MacOn Valley Nursing and Rehabilitation Center
MacOn Valley Nursing and Rehabilitation Center
4.2 (70 reviews)
Skilled Nursing Facility • 200 Licensed Beds
245 Old Murphy Road, Franklin, NC
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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MacOn Valley Nursing and Rehabilitation Center

Skilled Nursing Facility • 200 Licensed Beds
245 Old Murphy Road,
Franklin, NC
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

MacOn Valley Nursing and Rehabilitation Center – Medicare Certified Since 1987

MacOn Valley Nursing and Rehabilitation Center is a Medicare and Medicaid certified skilled nursing facility located in Franklin, North Carolina. This facility has been serving the community for 39 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 200 certified beds with a current occupancy rate of 36% (averaging 73 residents per day), which is low. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.51 hours of total nursing care per resident per day (2 hours from CNAs, 0.96 hours from LPNs, 0.55 hours from RNs). Physical therapy staffing is 0.05 hours per resident per day.

Medicare Quality Ratings: According to CMS, MacOn Valley Nursing and Rehabilitation Center has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 2 stars, quality measures: 3 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How MacOn Valley Nursing and Re... compares to 123 facilities in Rural NC

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
2.7
Quality Measures
Clinical outcomes & safety
3
2.9
Health Inspections
State survey results
2
2.8
Staffing
Nurse-to-resident ratio
2
2.7
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.55 hrs
0.59 hrs
LPN/LVN Hours
Licensed practical nurses
0.96 hrs
0.84 hrs
CNA Hours
Certified nursing assistants
2.00 hrs
2.32 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.51 hrs
3.75 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
23.8 %
7.2 %
LPN/LVN Agency Use
% of LPN hours from contractors
43.5 %
15.4 %
CNA Agency Use
% of CNA hours from contractors
41.1 %
10.7 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
77 %
48 %
Occupancy Rate
Percentage of beds filled
36 %
80 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$334
$351
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 123 facilities in Rural NC.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
3/5
Health Inspections
2/5
Staffing
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 123 other nursing homes in Rural NC

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
MacOn Valley Nursing and Re...
Rural NC Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

MacOn Valley Nursing and Re...
Rural NC Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

MacOn Valley Nursing and Re...
Rural NC Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

MacOn Valley Nursing and Re...
Rural NC Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
120
minutes/day
CNAs
Certified Nursing Assistants
58
minutes/day
LPNs
Licensed Practical Nurses
33
minutes/day
RNs
Registered Nurses
3
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
MacOn Valley Nursing and Re...
Rural NC Average (80%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$334
per resident per day
Compared to 123 facilities in your area
Below local median ($351)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-34% 3% Below
Net Income
Annual profit or loss
$-2,425,671 $558,450 Below
Staff Cost per Resident
Daily salary expense per resident
$114/day $124/day Lower
Occupancy Rate
Bed utilization percentage
36% 76% Lower
Est. Daily Rate
Average revenue per patient day
$334/day $351/day Lower
Total Beds
Licensed bed capacity
200 104 Larger

Local comparisons based on 123 skilled nursing facilities in the North Carolina (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$7,450,011
Operating Expenses
Total operating costs
$9,970,962
Total Salaries
Staff compensation
$2,395,859
Contract Labor
Agency & temp staff
$3,112,804

Payer Mix

Medicare
10%
Medicaid
70%
Private Pay & Other
20%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
20,964
Medicare
Short-term skilled nursing
10%
Medicaid
Long-term care residents
70%
Private Pay / Other
Self-pay, insurance, VA
20%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
139.76
days
Medicare Stays
35.03
days
Medicaid Stays
509.28
days
Total Admissions
155
Total Discharges
150
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in FRANKLIN

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Reviews

4.2 (70 reviews)
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Morgan Hagan's profile photo
Morgan Hagan 2 weeks ago

Comfortable surroundings in a secure environment. A wonderful remodled dining area, with great food. Activities are important and fun. The nursing staff is caring and attentive. The building is exceptionally clean. The administration team gives extra special attention to all needs of residents and staff. You can tell the staff is appreciated for all they do. Proud to say this has truly turned into a wonderful building for the elderly needs in our community.

Broc Lynch's profile photo
Broc Lynch a month ago

⭐️⭐️⭐️⭐️⭐️ "Outstanding care and an incredible team!" Macon Valley Nursing Home is truly a special place. From the very moment you walk in, you can feel how much the staff cares about every resident. The facility is always spotless, warm, and welcoming, and the entire team goes above and beyond to make sure everyone feels at home. The nurses, caregivers and staff provide top-quality care, but what really stands out is the dedication and organization behind the scenes. The property administrator is absolutely incredible—professional, attentive, and always willing to help with anything that comes up. Ask for Jayne, she truly is amazing at what she does!! You can tell everyone takes extreme pride in keeping everything running smoothly and ensuring both residents and families have the best experience possible. It’s such a comfort knowing our community's loved ones are in a place where compassion and excellence go hand in hand. I can’t recommend Macon Valley Nursing Home enough. What an amazing facility!!!!

Taylor Wilson's profile photo
Taylor Wilson 2 weeks ago

Macon Valley is experiencing significant growth and is actively implementing numerous positive changes. The staff is genuinely invested in the well-being of the residents. Staff members are working diligently to drive positive change, fostering a more welcoming and home-like environment for residents. Macon Valley has exceptional staff members who demonstrate a deep affection and concern for the residents and their families. Big and positive changes are happening! ⭐️ ⭐️⭐️⭐️⭐️

Aquarian PT's profile photo
Aquarian PT a week ago

Management is supportive, approachable, and always willing to listen to staff concerns or suggestions. The residents are at the heart of everything they do, and it shows in the strong teamwork across all departments—nursing, therapy, dietary, housekeeping, and administration. Everyone works together to ensure our residents feel safe, respected, and cared for.

Lauri Holden's profile photo
Lauri Holden a week ago

Macon Valley provides quality care in a clean, well-staffed facility. Your loved one’s will be treated like family.

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