Macon Valley Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Macon Valley Nursing and Rehabilitation Center is a 200-bed for-profit nursing home in Franklin, North Carolina, part of Principle Long Term Care. In the CMS August 2026 release it reported 2.62 nurse aide hours per resident per day, 12% above the North Carolina average of 2.34, and 76.5% nursing staff turnover (North Carolina average 49.0%).
Macon Valley Nursing and Rehabilitation Center
3195 Old Murphy RoadFranklin, NC 28734
Macon County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Macon Valley Nursing and Rehabilitation Center, nurse aides logged 2.62 hours per resident per day, 12% above the North Carolina average. With about 81 residents a day, that works out to roughly 212 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.62 | 2.34 | 2.32 |
| Licensed practical nurses | 0.68 | 0.89 | 0.86 |
| Registered nurses | 0.47 | 0.61 | 0.69 |
| All nursing staff | 3.78 | 3.83 | 3.86 |
| All nursing staff, weekends | 3.48 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
76.5% of nursing staff at Macon Valley Nursing and Rehabilitation Center left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 75.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $5,689 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 16, 2024 | Fine | $5,689 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Macon Valley Nursing and Rehabilitation Center holds 2 of 5 overall; the North Carolina average is 2.9.
About Macon Valley Nursing and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: Principle Long Term Care, 40 homes
- Legal name: Granite Falls LTC, LLC
- Medicare and Medicaid certified since: Jul 14, 1987
- Councils: resident council
- Area: rural
Nursing homes near Macon Valley Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Eckerd Living Center Highlands | 15.1 | 80 | 2.47 | 4.35 | 36.7% | 5 | None |
| Mountain View Manor Nursing Center Bryson City | 17.5 | 120 | 1.96 | 3.21 | — | 1 | $14,131 |
| Skyland Care Center Sylva | 19.1 | 94 | 2.20 | 3.51 | 46.0% | 4 | None |
| Vero Health & Rehab of Sylva Sylva | 19.2 | 106 | 2.27 | 3.74 | — | 1 | $359,818 |
| Mountain View Health Care Clayton · abuse citation | 20.0 | 117 | 1.90 | 3.08 | 36.1% | 1 | None |
| Tsali Care Center Cherokee · SFF candidate | 21.9 | 100 | 4.23 | 6.14 | 47.2% | 2 | $157,555 |
| Clay County Health and Rehabilitation Hayesville | 22.9 | 90 | 2.26 | 3.17 | 49.4% | 2 | None |
| Valley View Care and Rehabilitation Andrews | 23.0 | 76 | 1.76 | 3.23 | 50.0% | 2 | $9,770 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.