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
Data as of July 1, 2026
2 of 5 overall
Macon Valley Nursing and Rehabilitation Center in Franklin, NC has a 2 out of 5 overall rating, with 2-star health inspections and 3-star staffing and quality measures. It reports 3.78 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.7751 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 3.7751.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.68
- Nurse aides
- 2.62
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 77%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.1%13.8%Worsening
Residents with a fall causing major injury
6.7%2.8%Improving
Residents with pressure ulcers (bedsores)
7.6%4%Improving
Residents with a urinary tract infection
1.7%1.4%No change
Residents who lost too much weight
8.2%11.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.5%21.9%Improving
Residents whose ability to walk got worse
36.3%18.1%Improving
Long-stay residents on antianxiety or sleep medication
38%42.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.1%13.2%Worsening
Residents with depressive symptoms
0%5.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.9%—
Long-stay residents given the pneumonia vaccine
85%81.7%Worsening
Short-stay residents given the seasonal flu vaccine
—76.4%—
Short-stay residents given the pneumonia vaccine
56.4%70.1%Improving
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.
View the original federal record
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.
View the original federal record
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 stars avg
- Occupancy
- 80.8 residents on an average day (40% of 200 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.