All states › North Carolina › Brevard › Transylvania Regional Hospital
260 Hospital Drive Brevard, NC 28712 · Transylvania County
All 3 nursing homes in Brevard, NC (3 take Medicaid)
CMS certification number 345484 · See this home on Medicare Care Compare
Is Transylvania Regional Hospital a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Transylvania Regional Hospital as of October 2026.
CMS rates it 5 out of 5 stars overall, above the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 14.33 hours per resident per day at Transylvania Regional Hospital, above the North Carolina median of 3.57 (US median: 3.72). About 5.89 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 15.4% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team.
About this nursing home
Paying for care at Transylvania Regional Hospital: Medicare and Medicaid
Transylvania Regional Hospital is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on November 25, 2025 and found 2 deficiencies. In total, inspectors issued 5 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 5 citations at Transylvania Regional Hospital across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 5 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (2) and administration (1). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level F, September 25, 2024).
November 25, 2025 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAllow residents to self-administer drugs if determined clinically appropriate.
September 25, 2024 · 2 citations
FProvide and implement an infection prevention and control program.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 20, 2023 · 1 citation
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
Questions to ask on a tour of Transylvania Regional Hospital
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 35% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 2/5 |
| August 2026 | 4/5 | 4/5 | — | 3/5 |
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Location
Hospitals near Transylvania Regional Hospital
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.0 mi
Transylvania Regional Hospital, INC BrevardEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 38m for patients treated and sent home
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14.5 mi
Margaret R Pardee Mem Hospital HendersonvilleEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 38m for patients treated and sent home
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15.5 mi
Adventhealth Hendersonville FletcherEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Transylvania Regional Hospital › All nursing homes in Brevard ›
Compare Transylvania Regional Hospital with the 3 closest homes side by side ›
Other Hca Healthcare nursing homes in North Carolina
- Eckerd Living Center · Highlands · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 3 Hca Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.