Transylvania Regional Hospital ranked as No. 3 largest nursing home in Transylvania County for Q1 2026

Transylvania Regional Hospital was identified as the third largest nursing home in Transylvania County for the first quarter of 2026, as reported by the Centers for Medicare and Medicaid Services (CMS).

The data indicates the facility offered 10 beds—79 below the county average during the period—and provided care to an average of 5.9 residents.

The hospital received an overall CMS rating of 5 out of 5, surpassing the state nursing home average of 2.9 in North Carolina.

Sapphire Ridge Health and Rehabilitation led county facilities with 147 beds, while The Oaks-Brevard held second with 110 beds during the same quarter.

By the end of the first quarter of 2026, Transylvania Regional Hospital incurred $12,415 in two fines and faced two penalties.

Altogether, three for-profit nursing homes operated in Transylvania County, North Carolina.

Estimates from the U.S. Census Bureau show the older adult population in the United States continues to rise, while younger age groups are declining. From 2020 to 2024, Americans age 65 and up grew by 13%, and the population under age 18 dropped by 1.7%. The nation’s population of older adults has expanded significantly over the last century—from 4.9 million in 1920 to more than 61 million in 2024.

A study published in 2021 estimated that close to half of this demographic—about 28 million people—may require long-term services and support, with projections indicating more than a third could need 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.”

This article uses information from the Centers for Medicare and Medicaid Services. Source data is available here.