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Critical Access HospitalsEmergency Services

TRANSYLVANIA REGIONAL HOSPITAL, INC

90 HOSPITAL DRIVE PO BOX 1116, BREVARD, NC 28712

CMS Overall Rating

★★★★★2/5

Critical Access HospitalThis small rural hospital is not required to report all Medicare quality measures. Missing data does not reflect poor quality — it reflects small patient volumes.

How This Hospital Compares

CMS star rating compared across three benchmarks

vs North Carolina Average

2★vs 3.3★ avg

▼ Below North Carolina average

vs Similar Hospitals

2★vs 3.2★ avg

▼ Below average for its type

Critical Access Hospitals

State Rank (Rated Hospitals)

#85of 90

Bottom half in North Carolina

How CMS Calculates the Star Rating

Overall star is a weighted average of 5 quality groups

Source: CMS Hospital Quality Initiative. Weights: Mortality 22% · Safety 22% · Readmission 22% · Patient Experience 22% · Timely Care 12%.

Patient Experience (HCAHPS Survey)

Based on standardized surveys sent to random patients after discharge

Mortality & Outcomes

30-day mortality rates — percentage of patients who died within 30 days of admission

COPD Survival

Same as national avg

Percentage of COPD (chronic lung disease) patients who died within 30 days of hospitalization.

Heart Failure Survival

13%

Same as national avg

Percentage of heart failure patients who died within 30 days. A lower number means more patients survived.

Pneumonia Survival

19.1%

Same as national avg

Percentage of pneumonia patients who died within 30 days. Reflects how well the hospital treats serious lung infections.

Infection Control

Standardized Infection Ratio (SIR) — below 1.0 is better than the national benchmark

CLABSI Rate

N/A

Central line-associated bloodstream infection rate. A number below 1.0 means fewer infections than the national average — better than expected.

CAUTI Rate

0.53

✓ At or below benchmark

Catheter-associated urinary tract infection rate. SIR below 1.0 = better than national benchmark. Important if you'll be in the ICU.

MRSA Rate

N/A

MRSA bloodstream infection rate. MRSA is a drug-resistant bacteria — an SIR below 1.0 means this hospital has fewer cases than expected nationally.

C. diff Rate

0.93

✓ At or below benchmark

Clostridioides difficile (C. diff) infection rate. This gut bacteria can cause severe diarrhea — SIR below 1.0 is better than the national benchmark.

30-Day Readmission Rates

Lower readmission rates indicate better discharge planning and post-hospital care

Heart Failure Readmission

23.7%

Worse than national avg

How often heart failure patients need to return to the hospital within 30 days. Lower is better — means patients were stable when discharged.

Pneumonia Readmission

15.7%

Same as national avg

Percentage of pneumonia patients readmitted within 30 days. Reflects quality of treatment and discharge instructions.

Medicare Payment Estimates

What Medicare pays this hospital for common procedures vs the national average

Payment for heart failure patients

$19,737

≈ Same as national avg

82 cases

Payment for hip/knee replacement patients

$20,977

≈ Same as national avg

28 cases

Payment for pneumonia patients

$20,665

≈ Same as national avg

66 cases

Medicare payment amounts are risk-adjusted averages. Actual patient costs depend on insurance plan, deductibles, and other factors.

Check Your Insurance Coverage

Before scheduling care at TRANSYLVANIA REGIONAL HOSPITAL, INC, verify it is in your insurance network. Out-of-network care can result in significantly higher costs.

Check Coverage on Healthcare.gov →

Frequently Asked Questions

What is a Critical Access Hospital (CAH)?▼

Critical Access Hospitals are small rural hospitals with 25 or fewer inpatient beds, located more than 35 miles from the nearest hospital. They receive special Medicare funding to keep rural healthcare accessible.

Why doesn't this hospital have a star rating?▼

Critical Access Hospitals are exempt from CMS star ratings because their small patient volumes make statistical comparisons unreliable. This is not a reflection of quality.

Are Critical Access Hospitals safe?▼

CAHs meet federal safety standards and are regularly inspected. For complex procedures, they often transfer patients to larger facilities — which is the right call for patient safety.

Why is some clinical data missing?▼

CAHs report fewer measures to CMS because their patient volumes are too small to produce statistically valid results. Missing data does not mean poor quality.

Should I travel to a larger hospital instead?▼

For emergencies, go to the nearest hospital. For planned procedures like joint replacement or cancer surgery, discuss with your doctor whether the procedure volume at a larger hospital would be beneficial.

How does TRANSYLVANIA REGIONAL HOSPITAL, INC rank among hospitals in North Carolina?▼

TRANSYLVANIA REGIONAL HOSPITAL, INC ranks #85 out of 90 rated hospitals in North Carolina by CMS overall star rating. For context, the state average CMS star rating is 3.3.

Data source: Centers for Medicare & Medicaid Services (data.cms.gov). Updated quarterly. Last pipeline run: June 2026.