States › North Carolina › Transylvania County
Nursing homes in Transylvania County, North Carolina
There are 3 certified nursing homes in Transylvania County, North Carolina, with 267 beds between them.
67% of them are rated 1 or 2 stars overall, a larger share than the state (42%). Inspectors recorded 61 health deficiencies over three cycles, 22.8 per 100 beds against 17.8 statewide.
Fines in the period covered total $30K across 2 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Transylvania County | North Carolina | US |
|---|---|---|---|
| Facilities | 3 | 419 | 14690 |
| Rated 1–2 stars overall | 67% | 42% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 22.8 | 17.8 | 26.8 |
| Median nurse hours per resident day | 3.5 | 3.5 | 3.7 |
| Fines listed | $30K | $15M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Transylvania Regional Hospital | Brevard | 10 | 4 | 4 | — | 5 | 50.0 | — | 25 Nov 2025 |
| Sapphire Ridge Health and Rehabilitation | Brevard | 147 | 2 | 2 | 3 | 29 | 19.7 | $23K | 7 May 2026 |
| The Oaks-Brevard | Brevard | 110 | 2 | 2 | 4 | 27 | 24.5 | $7K | 5 Mar 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 5 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 3 |
| F0641 | Ensure each resident receives an accurate assessment. | 3 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 3 |
| F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 3 |
Chains present: Ascent Healthcare Management (1), Pruitthealth (1), Hca Healthcare (1).
Questions and answers
How many nursing homes are in Transylvania County, North Carolina?
3 Medicare-certified nursing homes with 267 certified beds.
Which nursing homes in Transylvania County have the highest CMS ratings?
Transylvania Regional Hospital (4 stars), Sapphire Ridge Health and Rehabilitation (2 stars), The Oaks-Brevard (2 stars)
How do Transylvania County nursing homes compare with North Carolina?
67% are rated 1–2 stars overall against 42% statewide; citations run at 22.8 per 100 beds against 17.8 statewide.