Nursing HomeInspections

Macon Valley Nursing and Rehabilitation Center

Nursing home in Franklin, NC

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

Call (828) 524-7806Send a messageMap ↗

Public-record details

Address
3195 Old Murphy Road, Franklin, NC 28734
Phone
(828) 524-7806
Listed under
For-profit
Medicare CCN
345263
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
200
Average residents per day
81
Ownership
For-profit, corporation
Legal business name
Granite Falls LTC, LLC
Chain
Principle Long Term Care (40 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 14, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345263. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 5, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2022 to Jun 5, 2025): 10 from complaint inspections, 1 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 5, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 5, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 5, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		G
Actual harm, isolated
Apr 2, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 2, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 2, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 16, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 16, 2024Try 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…
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 16, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 16, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 16, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 16, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $5,689 in the last three years.

Feb 16, 2024Fine: $5,689

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.78 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
2.62 hours
Total nurse staffing on weekends
3.48 hours
Nursing staff turnover (yearly)
77%
RN turnover (yearly)
75%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.