The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
Macon Valley Nursing and Rehabilitation Center
Franklin, NC · Medicare-certified · 200 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
Macon Valley Nursing and Rehabilitation Center in Franklin, NC has a 2-star overall rating, with 2-star health inspection, staffing, and quality ratings. Reported nurse staffing is 3.70 hours per resident per day, below the federal benchmark of 4.1, there were no fines in the last 24 months, and it has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.6971 hrs/resident/day
Quality measures
Last inspection: June 5, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6971.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.51
- Weekend nursing
- 3.39
Hours per resident per day.
Total staff turnover: 79%
Registered nurse turnover: 87%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.8%Worsening
Residents with a fall causing major injury
7.5%Steady
Residents with pressure ulcers (bedsores)
6.5%Worsening
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
11%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
33.5%Improving
Residents whose ability to walk got worse
34.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
38.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
7.1%Worsening
Residents with depressive symptoms
3.3%Worsening
Long-stay residents given the seasonal flu vaccine
91.9%Steady
Long-stay residents given the pneumonia vaccine
82%Improving
Short-stay residents given the seasonal flu vaccine
76.4%Steady
Short-stay residents given the pneumonia vaccine
57.3%Worsening
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 867 — 42 CFR §483.75 — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $5,689 in total fines.
- $5,689
Federal fine
Feb 16, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
- Occupancy
- 85.9 residents on an average day (43% of 200 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.