MACON VALLEY NURSING AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Macon Valley Nursing and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MACON VALLEY NURSING AND REHABILITATION CENTER
245 OLD MURPHY ROAD
FRANKLIN, NC 28734
(828) 524-7806

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

61%

Number of Residents and Certified Beds

  • Residents: 121
  • Certified Beds: 200

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Highlands | Sylva | Bryson City

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Macon Valley Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1616.7%
ADL Index Range: 6-104.9%
ADL Index Range: 0-54.3%
Total Percent:25.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.1%
ADL Index Range: 6-105.1%
ADL Index Range: 0-515.6%
Total Percent:38.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.7%
ADL Index Range: 6-100.5%
ADL Index Range: 0-52.9%
Total Percent:11.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.4%
ADL Index Range: 6-104.3%
ADL Index Range: 0-52.6%
Total Percent:15.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.9%
ADL Index Range: 15-16
- No Signs of depression
0.5%
ADL Index Range: 6-10
- Signs of depression
0.2%
Total Percent:1.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.2%
ADL Index Range: 6-10
- Signs of depression
0.1%
ADL Index Range: 6-10
- No Signs of depression
1.9%
ADL Index Range: 2-5
- No Signs of depression
2.0%
Total Percent:4.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.3%
ADL Index Range: 11-14
- Signs of depression
0.1%
ADL Index Range: 6-10
- Signs of depression
0.9%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:1.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.7%
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:1.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Rating Details For Macon Valley Nursing and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours29 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 36 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours1 Hour1 Hour and 52 Minutes
Total Nurse Hours3 Hours and 37 Minutes4 Hours and 19 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight6%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased35%20%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%15%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse29%12%
Percent of Long-Stay Residents Who Were Physically Restrained5%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder54%60%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination75%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores22%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain21%17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/13/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/23/2008
  • Correction Date: 05/21/2008
Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/10/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/23/2008
  • Correction Date: 05/21/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/10/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/10/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/10/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/10/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/13/2010
  • Correction Date: 06/10/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Macon Valley Nursing and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 01/14/2010
  • Correction Date: 02/11/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/14/2010
  • Correction Date: 02/11/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/09/2011
  • Correction Date: 07/07/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 01/14/2010
  • Correction Date: 02/11/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Macon Valley Nursing and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/03/2008
  • Correction Date: 07/03/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/14/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/10/2010
  • Correction Date: 07/25/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/10/2010
  • Correction Date: 07/25/2010

Exit and Exit Access

At Least Two Remote Exits on Each Floor or Fire Section of the Building.
  • Inspection Date: 06/03/2008
  • Correction Date: 07/03/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/10/2010
  • Correction Date: 07/25/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/14/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/10/2010
  • Correction Date: 07/25/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 06/10/2010
  • Correction Date: 07/25/2010
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011