Organization99%1 facilities
Cope, RandallAdp Of The SNF · Individual0%1 facilities
Frisco Holding Ii5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Hartz, ThomasAdp Of The SNF · Individual0%1 facilities
Hca Healthcare Inc5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Hca Inc5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Healthtrust Inc - The Hospital Company5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Hercules Holding Ii5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Hti Hospital Holdings Inc5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Mh Hospital Holding Inc5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Mh Master Holding LllpLimited Partnership Interest · Organization0%1 facilities
Mh Master LLCGeneral Partnership Interest · Organization0%1 facilities
Pilon, MicheleCorporate Officer · Individual0%1 facilities
Pilon, MicheleOperational/Managerial Control · Individual0%1 facilities
Pilon, MicheleAdp Of The SNF · Individual0%1 facilities
Smith, EricCorporate Officer · Individual0%3 facilities
Smith, EricIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%3 facilities
Smith, EricAdp Of The SNF · Individual0%3 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous2D
  1. D

    Provide properly sized and located linen or trash receptacles.

    September 25, 2024 · K754 · Corrected November 26, 2024

  2. D

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

    June 20, 2023 · K700 · Corrected August 31, 2023

Egress1D
  1. D

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

    September 25, 2024 · K211 · Corrected November 26, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    September 25, 2024 · K511 · Corrected November 26, 2024

Smoke1D
  1. D

    Install corridor and hallway doors that block smoke.

    June 20, 2023 · K363 · Corrected August 31, 2023

·

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  1. The Oaks-Brevard

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