Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Transylvania Regional Hospital during CMS and state inspections, most recent first.
Surveyors found that staff failed to discard expired and spoiled food, and did not consistently label, date, or cover opened food items in the kitchen's walk-in cooler, walk-in freezer, and reach-in freezer. Interviews with the Dietary Manager and Administrator confirmed that these actions did not meet facility expectations for food storage and handling.
A resident who was alert and cognitively intact was found with over-the-counter hydrogen peroxide and lubricating eye drops in their room, which they used for personal care. The facility failed to assess the resident for self-administration of these medications, and staff did not remove the items despite facility policy prohibiting residents from keeping medicated liquids at bedside.
The facility did not develop or implement Enhanced Barrier Precautions (EBP) policies, leading to staff not using appropriate PPE during high-contact care for residents with indwelling medical devices. Observations showed a nurse and a nurse aide failing to don gowns during procedures, and interviews revealed a lack of awareness and education on EBP among staff, including the DON and IP.
The facility failed to maintain cleanliness in the dry food storage area, with food debris and stains on shelves and trash on the floor. Additionally, expired thickened fluids were not discarded, posing a risk to residents. The Director of Dining Services acknowledged the oversight, and the Administrator confirmed the need for more frequent cleaning and proper expiration management.
Failure to Properly Store, Label, and Discard Expired and Spoiled Food Items
Penalty
Summary
Surveyors observed multiple failures in food storage and handling within the facility's kitchen areas. In the walk-in cooler, expired and spoiled food items were found, including a bag of peeled garlic past its use-by date, grape tomatoes with shriveling and white fuzzy substance, wilted and undated spinach, shriveled jalapeno peppers, discolored cilantro, undated bags of romaine lettuce with brown and watery leaves, coleslaw mix past its use-by date, limes with brown spots, and an opened, undated container of sour cream. Staff interviews confirmed that the expectation was for all opened food to be labeled and dated, expired food to be discarded, and spoiled items to be removed. The Dietary Manager indicated that the supervisor on duty was responsible for these checks, and noted her own absence due to illness during the relevant period. Further deficiencies were identified in the walk-in freezer and reach-in freezer. An opened and undated bag of butternut squash was found in the walk-in freezer, and an opened, undated, and partially uncovered box of turkey breakfast patties was found in the reach-in freezer. Staff interviews reiterated the expectation for all opened food to be labeled, dated, and properly covered. The Administrator confirmed these expectations during interviews. These observations demonstrate a failure to consistently follow professional standards for food storage, labeling, and spoilage prevention.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
A resident who was alert, oriented, and had intact functional cognition was admitted to the facility and was found to have a 32 fl. oz bottle of 3% hydrogen peroxide and a 0.5 fl. oz bottle of lubricating eye drops in their room. The resident reported using hydrogen peroxide to gargle and rinse their mouth when sore, as was their practice at home, and kept lubricating eye drops on hand for eye irritation, though had not used them since admission. Observations on multiple occasions confirmed the presence of these over-the-counter medicated liquids in the resident's room. Review of the resident's medical record revealed that no assessment had been conducted to determine if self-administration of medication was clinically appropriate. Interviews with nursing staff, the DON, and the Administrator confirmed that residents were not permitted to keep medications or medicated liquids at bedside and that the items should have been removed by staff. Despite this policy, the resident's possession of these items went unnoticed by staff during medication administration and routine care, and no assessment for self-administration was documented.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to develop and implement an Enhanced Barrier Precautions (EBP) policy and procedures, particularly concerning the use of Personal Protective Equipment (PPE) during high-contact care activities for residents with indwelling medical devices and chronic wounds. Observations revealed that nursing staff did not adhere to appropriate infection control practices. Specifically, Nurse #1 was observed sanitizing hands and wearing gloves but not donning a gown while flushing a Peripherally Inserted Central Catheter (PICC) line for a resident. Nurse #1 admitted to not being aware of EBP and had not received any education on it. Similarly, Nurse Aide #1 was observed providing urinary catheter care without wearing a gown, only using gloves. During an interview, Nurse Aide #1 stated she had not received instructions about EBP and was not implementing it for residents with indwelling medical devices. The Director of Nursing (DON) and the Infection Preventionist (IP) were also unaware of the EBP guidelines and had not informed the staff to implement these precautions. The Administrator expected that staff would have been educated about EBP and would be implementing necessary precautions, which was not the case.
Deficiencies in Food Storage and Expiration Management
Penalty
Summary
The facility failed to maintain cleanliness and proper storage practices in the dry food storage area, as observed during a kitchen tour. Crumblike food debris and dark-colored stains were found on the plastic shelf covering where food items were stored, indicating a lack of regular cleaning. Additionally, the floor in the dry food storage area was littered with food crumbs, unopened condiment packets, and other paper trash, suggesting inadequate cleaning frequency. These conditions were confirmed by the Director of Dining Services, who acknowledged that the cleaning schedule involved wiping the plastic shelf cover every other month and sweeping and mopping the floor twice a week. Furthermore, the facility did not adhere to proper expiration date management for thickened fluids. Thirteen containers of thickened water and six containers of thickened sweet tea were found with expiration dates that had passed, yet they were still available for use. The Director of Dining Services admitted that it was an oversight that these expired items were not discarded. The Administrator also confirmed that expired items should not be stored or available for use, and the shelving and floor should be cleaned more frequently as needed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Brevard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Oaks-brevard | 0.4 mi | ★★★★★ | 11 | 0 |
| Sapphire Ridge Health And Rehabilitation | 2.7 mi | ★★★★★ | 4 | 0 |
| The Greens At Hendersonville | 13.2 mi | ★★★★★ | 2 | 0 |
| Valley Hill Health & Rehab Center | 13.8 mi | ★★★★★ | 0 | 0 |
| The Lodge At Mills River | 14.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.