Federal inspection record · CMS data as of October 1, 2026
Macon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC · (828) 524-7806
- Certified beds
- 200
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Principle Long Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 14, 1987
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Macon Valley Nursing and Rehabilitation Center carries 23 inspection points. That is fewer than 55% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation3E
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care1D
- D
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.
Inspection history
2026-08-13
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-06-05
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-02-16
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 54 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 73% of nursing staff and 81% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$5,689 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-16 | Fine | $5,689 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts worse | 85.5% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts worse | 88.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 5.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 6.2% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts worse | 11.7% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18.7 pts worse | 39.8% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1 pts worse | 14.9% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.3 pts worse | 18.9% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.6 pts worse | 23.6% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.1% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.7 pts better | 9.2% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.8% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts worse | 65.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts worse | 20.0% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.6 pts worse | 71.5% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts worse | 29.4% | 22.2% | 23.4% |
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Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Boice, Gale | Corporate Officer · Individual | 0% | 38 facilities |
| Boice, Gale | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Boice, Gale | Adp Of The SNF · Individual | 0% | 38 facilities |
| Burnette, Jayne | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Burnette, Jayne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Detar, Dewey | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Detar, Dewey | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hill, Robert | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Hill, Robert | Adp Of The SNF · Individual | 0% | 30 facilities |
| Johnson, Dianne | Corporate Officer · Individual | 0% | 37 facilities |
| Principle Long Term Care, Inc. | Operational/Managerial Control · Organization | 0% | 37 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
- E
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.
- D
Have properly located and lighted "Exit" signs.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems2D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Smoke2E
- E
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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Other homes nearby
-
Eckerd Living Center
Highlands, NC · Hca Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0
-
Mountain View of Bryson City
Bryson City, NC
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 11 min
- Fines
- $14,131
-
Skyland Care Center
Sylva, NC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0