Macon Valley Nursing and Rehabilitation Center

3195 Old Murphy Road · Franklin, NC · 28734 · 8285247806

200 certified beds For profit - Corporation Chain: Principle Long Term Care

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results have improved across recent cycles.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

79% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 74
Staffing 20% 59
Federal penalties 15% 79
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day3.39≈ weekday level
Nursing turnover / year79%median 45%
Fines (3-yr window)1 · $5,689

Inspection citations (14 in the current record)

  • Actual harm · G June 5, 2025

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

    Corrected June 28, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

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

    Corrected June 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 5, 2025 · found via complaint

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

    Corrected June 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 2, 2024 · found via complaint

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

    Corrected April 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 2, 2024 · found via complaint

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

    Corrected April 26, 2024 · Pharmacy Service

  • Potential for harm · E April 2, 2024 · found via complaint

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

    Corrected April 26, 2024 · Administration

  • Potential for harm · E February 16, 2024 · found via complaint

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

    Corrected July 31, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 16, 2024 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 16, 2024 · found via complaint

    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.

    Corrected April 2, 2024 · Quality of Life and Care

  • Potential for harm · E February 16, 2024 · found via complaint

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

    Corrected April 2, 2024 · Pharmacy Service

  • Potential for harm · E February 16, 2024 · found via complaint

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

    Corrected April 2, 2024 · Pharmacy Service

  • Potential for harm · E February 16, 2024 · found via complaint

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

    Corrected April 2, 2024 · Nutrition and Dietary

  • Potential for harm · D June 16, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 13, 2022 · Pharmacy Service

  • No harm found · B June 16, 2022

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

    Corrected July 13, 2022 · Resident Rights

Federal penalties

DateTypeAmount / length
February 16, 2024Fine$5,689

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345263 · certified since July 14, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.