Assisted Living and Memory Care
Franklin House
186 One Center Court, Franklin, NC 28734 · Map
Licensed for 70 residents · Macon Health Holdings, LLC
Franklin House is a state-licensed assisted living, memory care community in Franklin, North Carolina. It is licensed for 70 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What Franklin House says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation Services
(page, checked Oct 15, 2026) - 3 meals a day.
Whether our seniors are on a specific diet or need adaptations in their prepared cuisine, our dining team makes sure that each resident enjoys a delicious and nutritious meal for breakfast, lunch, and dinner every day.
(page, checked Oct 15, 2026) - Apartment types named: semi-private room.
Residents enjoy private or semi-private accommodations, social activities, and amenities designed to enhance their quality of life.
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last state inspection: May 21, 2025. See the record
License
Active, 70 residents
Adult Care Home HAL-056-006. Licensee Macon Health Holdings, LLC.
Nearest emergency room
4.6 miles
Angel Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Franklin House this community | 70 | Not published | Active | DHSR star rating 3 stars, 0 Type A, 4 Type B | |
| Grandview Manor Care Center | 1.7 mi | 82 | Not published | Active | DHSR star rating 0 stars, 4 Type A, 0 Type B |
| Chestnut Hill of Highlands | 11.9 mi | 26 | Not published | Active | DHSR star rating 1 star, 0 Type A, 0 Type B |
| The Hermitage | 13.2 mi | 90 | Not published | Active | DHSR star rating 4 stars, 0 Type A, 0 Type B |
| Bryson Senior Living | 16.3 mi | 50 | Not published | Active | DHSR star rating 3 stars, 0 Type A, 0 Type B |
State inspection recordDHSR star rating 3 stars, 0 Type A, 4 Type B
- DHSR star rating
- 3 stars, score 97.00 issued June 17, 2025 after a follow-up inspection
- Last state inspection
- May 21, 2025 (ACLS Follow-up)
- Inspections posted since October 15, 2023
- 4, 0 with no deficiencies cited
- Type A1 violations
- 0 death or serious harm, abuse, neglect or exploitation
- Type A2 violations
- 0 substantial risk of those
- Type B violations
- 4 detrimental to health, safety or welfare
- Other rules not met
- 5
- Penalties (last 36 months)
- 1, totaling $11,400
2 reports could not be read automatically; the counts above leave them out. Open them on the state’s site.
Penalties imposed by DHSR
- May 17, 2024: $11,400, Level Unabated B, 10A NCAC 13F .1004(a) Medication Administration (inspection December 12, 2023, report). Settlement Agreement
Inspections since October 15, 2023
- May 21, 2025: ACLS Follow-up, deficiencies cited. Report
- March 13, 2025: ACLS Annual and Complaint, deficiencies cited. Report
- February 9, 2024: ACLS Complaint and Follow-up, 1 other rule not met, 1 Type B violation. Report
- December 12, 2023: ACLS Complaint and Follow-up, 4 other rules not met, 3 Type B violations. Report
Violations cited, most recent first
- February 9, 2024: Type B, Residents must get the health care their care plan calls for, with referral and follow-up for health needs 10A NCAC 13F .0902. DHSR: “Based on observations, interviews, and record reviews, the facility failed to ensure referral and follow up to meet the acute health care needs for 4 of 5 residents related to a resident who missed doses of a nerve pain medication not being reported to the primary care provider (PCP) (Resident #5) and residents on a Special Care Unit (SCU) having sexual encounters (Resident #1, Resident #3 and Resident #6) and the PCP Division of Health Service Regulation D 2 was not notified.” Report
- December 12, 2023: Type B, The home must run an activities program 10A NCAC 13F .0905. DHSR: “Based on observations, interviews, and record reviews, the facility failed to ensure implementation of an activities program that promoted active involvement by the residents.” Report
- December 12, 2023: Type B, Residents' rights under state law (G.S. 131D-21) must be protected 10A NCAC 13F .0909. DHSR: “Based on observations, record reviews, and interviews, the facility failed to ensure the residents' rooms and belongings were free of hazards for 2 of 2 sampled resident (Resident #5 and Resident #7) related to bed bugs.” Report
- December 12, 2023: Type B, Medications and treatments must be given as ordered by the prescriber 10A NCAC 13F .1004. DHSR: “Based on observations, record review, and interviews, the facility failed to administer medications as ordered for 1 of 5 sampled residents (Resident #1) related to a medication used to treat bipolar disorder and an observation during the morning medication pass including errors with an incorrect dosage for a medication used to treat an oral yeast infection and not administering a medication used to treat seasonal allergies.” Report
Other rules found not met
- Staff qualifications: job description, age, health and background requirements
- Building: the home must be clean, free of hazards and furnished as required
- Qualifications of activity director
- Medications and treatments must be given as ordered by the prescriber
- Residents who take their own medications must be assessed and supervised as the rule requires
Read every report on the state’s site → · DHSR star rating worksheet
What these terms mean
The DHSR star rating is the state's rating, not ours. DHSR: each facility “begins with a base score of 100 points. Based on the facility's compliance or non-compliance with rule areas during inspections, the facility earns merit or demerit points which are added or subtracted from the 100 base points.” Scale: 4 stars = 100 or more points on two consecutive annual surveys; 3 stars = 90.0 to 99.9 points (or 100 or more on one annual inspection); 2 stars = 80.0 to 89.9; 1 star = 70.0 to 79.9; 0 stars = 69.9 or lower.
