All states › North Carolina › Jefferson › Margate Health and Rehabilitation
540 Waugh Street Jefferson, NC 28640 · Ashe County
CMS certification number 345296 · See this home on Medicare Care Compare
Is Margate Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Margate Health and Rehabilitation as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.62 hours per resident per day at Margate Health and Rehabilitation, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 2.97 hours, 18% below its all-week average. Ask how weekends are staffed. 51.4% of nursing staff left within a year (North Carolina median 48.5%). 2 administrators left in the past year.
About this nursing home
Paying for care at Margate Health and Rehabilitation: Medicare and Medicaid
Margate Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 13, 2026 and found 3 deficiencies. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Margate Health and Rehabilitation across 5 inspection dates, 5 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 20, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (5) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, November 20, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
February 13, 2026 · 3 citations
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide and implement an infection prevention and control program.
June 6, 2025 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
November 20, 2024 · 11 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide and implement an infection prevention and control program.
EInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 25, 2023 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
GDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
June 15, 2023 · 5 citations
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CPost nurse staffing information every day.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Questions to ask on a tour of Margate Health and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on November 20, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 13, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 53% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $28,973 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 20, 2024 | Fine | $4,271 |
| Nov 20, 2024 | Fine | $8,400 |
| Nov 20, 2024 | Fine | $8,401 |
| Nov 20, 2024 | Payment Denial | 13 days of payments denied |
| Oct 25, 2023 | Fine | $7,901 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
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Location
Hospitals near Margate Health and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Ashe Memorial Hospital JeffersonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 58m for patients treated and sent home
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19.0 mi
Watauga Medical Center BooneEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 12m for patients treated and sent home
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19.1 mi
Johnson County Community Hospital Mountain CityEmergency roomMedian ER visit 2h 11m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.