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B
Good

Macon Valley Nursing and Rehabilitation Center

3195 Old Murphy Road · Franklin, NC 28734

8285247806 · For profit - Corporation

200 beds81.8 residents128 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Macon Valley Nursing and Rehabilitation Center receives an overall staffing grade of B (Good). With 3.8999 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6963 HPRD, below the recommended 0.75. It is 0.00 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 7.93% compared to weekdays. The facility relies heavily on temporary agency staff (52.94% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6963 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️52.94% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 7.93% drop-off
Total Nurse HPRD
3.8999hrs/resident/day▲ 0.00
CMS benchmark: 3.48
RN HPRD
0.6963hrs/resident/day▲ 0.01
Recommended: 0.75
Weekend Drop-off
7.93%
3.9893 weekday → 3.673 weekend
Agency Staff
52.94%
27.67% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1895hrs/resident/day
Direct care aides
LPN HPRD
0.9519hrs/resident/day
Licensed practical nurses
Consistency
0.3244std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Macon County Average-0.08 HPRD
3.98
03.90 HPRD
vs. North Carolina State Average+0.13 HPRD
3.77
03.90 HPRD
vs. National Average+0.00 HPRD
3.90
03.90 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Macon Valley Nursing and Rehabilitation Center ★
Franklin · This facility
—
B
3.89990.6963★★☆☆☆
Mountain View Manor Nursing Center
Bryson City
17.5 mi
C
3.3790.5844★★☆☆☆
Vero Health & Rehab of Sylva
Sylva
19.2 mi
B
3.75720.6503★☆☆☆☆
Maggie Valley Nursing and Rehabilitation
Maggie Valley
30.7 mi
B
3.6090.5562★☆☆☆☆
Autumn Care of Waynesville
Waynesville
31.2 mi
C
3.45970.6016★☆☆☆☆
Sapphire Ridge Health and Rehabilitation
Brevard
39.5 mi
C
3.38130.4749★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
14
Total Deficiencies
$5,689
Fines Assessed
Jun 5, 2025Health
3 deficiencies cited· Includes actual harm
▼
Apr 2, 2024Health
3 deficiencies cited
▼
Feb 16, 2024Health
6 deficiencies cited
▼
Jun 16, 2022Health
2 deficiencies cited
▼

Penalty History

Feb 16, 2024Fine
$5,689
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.