DHSR: “months will typically pass between inspections and much could change for the better or worse in a facility between inspections. Therefore, it is advised that consumers visit the facility themselves before making such an important decision.”
Type A1 violation: “a violation by a facility of applicable laws and regulations governing a facility which results in death or serious physical harm, abuse, neglect, or exploitation of a resident.”
Type A2 violation: “a violation by a facility of applicable laws and regulations governing the licensure of a facility which results in substantial risk that death or serious physical harm, abuse, neglect, or exploitation will occur.”
Type B violation: “a violation by a facility of applicable laws and regulations governing a facility which is detrimental to the health, safety, or welfare of any resident, but which does not result in substantial risk that death or serious physical harm, abuse, neglect, or exploitation will occur.” There is no fine for a Type B violation; an “Unabated B” is one not corrected within 45 days, which can be fined up to $400 a day.
A deficiency cited without a violation type is a rule not met that DHSR did not classify as a Type A or Type B violation.
IDR pending means the facility asked for Informal Dispute Resolution, “a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection.”
DHSR posts Statements of Deficiencies for inspections since November 1, 2014 where deficiencies were found; inspections with no deficiencies are listed as “No Deficiencies Cited” without a report. Violation counts cover inspections since October 15, 2023 and are read from DHSR’s reports; penalties cover the last 36 months. This home is licensed for 70 residents; larger homes are inspected and reported on more often, so read counts with size in mind. Source: North Carolina Division of Health Service Regulation, Adult Care Licensure Section, data as of October 15, 2026. Always visit in person and ask the community and the county Department of Social Services adult home specialist about anything listed here.
License and ownershipActive license, licensee Macon Health Holdings, LLC
- License type
- Adult Care Home
- License number
- HAL-056-006
- License status
- Active
- Licensed capacity
- 70
- Licensee
- Macon Health Holdings, LLC
- County
- Macon County
Source: North Carolina state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in North Carolina, and other programs
How Medicaid pays for care in North Carolina
- NC Medicaid Personal Care Services (PCS). Yes. NC Medicaid's Personal Care Services benefit covers hands-on personal care for eligible residents of licensed adult care homes. (state page)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety1 OSHA inspection, 5 violations cited
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Oct 5, 2023: programmed (planned) inspection, complete (safety). Case closed Nov 27, 2023. 5 violations cited (5 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 155305 - Macon Health Holdings, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Keeping exit routes clear and marked (1910.37(b)(5)). Penalty $0 proposed, $0 now. To be fixed by Nov 13, 2023.
- Other than serious: Electrical equipment and installation (1910.303(b)(2)). Penalty $0 proposed, $0 now. To be fixed by Nov 13, 2023.
- Other than serious: Electrical equipment and installation (1910.303(b)(7)(iv)). Penalty $0 proposed, $0 now. To be fixed by Nov 13, 2023.
- Other than serious: Electrical wiring methods and equipment (1910.305(g)(1)(iv)(a)). Penalty $0 proposed, $0 now. To be fixed by Nov 13, 2023.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(2)(i)(d)). Penalty $0 proposed, $0 now. To be fixed by Dec 7, 2023.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby careNearest hospital 4.6 mi, nursing home 4.7 mi, pharmacy 2.2 mi
- Nearest hospital with an emergency room
- Angel Medical Center, Franklin. 4.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Macon Valley Nursing and Rehabilitation Center, Franklin. 4.7 miles away, straight line.
- Nearest home health agency office
- Carepartners Home Care & Hospice, Franklin. 1.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Smart Pharmacy. 2.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28734 as small town (small town high commuting).
- Dialysis within 15 miles
- Davita Franklin Township Dialysis, Franklin, 3.2 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 28734.
Carepartners Home Care & Hospice, office in Franklin, 1.6 miles away, straight line - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 52.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in May 2025. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| North Carolina Division of Health Service Regulation, Adult Care Licensure Section inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Franklin House provide?
Franklin House is licensed by the state of North Carolina for assisted living, memory care in Franklin, North Carolina. Its licensed capacity is 70 residents.
Does Lilisity rate Franklin House?
No. We publish state licensing details for Franklin House but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Franklin House cost?
Assisted Living in North Carolina typically starts at $3,700 to $6,000 a month. Based on 100 communities that publish prices. These are area figures, not this community's price. Franklin House does not publish its prices.
How do I contact Franklin House?
Use Franklin House's website, franklinseniors.com, or visit at 186 One Center Court, Franklin, NC 28734.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid