The Oaks-Brevard was recognized as Transylvania County’s second largest nursing facility during the first quarter of 2026, the Centers for Medicare and Medicaid Services (CMS) reports.
According to the data, the facility had 110 beds available—21 more than the county average for the same period. The average daily resident count was 77.1.
CMS assigned The Oaks-Brevard an overall rating of 3 out of 5, surpassing the North Carolina average for nursing homes, which stood at 2.9.
For that quarter, Sapphire Ridge Health and Rehabilitation operated as the largest nursing home in Transylvania County, offering 147 beds. Transylvania Regional Hospital held third place with 10 beds.
As of the first quarter of 2026, The Oaks-Brevard incurred a total of $6,936 from one fine and received one penalty.
The county was home to three for-profit nursing homes, all in North Carolina.
U.S. Census Bureau estimates indicate that the nation’s older adult population is increasing while younger age groups decline. Between 2020 and 2024, Americans 65 and older grew by 13%, whereas those under 18 decreased by 1.7%. Over the past 100 years, the nation’s older adult population has climbed sharply from 4.9 million in 1920 to over 61 million by 2024.
A 2021 analysis estimates that about half of this group, or around 28 million people, may need long-term assistance and support. The study also projects that more than a third could ultimately require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Sapphire Ridge Health and Rehabilitation | 1 |
| 2 | The Oaks-Brevard | 3 |
| 3 | Transylvania Regional Hospital | 5 |
The information in this article comes from the Centers for Medicare and Medicaid Services. You can find the original data here.


