Macon Valley Nursing and Rehabilitation Center – Franklin, NC

CMS Verified | 2026-03-01

Macon Valley Nursing And Rehabilitation Center

3195 Old Murphy Road, Franklin, NC 28734
(828) 524-7806
200 beds
All Franklin facilities
2.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
3.0*
Staffing
57.35
Score /100
#12779
National Rank

#12779
of 14703 facilities
National
13.1% position
#337
of 418 in NC
State Rank
#2
of 2 in Macon
County Rank
#1
of 1 in Franklin
City Rank
#1
of 1 in ZIP 28734
ZIP Rank






About Macon Valley Nursing And Rehabilitation CenterMacon Valley Nursing And Rehabilitation Center is located at 3195 Old Murphy Road, Franklin, NC, reachable at (828) 524-7806. This For profit – Corporation facility operates 200.0 certified beds and serves an average of 81 residents per day. It is part of the Principle Long Term Care network (44 facilities nationwide). Medicare and Medicaid services have been provided since 1987-07-14. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Macon Valley Nursing And Rehabilitation Center

Address

3195 Old Murphy Road, Franklin, NC 28734

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 200 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: PRINCIPLE LONG TERM CARE

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Declining over 5 years
57.35
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12779 of 14703 nationally – #337 of 418 in North Carolina

Who Is This Facility Best For?

Macon Valley Nursing And Rehabilitation Center may be considered for families with limited options in Franklin, NC, but its lower CMS ratings suggest careful due diligence is warranted.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightMacon Valley Nursing And Rehabilitation Center currently provides 3 hours 53 minutes of total nurse staffing per resident per day, including 42 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). RN staffing hours have fluctuated between 32 and 42 min/day over the past five years, indicating some instability in skilled nurse coverage. Total nursing staff turnover is high at 82.7%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 53 minutes
Nurse Aide Hours2 hours 15 minutes
Licensed Practical Nurse (LPN) Hours57 minutes
Registered Nurse (RN) Hours42 minutes
Physical Therapist Hours3 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 40 minutes
Weekend Registered Nurse (RN) Hours29 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Macon Valley Nursing And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $5,689. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $5689.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record Y
Total Weighted Health Survey Score 37.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,779
of 14,703
National
Bottom 13%
#337
of 418
NC State
Bottom 19% in NC
#2
of 2
️ Macon County
#2 of 2
#1
of 1
️ Franklin
Best in city
#1
of 1
ZIP 28734
Best in ZIP

Nationally, Macon Valley Nursing And Rehabilitation Center ranks 12779th out of 14,703 facilities (composite score: 57.4/100), placing it in the bottom 25% nationwide. Within NC, it ranks 337th out of 418 nursing homes. For 2026 staffing: total nurse hours rank #5,607 nationally and RN hours rank #5,079 nationally (#95 in NC).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 3.42 #8,542 / 14,703 #196 / 418 Below average
2023 3.64 #6,662 / 14,703 #154 / 418 Above average
2024 3.50 #8,205 / 14,703 #212 / 418 Below average
2025 3.39 #9,888 / 14,703 #272 / 418 Below average
2026 3.89 #5,607 / 14,703 #110 / 418 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 0.53 #8,099 / 14,703 #174 / 418 Below average
2023 1.11 #1,281 / 14,703 #19 / 418 Top 10%
2024 0.86 #2,700 / 14,703 #53 / 418 Top 25%
2025 0.68 #5,081 / 14,703 #95 / 418 Above average
2026 0.69 #5,079 / 14,703 #95 / 418 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Macon Valley Nursing And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1987-07-14. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (828) 524-7806 or your local Medicaid office to verify current eligibility.

Macon Valley Nursing And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.4/100, placing it #12779 of 14703 facilities nationally and #337 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Macon Valley Nursing And Rehabilitation Center receives a reported average of 3 hours 53 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 57 minutes; Nurse Aide — 2 hours 15 minutes. On weekends, total nurse staffing is 3 hours 40 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 82.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Macon Valley Nursing And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $5,689. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $5,689, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 37.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Macon Valley Nursing And Rehabilitation Center ranks 12779th out of 14,703 facilities (composite score: 57.4/100), placing it in the bottom 25% nationwide. Within NC, it ranks 337th out of 418 nursing homes. For 2026 staffing: total nurse hours rank #5,607 nationally and RN hours rank #5,079 nationally (#95 in NC). Our composite quality score of 57.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Franklin, visit: https://nursinghomesnearme.org/north_carolina/franklin/

Contact and Location

ADR
Address

3195 Old Murphy Road, Franklin, NC 28734
Get directions on Google Maps

TEL
LLC
Legal Name

GRANITE FALLS LTC, LLC

MAP
Browse by Location

All North Carolina ·
Macon County ·
Franklin ·
ZIP 28734

Facility Details

Number of Certified Beds 200
Average Residents / Day 81 (41% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Macon County, NC
City Franklin, NC
ZIP Code 28734
Approved Since July 14, 1987
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 345263
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org