Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
2/5
Health inspection rating (on-site)
inspected Jun 5, 2025
1
Serious findings on record
most recent Jun 5, 2025
$5,689
Fines, last 3 years
4.40
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 28, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
G · Actual harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. F-0697
D · Potential for more than minimal harm, isolated
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaintF-0602
D · Potential for more than minimal harm, isolated
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. F-0655
View all 14 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Jun 5, 2025
▲ G · Actual harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Jun 5, 2025
D · Potential for more than minimal harm, isolated
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Jun 5, 2025
D · Potential for more than minimal harm, isolated
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Apr 2, 2024
E · Potential for more than minimal harm, pattern
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Apr 2, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Apr 2, 2024
E · Potential for more than minimal harm, pattern
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Feb 16, 2024
E · Potential for more than minimal harm, pattern
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Feb 16, 2024
E · Potential for more than minimal harm, pattern
The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756
Feb 16, 2024
E · Potential for more than minimal harm, pattern
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Feb 16, 2024
E · Potential for more than minimal harm, pattern
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Feb 16, 2024
D · Potential for more than minimal harm, isolated
The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint · F-0645
Feb 16, 2024
D · Potential for more than minimal harm, isolated
The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint · F-0700
Jun 16, 2022
D · Potential for more than minimal harm, isolated
The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Jun 16, 2022
B · Potential for minimal harm, pattern
The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations:
2
Serious citations (G–L):
0
2024
All citations:
9
Serious citations (G–L):
0
2025
All citations:
3
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2022
2
0
D
2024
9
0
E
2025
3
1
G ▲
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Feb 16, 2024
Fine
$5,689
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.40
North Carolina average:
4.01
U.S. average:
3.95
Registered Nurse hours
This facility:
0.55
North Carolina average:
0.64
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.06
North Carolina average:
3.56
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
North Carolina avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.40
4.01
3.95
top 21% in North Carolina; top 26% in the U.S.
Registered Nurse hours
0.55
0.64
0.69
top 47% in North Carolina; bottom 45% in the U.S.
Weekend total nurse staffing
4.06
3.56
3.50
top 17% in North Carolina; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.20
0.41
0.48
bottom 17% in North Carolina; bottom 11% in the U.S.
Total nursing staff turnover (%)
76.5
49.0
45.8
bottom 4% in North Carolina; bottom 3% in the U.S.
RN turnover (%)
75.0
45.7
42.9
bottom 10% in North Carolina; bottom 9% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.78, RN 0.47, weekend 3.48.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.78 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Macon Valley Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
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All 11 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Principle Long Term Care — 40 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.