Macon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC 28734 · (828) 524-7806
For profit - Corporation · 200 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Macon Valley Nursing and Rehabilitation Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 3 citations, 1 for actual harm or immediate jeopardy (the North Carolina average is 4.7). It was fined 1 time in the last three years, $5,689 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 5, 2025 found 3 citations. What an inspection citation means
- Provide safe, appropriate pain management for a resident who requires such services.June 5, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.June 5, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJune 5, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 10 citations.
- Protect each resident from the wrongful use of the resident's belongings or money.June 5, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.April 2, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 2, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.April 2, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.February 16, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- PASARR screening for Mental disorders or Intellectual DisabilitiesFebruary 16, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 16, 2024 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.February 16, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.February 16, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 16, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $5,689February 16, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.78 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.47 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.68 | 0.89 | 0.86 |
| Nurse aides | 2.62 | 2.34 | 2.32 |
| Total nursing staff turnover | 76.5% | 49% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 200 |
| Average residents per day | 80.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Eckerd Living Center Highlands · ★★★★★ 5 out of 5 stars
- Biltmore Haven Nursing and Rehabilitation Arden · ★★★★★ 1 out of 5 stars
- Black Mountain Neuro-Medical Treatment Center Black Mountain · ★★★★★ 5 out of 5 stars
- Highland Farms Black Mountain · ★★★★★ 5 out of 5 stars
- NC State Veterans Home - Black Mountain Black Mountain · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Macon Valley Nursing and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.