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Macon Valley Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3195 Old Murphy Road, Franklin, NC 28734200 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 74 Google reviews

5
4
3
2
1
Macon Valley Nursing and Rehabilitation Center Nursing Home in Franklin, NC — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • High staff turnover (83%)
  • High RN turnover (92%)

Below average in NC · Below recommended RN staffing · Above average staffing · Very high staff turnover · Below chain average · $5,689 in fines · Very few deficiencies · Abuse citation

Source: Medicare data

What this means for your family

This facility has seen significant improvements in management and community engagement recently, making it a strong contender for rehab services. However, families should be aware of persistent communication gaps; we recommend establishing a clear, direct line of contact with a specific supervisor upon admission to mitigate the reported difficulty in reaching case managers.

Google Reviews

Google Reviews

74 reviews on Google
Macon Valley Nursing and Rehabilitation Center receives highly polarized feedback, with recent reviews highlighting significant improvements in facility management and staff engagement. While many families praise the dedicated therapy team and the facility's cleanliness, recurring concerns persist regarding chronic understaffing, poor communication from case managers, and inconsistent quality of care during off-hours.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean8.0Activities9.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Dedicated and skilled rehabilitation therapy team
  • Clean and well-maintained facility environment
  • Active community engagement and events
  • Compassionate and friendly nursing staff

Concerns

  • Chronic understaffing leading to delayed response times (mentioned by 5 reviewers)
  • Poor communication and lack of responsiveness from case managers (mentioned by 4 reviewers)
  • Inconsistent quality of food and nutrition management (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2342.0'18(5)2.82.3'20(3)3.05.0'23(4)4.04.7'25(50)4.0'26(4)

Distribution · 78 analyzed

5
58
4
5
3
0
2
2
1
13
30 reviews posted between Nov 28, 2025Nov 29, 2025 · 28 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the importance of timely assistance, what specific protocols are in place to ensure call lights are answered promptly during shift changes?
  • 2I noticed the rehabilitation team receives great feedback; how do you ensure that same level of consistency and communication across the nursing and case management teams?
  • 3How does the facility manage the nutritional needs of residents, and what steps are being taken to ensure consistent quality in the daily meal service?
  • 4With a capacity of 200 residents, how do you ensure that families receive regular, proactive updates from case managers regarding their loved one's care plan?
  • 5I see that community engagement is a strength here; could you walk me through a few examples of the most popular activities residents participate in during the week?
  • 6In light of the recent health inspection findings, what specific improvements or staff training initiatives have been implemented to raise the quality of care standards?

Personalized based on this facility's data


Key Review Excerpts

The therapists are highly skilled, compassionate, and truly invested in their patients’ progress. Their encouragement and expertise made a meaningful difference in my recovery.

Rehab patient · 2025★★★★★

The staff are great and go above and beyond to make sure patients are happy and cared for. Mom enjoys the activities and has been very happy with the food.

Long-term resident's family · 2023★★★★★

You can never get a hold of the case managers they don’t help you communicate with your love one that is in there . The rooms Don’t have private phones . The nurses are very rude

Family member · 2025☆☆☆☆
Source: 74 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.70hrs
90%
All nurses + aides combined
Staff Turnover
79%
Lower is better (< 30% = good)
RN Turnover
87%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility38.9%
Worse than Avg
Here
38.9%
US
19.5%
NC
21.5%
Macon
21.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.5%
Worse than Avg
Here
34.5%
US
15.3%
NC
20.2%
Macon
18.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility33.5%
Worse than Avg
Here
33.5%
US
14.4%
NC
16.4%
Macon
17.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
19.4%
NC
21.0%
Macon
20.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.0%
Worse than Avg
Here
82.0%
US
93.4%
NC
91.7%
Macon
89.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
12.1%
NC
5.4%
Macon
13.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility57.3%
Worse than Avg
Here
57.3%
US
81.8%
NC
80.1%
Macon
76.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.4%
Mixed vs Avgs
Here
76.4%
US
79.8%
NC
78.1%
Macon
74.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Macon
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Near state avg (5.6)
10 complaint-triggered
$5,689 in fines

This facility has faced significant complaint-driven issues, with families filing 10 reports that triggered federal inspections. The most recurring problems involve medication management, including high error rates and inadequate pharmacy oversight, along with repeated failures to protect residents' personal belongings and money. While all deficiencies show correction dates, the pattern of family complaints and recurring issues with medication safety and resident protection warrant careful consideration during your visit.

Jun 5, 2025Routine
4
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jun 5, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Apr 2, 2024Complaint
3
0602Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0867Potential for harm · PatternCorrected

Administration Deficiencies

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

Feb 16, 2024Complaint
6
0602Potential for harm · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Feb 16, 2024Routine
3
0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Jun 16, 2022Routine
7
0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0352Potential for harm · PatternCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

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

Federal Penalties

Fine

Feb 16, 2024

$5,689

Ownership & Operations

Who Operates This Facility

Owner / Operator

Macon Valley Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Principle Long Term Care

Chain Size

44 facilities nationwide

Chain avg rating: 3.1/5 · Rank 37 of 44

Ownership & Management

Owners

Hill, Robert

Owner (parent company)

Key personnel

Burnette, JayneManaging Control - Governing BodyDetar, DeweyManaging Control - Governing BodyBoice, GaleOfficer / DirectorJohnson, DianneOfficer / DirectorPrinciple Long Term Care, INC.Manager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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