Hearth Record

Macon Valley Nursing and Rehabilitation Center

A nursing home in Franklin, North Carolina 28734

3195 Old Murphy Road, Franklin, North Carolina 28734. (828) 524-7806.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 12 citations in 3 months of the last 36. Last cited Jun 2025. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

0 health citations at the latest inspection cycle

The North Carolina average is 4.6.

Last standard inspection Aug 13, 2026.

Most serious in three years: actual harm (G), at a standard inspection on Jun 5, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

12 citations in 3 months of the last 36. Last cited Jun 2025. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

12 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 12 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 10 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 5, 2025: standard inspection2 citations

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. Correction date, as CMS recorded it: Jun 28, 2025.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Jun 5, 2025: standard and complaint inspection1 citation

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 2, 2025.

Apr 2, 2024: complaint inspection3 citations

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 26, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 26, 2024.

  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Rule F0867. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 26, 2024.

Feb 16, 2024: standard and complaint inspection6 citations

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 31, 2023.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 2, 2024.

  • 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.

    Rule F0700. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 2, 2024.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 2, 2024.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 2, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 2, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jul 14, 1987.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 200 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $5,689 in all.
  • No Medicare payment denials in the last three years.
  • 10 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 16, 2024Fine$5,689

Who does the caring?

3.90 nurse hours per resident per day

The North Carolina average is 3.87.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNorth Carolina average
Nurse hours per resident per day3.903.87
Of which registered nurses0.560.62
At weekends3.583.40
Nursing staff turnover72.6%48.7%
Registered nurse turnover81%45.7%
Administrators who left2Not given

Who owns it?

  • Principle Long Term Care, Inc. owns an unstated share directly since Jan 28, 2011; Principle It Services, Inc. owns an unstated share directly since Jan 28, 2011.
  • Principle Long Term Care, Inc. runs it.
  • 13 owners or officers are people: Robert O’neil Hill (owns 5% or more through other companies, 20.6%); Robert O’neil Hill (owns a share through other companies, 20.6%); Stephen Britt Hill (owns 5% or more through other companies, 20%); Raymond Gregg Hill (owns 5% or more through other companies, 18%); Robert O’neil Hill (additional disclosable party (controls, leases property to, or provides services to the home)); Gale R Boice (corporate officer); Gale R Boice (runs it (operational or managerial control)); Gale R Boice (additional disclosable party (controls, leases property to, or provides services to the home)); Jayne Burnette (on the governing body (managing control)); Jayne Burnette (additional disclosable party (controls, leases property to, or provides services to the home)); Dianne Johnson (corporate officer); Dewey Todd Detar (on the governing body (managing control)); Dewey Todd Detar (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Principle Long Term Care (37 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Principle Long Term Care, Inc.Owns 5% or more directlyJan 28, 2011
Principle Long Term Care, Inc.Runs it (operational or managerial control)Jan 28, 2011
Principle It Services, Inc.Owns 5% or more directlyJan 28, 2011

How do residents fare?

  • CMS rates its quality measures 3 of 5 (North Carolina average 3.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating3 of 5
Health inspections3 of 5
Staffing3 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 30.7 miles, this one had the 11th most health citations at the latest inspection cycle (0; the middle value was 6).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Macon Valley Nursing and Rehabilitation Center This nursing home0
Eckerd Living Center15.14
Mountain View of Bryson City17.59
Skyland Care Center19.10
Vero Health & Rehab of Sylva19.27
Mountain View Health Care20.03
Tsali Care Center21.927
Clay County Health and Rehabilitation22.911
Valley View Care and Rehabilitation23.011
Chatuge Regional Nursing Home23.46
Graham Healthcare and Rehabilitation Center23.86
Maggie Valley Health and Rehabilitation Center30.74

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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