North Carolina › Macon County › Franklin
Macon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC 28734
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 200 beds, Macon Valley Nursing and Rehabilitation Center serves Franklin in Macon County, North Carolina and has taken Medicare and Medicaid residents since 1987.
CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (3, 6, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 7.0 per 100 beds, fewer than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $6K.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the North Carolina median of 3.5; nursing staff turnover is 76.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Macon Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 14 | 16 | 28.7 |
| Citations per 100 beds | 7.0 | 8.8 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 1.2 | 0.5 | 0.7 |
| Nursing staff turnover | 76.5% | 76.5% | 48.6% | 45.8% |
| Fines listed | $5,689 | $5,689 | $8,512 | — |
County and state figures are medians across facilities (2 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 16 Feb 2024.
Severity mix: G ×1 D ×5 E ×7 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 28 Jun 2025 |
| 5 Jun 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Jun 2025 |
| 5 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Jun 2025 |
| 2 Apr 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 26 Apr 2024 |
| 2 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 26 Apr 2024 |
| 2 Apr 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 26 Apr 2024 |
| 16 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 31 Jul 2023 |
| 16 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 2 Apr 2024 |
| 16 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 2 Apr 2024 |
| 16 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 2 Apr 2024 |
| 16 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 2 Apr 2024 |
| 16 Feb 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 2 Apr 2024 |
| 16 Jun 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 13 Jul 2022 |
| 16 Jun 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 13 Jul 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Feb 2024 | Fine | $5,689 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 76.5%, RNs 75.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.2% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.4% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.2% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.9% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Granite Falls Ltc, Llc. Chain: Principle Long Term Care (40 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Principle Long Term Care, Inc. | Operational/managerial control | NOT APPLICABLE | 01/28/2011 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Macon County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eckerd Living Center | Highlands | 80 | 5 | 4 | 5 | 7 | 8.8 | — | 10 Apr 2026 |
All 2 facilities in Macon County
Questions and answers
How many deficiencies has Macon Valley Nursing and Rehabilitation Center been cited for?
14 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Macon Valley Nursing and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $6K in the period covered.
How does staffing at Macon Valley Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Macon Valley Nursing and Rehabilitation Center?
It is part of the Principle Long Term Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Principle Long Term Care, Inc.. Individual owners and managers are not listed on this site.
When was Macon Valley Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 Jun 2025; the most recent standard health survey was 5 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.