Nursing home
Macon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC 28734 · Map
For profit - Corporation · Part of Principle Long Term Care (44 facilities) · 200 certified beds
Macon Valley Nursing and Rehabilitation Center is a Medicare-certified nursing home in Franklin, North Carolina. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.89 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Jun 5, 2025 cited 3 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $5,689In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Macon Valley Nursing and Rehabilitation Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.89 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.69 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.25 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 82.7% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $5,689, 1 total penalty.
What inspectors found at Macon Valley Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 2, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 2, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 16, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Feb 16, 2024 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Feb 16, 2024 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 16, 2024 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Feb 16, 2024 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Feb 16, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3195 Old Murphy Road
Franklin, NC 28734 - CMS certification #
- 345263
- Ownership
- For profit - Corporation
- Certified beds
- 200
- Avg residents/day
- 81.8
- Provider type
- Medicare and Medicaid
- First certified
- 1987-07-14
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Rural
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Macon Valley Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says A memory care unit, nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Macon Valley Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Our Memory Care Unit is protected by the latest security technology.
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
24-hour nursing care and monitoring for patients suffering from dementia
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
The SPARC unit has fifteen semi-private rooms.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Angel Medical Center, Franklin. 0.9 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Eckerd Living Center, Highlands. 15.1 miles away, straight line.
- Nearest home health agency office
- Carepartners Home Care & Hospice, Franklin. 3.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.5 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, 1.9 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, 3.1 miles away, straight line - Nearest geriatric medicine practice
- Prisma Health University Medical Group, Easley. 56.6 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 risk
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 moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Macon Valley Nursing and Rehabilitation Center a good nursing home?
CMS gives Macon Valley Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Macon Valley Nursing and Rehabilitation Center staffed?
Macon Valley Nursing and Rehabilitation Center reports 3.89 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Macon Valley Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Macon Valley Nursing and Rehabilitation Center have?
Macon Valley Nursing and Rehabilitation Center is certified for 200 beds.