Home / North Carolina / Franklin
Macon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC 28734 · Macon County · (828) 524-7806
200 certified beds, about 81 residents a day · For profit - Corporation · Medicare and Medicaid since 1987
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345263 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 5, 2025, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 14 health citations since June 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $5,689 in the last three years; the largest was $5,689, and the latest is dated February 16, 2024.
Nurses and nurse aides worked 3.78 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
76.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
206/22
602/24
304/24
306/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
7E
0F
Potential for minimal harm
0A
1B
0C
June 5, 2025Standard inspection, Complaint inspection · 3 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review, staff, Nurse Practitioner (NP), and Medical Director interviews the facility failed to ensure a resident ' s scheduled pain medication was administered as ordered for 1 of 1 resident reviewed for pain. Resident #523 stated the missed pain medication caused her pain level to be greater than a 10 on 5/31/2025 and caused her to cry and almost scream.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on observations, record review, and staff and Pharmacy Consultant interviews, the facility failed to protect the resident's right to be free from misappropriation of controlled medications for 1 of 3 residents reviewed (Resident #473).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and staff interviews, the facility failed to develop a baseline care plan that addressed the resident's anticoagulant (blood thinner) therapy and pain medication for 1 of 5 residents reviewed for baseline care plan (Resident #523).
April 2, 2024Complaint inspection · 3 citations
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review and interviews with resident, staff, and the Medical Director (MD), the facility failed to protect residents' rights to be free from misappropriation of controlled substances for 1 of 1 resident (Resident #1) reviewed for misappropriation of residents' property.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interviews with resident, staff, and the Medical Director (MD), the facility failed to keep an accurate accounting of controlled medications on the controlled substance count sheets and failed to conduct controlled substance counts in the medication cart with at least 2 nurses for verification of accuracy during shift transitions. As a result, a blister card of 30 tablets of a controlled substance was missing from a medication cart during shift transition for 1 of 1 resident reviewed for misappropriation of residents' property (Resident #1).
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint survey conducted on 02/16/24 and the complaint investigation survey conducted on 04/02/24. This was for a repeat deficiency in the area of misappropriation/exploitation of resident's property that was originally cited on 02/16/24 during the recertification and complaint survey, and subsequently recited during the complaint investigation survey completed on 04/02/24. The continued failure of the facility during two federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
February 16, 2024Standard inspection, Complaint inspection · 6 citations
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review and interviews with residents, staff, and physician, the facility failed to protect residents' rights to be free from misappropriation of controlled medications for 4 of 4 residents (Resident #16, #17, #35, and #116) reviewed for misappropriation of residents' property.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interviews with the staff, Consultant Pharmacist, and Medical Director (MD), the Consultant Pharmacist failed to identify drug irregularities and provide recommendations and cholesterol levels for 1 of 5 residents reviewed for unnecessary medications (Resident #25). Review of the lipid guidelines published in 2019 by the American College of Cardiology and American Heart Association indicated a lipid panel should be conducted at baseline for patient receiving statin (medications used to lower cholesterol) therapy, then 4 to 12 weeks after statin therapy was started or when dosage was adjusted. Afterwards, lipid panel test should be repeated once every 3 to 12 months as needed. Resident #25 was admitted to the facility on [DATE] with diagnoses including hyperlipidemia (high level of lipids/fats in the blood). [...]
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interviews with the resident, staff, Consultant Pharmacist, and Medical Director (MD), the facility failed to monitor thyroid stimulating hormone (TSH) (Resident #20) and cholesterol levels (Resident #25) for 2 of 5 residents reviewed for unnecessary medications.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews the facility failed to indicate the expiration date of thawed milkshakes in 2 of 2 nourishment rooms (Spark Unit and 100 Hall). This practice had the potential to affect beverage items served to residents.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interview the facility failed to submit a request for an evaluation for an updated Preadmission Screening and Resident Review (PASRR) determination for a resident who was admitted to the facility with mental health disorders and received a change in treatment (Resident #37) for 1 of 2 residents reviewed for PASRR.
- 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 rail.
