PlainNursing
CMS Nursing Home Compare · August 2026

Macon Valley Nursing and Rehabilitation Center

3195 Old Murphy Road, Franklin, NC 28734

Macon Valley Nursing and Rehabilitation Center, a 200-bed for profit - corporation nursing facility in Franklin, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #274 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8285247806

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2 / 5
Below average · CMS overall · nat'l 3.0
#274 of 415
In-state rank among rated NC homes
3.78
About average · nurse hrs/day · nat'l 3.86
14
Inspection findings · 1 serious

The verdict

Macon Valley Nursing and Rehabilitation Center, a 200-bed for profit - corporation nursing facility in Franklin, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #274 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#274 of 415
In-state rank among rated NC homes
3.78
Nurse hrs/resident-day · national 3.86
14
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345263
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
200
Residents
81
In Hospital
No
County
Macon
Last Inspection
Jun 5, 2025
Abuse citation on record

Staffing Data

How the 3.78 total nursing hours per resident-day are staffed:

RN Hours
0.47 (nat'l avg: 0.69)
LPN Hours
0.68
CNA Hours
2.62
Total Nursing Hours
3.78 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
76.5%
RN Turnover
75.0%

What the CMS Record Reveals About Macon Valley Nursing and Rehabilitation Center

According to CMS Nursing Home Compare, Macon Valley Nursing and Rehabilitation Center ranks #274 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Macon Valley Nursing and Rehabilitation Center operates 200 certified beds in Franklin, NC with approximately 81 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 3★).

The inspection file contains 14 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $6K against this provider. Per resident day, this facility reports 3.78 total nursing hours (national average 3.86) and 0.47 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Macon Valley Nursing and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 76.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

D - Isolated - Minimal harm Jun 5, 2025 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 28, 2025

D - Isolated - Minimal harm Jun 5, 2025 Tag: 0602

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 2, 2025

G - Isolated - Actual harm Jun 5, 2025 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 28, 2025

E - Pattern - Minimal harm Apr 2, 2024 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Apr 26, 2024

E - Pattern - Minimal harm Apr 2, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 26, 2024

E - Pattern - Minimal harm Apr 2, 2024 Tag: 0602

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 26, 2024

D - Isolated - Minimal harm Feb 16, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 2, 2024

D - Isolated - Minimal harm Feb 16, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 2, 2024

E - Pattern - Minimal harm Feb 16, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 2, 2024

E - Pattern - Minimal harm Feb 16, 2024 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 2, 2024

E - Pattern - Minimal harm Feb 16, 2024 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 2, 2024

E - Pattern - Minimal harm Feb 16, 2024 Tag: 0602

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 31, 2023

B - Pattern - No harm Jun 16, 2022 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 13, 2022

D - Isolated - Minimal harm Jun 16, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 13, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 12.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 83.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 40.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 91.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 10.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 59.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 76.4% No

Penalty History 1 penalties totaling $6K

Date Type Amount
Feb 16, 2024 Fine $6K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Macon Valley Nursing and Rehabilitation Center, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Macon Valley Nursing and Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 200 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Macon Valley Nursing and Rehabilitation Center?
Macon Valley Nursing and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (3★).
Where does Macon Valley Nursing and Rehabilitation Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Macon Valley Nursing and Rehabilitation Center ranks 274th among 415 rated nursing homes in NC (#274 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Macon Valley Nursing and Rehabilitation Center?
Macon Valley Nursing and Rehabilitation Center reports 3.78 total nursing hours per resident day (national average: 3.86). RN hours are 0.47 per resident day (national average: 0.69). Nursing staff turnover is 76.5%.
How many beds does Macon Valley Nursing and Rehabilitation Center have?
Macon Valley Nursing and Rehabilitation Center has 200 certified beds with approximately 81 residents. The facility is located at 3195 Old Murphy Road, Franklin, NC 28734.
Does Macon Valley Nursing and Rehabilitation Center have any deficiencies on record?
Yes, Macon Valley Nursing and Rehabilitation Center has 14 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Macon Valley Nursing and Rehabilitation Center received any fines or penalties?
Yes, Macon Valley Nursing and Rehabilitation Center has received 1 penalties totaling $6K.
Who owns Macon Valley Nursing and Rehabilitation Center?
Macon Valley Nursing and Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Macon Valley Nursing and Rehabilitation Center last inspected?
The most recent health inspection for Macon Valley Nursing and Rehabilitation Center was on Jun 5, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Macon Valley Nursing and Rehabilitation Center?
Macon Valley Nursing and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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