Highlands · 28741
Eckerd Living Center
250 Hospital Drive
Highlands, NC 28741
Macon Valley Nursing and Rehabilitation Center
⌖ Franklin, NC · Macon County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds200
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Macon Valley Nursing and Rehabilitation Center
Macon Valley Nursing and Rehabilitation Center is a 200-bed for-profit nursing home in Franklin, NC. Medicare rates it 2 out of 5 stars overall (below average); the average in North Carolina is 2.9. At its last full inspection (Jun 2025), inspectors found 3 problems, fewer than the North Carolina average of 4.7. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 47 min a day with each resident, about the same as the North Carolina average of 3 hr 51 min. About 76% of its nursing staff left in the past year. Medicare fined it $5,689 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (3 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameMacon Valley Nursing And Rehabilitation Center
LocationMacon County, North Carolina
Phone(828) 524-7806
Address3195 Old Murphy Road, Franklin, NC 28734 · Macon County
CMS provider number345263
Ownership typeFor-profit (corporation)
Operating companyPrinciple Long Term Care · 40 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 14, 1987 (39 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 5 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Health citations at last inspection3 (Jun 2025)North Carolina average: 4.7. Most citations are minor and corrected within weeks.Strength
About average
- Nurse staffing per resident3 hr 47 min a dayNorth Carolina average: 3 hr 51 minAbout average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jun 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $5,689Federal penalties from the last three years, most recently in Feb 2024 (about 2 years ago). The national average is $30,972 per home.Worth asking about
- Registered nurse time per resident28 min a dayNorth Carolina average: 37 minWorse than state average
- Nursing staff turnover76% a yearNorth Carolina average: 49%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Carolina average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital30.8%State average: 22.9%Worse than average
- Needed an emergency room visit17.3%State average: 12.9%Worse than average
- Newly given antipsychotic drugs0.0%State average: 1.4%Better than average
Physical therapist time: about 4 minutes per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury6.4%State average: 3.5%Worse than average
- Pressure sores (bedsores)5.8%State average: 5.5%About average
- Given antipsychotic drugs11.9%State average: 14.0%About average
- Hospital stays per 1,000 resident days0.6State average: 1.8Better than average
Source: Medicare (CMS) quality measures, compared with the North Carolina average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In North Carolina, Medicaid pays for 64% of resident days at a typical home.
- 68% Medicaid
- 10% Medicare
- 22% Private pay, insurance and other
Beds in use, on average32%North Carolina typical: 82%
Cost of care per resident day$433North Carolina typical: $346
Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, the same as 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 9 times.
Overall rating2★
Health inspections2★
Staffing3★
Quality of care3★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 2 | 4 | 3.2 |
| Jan 2020 | – | – | – | – | 4.3 |
| Jan 2021 | 1 | 1 | 3 | 3 | 3.6 |
| Jan 2022 | 3 | 3 | 2 | 3 | 3.4 |
| Jan 2023 | 4 | 4 | 3 | 3 | 3.6 |
| Jan 2024 | 4 | 4 | 2 | 3 | 3.5 |
| Feb 2025 | 2 | 3 | 1 | 2 | 3.4 |
| Feb 2026 | 2 | 2 | 3 | 2 | 3.9 |
| Sep 2026 | 2 | 2 | 3 | 3 | 3.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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