Inspectors wroteBased on observations, record review, interviews with the Responsible Party and staff the facility failed to assess the risk of entrapment after the placement of an alternating pressure air mattress for a cognitively impaired resident dependent on staff for bed mobility (Resident #27) and failed to complete the bed rail assessment and obtain informed consent from the Responsible Party (Resident #28) for 2 of 3 residents reviewed for bed rails.
June 16, 2022Standard inspection · 2 citations
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to maintain a medication error rate of less than 5% as evidenced by 1 medication given without a Physician's order and failure to administer 1 medication according to the Physician's order. These errors constituted 2 out of 26 opportunities, resulting in a medication error rate of 7.69% for 2 of 8 residents observed during medication administration pass (Resident #7 and Resident #28).
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interviews, the facility failed to provide a CMS-10055 SNF ABN (Centers for Medicare and Medicaid Services Skilled Nursing Facility Advanced Beneficiary Notice) prior to discharge from Medicare Part A skilled services to 2 of 3 residents reviewed for beneficiary protection notification review (Residents #16 and #52).
Fire safety inspections
10 fire safety citations on file: 2 on June 5, 2025, 3 on February 16, 2024, 5 on June 16, 2022.
Every fire safety citation10 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have properly located and lighted "Exit" signs.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D Have properly located and lighted "Exit" signs.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 16, 2024 | Fine | $5,689 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.78 | 3.85 | 3.86 |
| Registered nurses | 0.47 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.48 | 3.42 | 3.42 |
| Nurse aides | 2.62 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 76.5% | 49.0% | 45.8% |
| Registered nurse turnover | 75.0% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.89 on weekdays and 3.48 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 47.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.78 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.78 | 0.47 | 3.89 | 3.48 | 47.2% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.70 | 0.45 | 3.82 | 3.39 | 52.1% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.89 | 0.69 | 3.98 | 3.66 | 52.9% | 0 of 92 | 82 |
| Apr to Jun 2025 | 3.51 | 0.55 | 3.62 | 3.22 | 47.1% | 0 of 91 | 73 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.2 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.8 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: GRANITE FALLS LTC, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hill, Robert | Indirect ownership interest | Individual | 01/01/2011 | |
| Burnette, Jayne | Managing control - governing body | Individual | 04/24/2025 | |
| Detar, Dewey | Managing control - governing body | Individual | 04/01/2024 | |
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/28/2011 | |
| Boice, Gale | Operational/managerial control | Individual | 03/18/2018 | |
| Boice, Gale | Adp of the SNF | Individual | 03/05/2018 | |
| Burnette, Jayne | Adp of the SNF | Individual | 06/16/2025 | |
| Detar, Dewey | Adp of the SNF | Individual | 04/01/2024 | |
| Hill, Robert | Adp of the SNF | Individual | 01/01/2011 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 2, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 5, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 5, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 5, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Eckerd Living Center Highlands, 15.1 mi · 5 of 5 stars · 7 citations
- Mountain View of Bryson City Bryson City, 17.5 mi · 1 of 5 stars · 37 citations
- Skyland Care Center Sylva, 19.1 mi · 4 of 5 stars · 10 citations
- Vero Health & Rehab of Sylva Sylva, 19.2 mi · 1 of 5 stars · 53 citations
- Mountain View Health Care Clayton, 20 mi · 1 of 5 stars · 30 citations
- Tsali Care Center Cherokee, 21.9 mi · 2 of 5 stars · 82 citations
- Clay County Health and Rehabilitation Hayesville, 22.9 mi · 2 of 5 stars · 17 citations
- Valley View Care and Rehabilitation Andrews, 23 mi · 2 of 5 stars · 31 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Macon Valley Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Macon Valley Nursing and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Macon Valley Nursing and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on June 5, 2025. The North Carolina average is 4.7.
- Has Macon Valley Nursing and Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $5,689 in the last three years.
- Does Macon Valley Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Macon Valley Nursing and Rehabilitation Center?
- CMS lists 11 owners and managers, and links the home to Principle Long Term Care. Legal business name: GRANITE FALLS LTC, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.