Transylvania Regional Hospital
260 Hospital Drive, Brevard, NC 28712 · Transylvania County · 10 certified beds · avg 4 residents/day · certified since May 29, 1997
Part of chain: HCA HEALTHCARE (3 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 25, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 25, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Sep 25, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 25, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 20, 2023 | E · Potential for harm, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 2 | 0 | F |
| 2025 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.00 | 4.01 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.64 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.56 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.41 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 49.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 45.7 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: —/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: —/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Frisco Holding II | Organization | 5% or Greater Indirect Ownership Interest | — | 02/06/2026 |
| Hca Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Hca INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Healthtrust INC - the Hospital Company | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Hercules Holding II | Organization | 5% or Greater Indirect Ownership Interest | — | 02/06/2026 |
| Hti Hospital Holdings INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| MH Hospital Holding INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| MH Master Holding LLLP | Organization | 5% or Greater Direct Ownership Interest | 99% | 02/01/2019 |
| Cope, Randall | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Hartz, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| MH Master Holding LLLP | Organization | Limited Partnership Interest | NOT APPLICABLE | 02/01/2019 |
| MH Master LLC | Organization | General Partnership Interest | NOT APPLICABLE | 02/01/2019 |
| Pilon, Michele | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2019 |
| Pilon, Michele | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Pilon, Michele | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Smith, Eric | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
| Smith, Eric | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Smith, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Oaks-Brevard | 0.4 mi | Brevard, NC | ★★☆☆☆ | 2/5 | |
| Sapphire Ridge Health and Rehabilitation | 2.7 mi | Brevard, NC | ★★☆☆☆ | 2/5 | |
| The Greens at Hendersonville | 13.2 mi | Hendersonville, NC | ★★★☆☆ | 3/5 | |
| Valley Hill Health & Rehab Center | 13.8 mi | Hendersonville, NC | ★★☆☆☆ | 2/5 | |
| The Lodge at Mills River | 14.1 mi | Mills River, NC | ★★★★★ | 5/5 | |
| Orchard Valley Health and Rehabilitation | 14.5 mi | Hendersonville, NC | ★☆☆☆☆ | 2/5 | |
| The Laurels of Hendersonville | 15.5 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| Carolina Village INC | 15.8 mi | Hendersonville, NC | ★★★★★ | 5/5 | |
| Life Care Center of Hendersonville | 16.1 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| Hendersonville Health and Rehabilitation | 17.0 mi | Flat Rock, NC | ★★★★★ | 5/5 | |
| Fletcher Rehabilitation and Healthcare Center | 17.5 mi | Fletcher, NC | ★☆☆☆☆ | 1/5 | abuse |
| River Falls Post Acute | 17.8 mi | Marietta, SC | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345484.