Nursing home report card · Franklin, NC

Macon Valley Nursing and Rehabilitation Center

3195 Old Murphy Road, Franklin, NC 28734

Medicare abuse warning

Quick summary

Medicare shows an abuse warning

Medicare’s Care Compare site shows an abuse icon here. That is one of the strongest public warnings CMS publishes — dig into the inspection history and talk with an attorney if a loved one was hurt.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?

Medicare file prepared: Aug 1, 2026
Our record last updated: Oct 15, 2026
Last routine health inspection: Jun 5, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating

2out of 5

Combines inspection, staffing, and care measures.

Below-average Medicare rating

Health inspections

2out of 5

Based on problems found during health inspections.

Below-average Medicare rating

Nursing staff

3out of 5

Based on staffing levels and related measures.

About average for U.S. nursing homes

Health and care results

3out of 5

Based on reported health and care results.

About average for U.S. nursing homes

What do the ratings and warnings mean?

Medicare ratings: One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems: Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning: Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time: Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems

Building, alarms, exits, and related safety citations

Reported fines

$5,689

Total fine amounts in the imported penalty records

Medicare file prepared

Aug 1, 2026

Medicare home ID: 345263

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

Caused actual harm · isolated case
Jun 5, 2025 · Inspection rule 0697
Provide safe, appropriate pain management for a resident who requires such services.
Could have caused harm · isolated case
Jun 5, 2025 · Inspection rule 0602
Protect each resident from the wrongful use of the resident's belongings or money.
Could have caused harm · isolated case
Jun 5, 2025 · Inspection rule 0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)

0.47hours per resident per day

about 28 minutes per resident per day

All nursing staff

3.78hours per resident per day

about 3 hr 47 min per resident per day

Registered nurse time on weekends

0.20hours per resident per day

about 12 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

Overall CMS rating: 2 stars
Health inspection rating: 2 stars
Staffing rating: 3 stars
Registered nurse time per resident: 0.47 hours/day
Total nurse time per resident: 3.78 hours/day

See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; North Carolina averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

Medicare shows an abuse warning icon for this home
Overall star rating is 2 or lower
Health inspection rating is 2 stars or lower
CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

Caused actual harm1 citation
Could have caused harm12 citations
Low risk of harm1 citation

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints: 0
Routine: 14
Fire safety: 0
Other: 0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

We do not have individual owner names for this home.

Other homes in this group: All Principle Long Term Care nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

June 5, 20253 findings

Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0655 · code D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care problems
Caused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0697 · code G
Provide safe, appropriate pain management for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0602 · code D
Protect each resident from the wrongful use of the resident's belongings or money.

April 2, 20243 findings

Freedom from Abuse, Neglect, and Exploitation problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0602 · code E
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0867 · code E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

February 16, 20246 findings

Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0645 · code D
PASARR screening for Mental disorders or Intellectual Disabilities
Freedom from Abuse, Neglect, and Exploitation problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0602 · code E
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0756 · code E
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 problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0757 · code E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0700 · code D
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 r…

June 16, 20222 findings

Pharmacy Service problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0759 · code D
Ensure medication error rates are not 5 percent or greater.
Resident Rights problems
Low risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0582 · code B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

Fine · Feb 16, 2024$5,689

Other homes in this chain

Principle Long Term Care · other locations in North Carolina

Questions about Macon Valley Nursing and Rehabilitation Center

What is Macon Valley Nursing and Rehabilitation Center's Medicare star rating?

As of August 1, 2026, Macon Valley Nursing and Rehabilitation Center in Franklin, North Carolina has an overall CMS rating of 2 out of 5 stars. Other CMS scores: health inspection 2 of 5, staffing 3 of 5, quality measures 3 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.

Has Macon Valley Nursing and Rehabilitation Center been fined?

As of August 1, 2026, the imported penalty records list $5,689 in reported fines for Macon Valley Nursing and Rehabilitation Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.

Does Macon Valley Nursing and Rehabilitation Center have a Medicare abuse warning?

Yes. Medicare Care Compare shows an abuse warning icon for Macon Valley Nursing and Rehabilitation Center in Franklin, North Carolina. CMS uses that icon after citations involving abuse, neglect, or exploitation.

How does Macon Valley Nursing and Rehabilitation Center compare with other nursing homes in North Carolina?

Its overall CMS rating is 2 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the North Carolina report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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