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Macon Valley Nursing and Rehabilitation Center

All states › North Carolina › Franklin › Macon Valley Nursing and Rehabilitation Center

3195 Old Murphy Road Franklin, NC 28734 · Macon County

(828) 524-7806

Accepts Medicare Accepts Medicaid 200 certified beds For profit

CMS certification number 345263 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Macon Valley Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Macon Valley Nursing and Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0. Inspectors issued 12 citations in the last three years. CMS imposed 1 penalty, including $5,689 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.90 hours per resident per day at Macon Valley Nursing and Rehabilitation Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.56 of those hours are from registered nurses. On weekends it falls to 3.58 hours, 8% below its all-week average. 72.6% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 3.90 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.56 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.58 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 72.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 81% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds200
Residents per day 84 About 42% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1987
Part of a chainPrinciple Long Term Care
Legal business nameGRANITE FALLS LTC, LLC

Paying for care at Macon Valley Nursing and Rehabilitation Center: Medicare and Medicaid

Macon Valley Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 13, 2026 and found 0 deficiencies. In total, inspectors issued 12 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 12 citations at Macon Valley Nursing and Rehabilitation Center across 3 inspection dates, 10 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on June 5, 2025. The most common areas cited were freedom from abuse, neglect, and exploitation (3) and pharmacy service (3). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level G, June 5, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

June 5, 2025 · 3 citations · includes complaint inspection

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Jun 28, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Jun 2, 2025)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jun 28, 2025)

April 2, 2024 · 3 citations · includes complaint inspection

EProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Apr 26, 2024)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Apr 26, 2024)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Apr 26, 2024)

February 16, 2024 · 6 citations · includes complaint inspection

EProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Jul 31, 2023)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Complaint inspection · Deficient, Provider has date of correction (Apr 2, 2024)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Complaint inspection · Deficient, Provider has date of correction (Apr 2, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 2, 2024)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Complaint inspection · Deficient, Provider has date of correction (Apr 2, 2024)

DTry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Complaint inspection · Deficient, Provider has date of correction (Apr 2, 2024)

Questions to ask on a tour of Macon Valley Nursing and Rehabilitation Center

  1. Inspectors cited the home at the actual-harm level on June 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 5, 2025. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 72.6% a year. How many of the staff come from agencies?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. The home averages about 42% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $5,689 in fines.

DateTypeAmount or length
Feb 16, 2024 Fine $5,689

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 3/5
August 2026 2/5 2/5 3/5 3/5
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Location

Hospitals near Macon Valley Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Eckerd Living Center Highlands · 15.1 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 80 beds · Medicaid
Mountain View Manor Nursing Center Bryson City · 17.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid
Skyland Care Center Sylva · 19.1 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 94 beds · Medicaid
Vero Health & Rehab of Sylva Sylva · 19.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 106 beds · Medicaid
Tsali Care Center Cherokee · 21.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 5/5 100 beds · Medicaid

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Other Principle Long Term Care nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/franklin/macon-valley-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.