A+
96/100

TRANSYLVANIA REGIONAL HOSPITAL Inspection Report, Violations & Safety Grade (BREVARD, North Carolina)

260 HOSPITAL DRIVE, BREVARD, North Carolina 28712

Phone: 8288835156

CMS Overall:5/5

Overview & Bed Count

Certified Beds
10
Avg Residents/Day
3.5
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Transylvania
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day5.890.62+5.27
Total Nurse Hours per Resident per Day14.333.87+10.46
CMS Staffing Rating5/52.7/5-
Nursing Staff Turnover15.4%48.7%-

Health Citation History

5 health citations on record

DateCategoryDescriptionSeverity
2025-11-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-11-25Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-09-25Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-09-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-06-20Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyE – Moderate Harm Potential

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2024-09-25Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2024-09-25Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-09-25Miscellaneous DeficienciesProvide properly sized and located linen or trash receptacles.D – Moderate Harm Potential
2023-06-20Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2023-06-20Miscellaneous DeficienciesMeet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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