facebook tracking Margate Health and Rehabilitation, Jefferson NC: CMS Ratings
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Margate Health and Rehabilitation

All states › North Carolina › Jefferson › Margate Health and Rehabilitation

540 Waugh Street Jefferson, NC 28640 · Ashe County

(336) 246-5581

Accepts Medicare Accepts Medicaid 210 certified beds For profit

CMS certification number 345296 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 23 citations in the last three years. CMS imposed 5 penalties, including $28,973 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 4 out of 5.

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.

Nursing care per resident per day 3.62 hours
About the North Carolina median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.42 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.97 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 51.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 60% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds210
Residents per day 111 About 53% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1989
Legal business nameLegal Business Name Not Available

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Deficient, Provider has date of correction (Feb 20, 2026)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Feb 20, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 20, 2026)

June 6, 2025 · 2 citations · includes complaint inspection

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Jul 15, 2025)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Sep 25, 2024)

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.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Dec 31, 2024)

EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Dec 31, 2024)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Dec 31, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 3, 2025)

EInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0945 · Deficient, Provider has date of correction (Dec 31, 2024)

EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0947 · Deficient, Provider has date of correction (Dec 31, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 31, 2024)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Dec 31, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 31, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Dec 31, 2024)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Complaint inspection · Deficient, Provider has date of correction (Nov 3, 2023)

GDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Nov 3, 2023)

June 15, 2023 · 5 citations

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 26, 2023)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 26, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 26, 2023)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has plan of correction (Jul 7, 2023)

BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has plan of correction (Jul 7, 2023)

Questions to ask on a tour of Margate Health and Rehabilitation

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on February 13, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. The home averages about 53% of its beds filled. Are any units closed?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
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.

  • 0.1 mi
    Ashe Memorial Hospital Jefferson
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 58m for patients treated and sent home
  • 19.0 mi
    Watauga Medical Center Boone
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 12m for patients treated and sent home
  • 19.1 mi
    Johnson County Community Hospital Mountain City
    Emergency room
    Median 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.

Nearby nursing homes

Glenbridge Health and Rehabilitation Boone · 19.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 134 beds · Medicaid
Lotus Village Center for Nursing and Rehabilitation Sparta · 19.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 90 beds · Medicaid
The Foley Center at Chestnut Ridge Blowing Rock · 22.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 92 beds · Medicaid
Wilkesboro Health and Rehabilitation North Wilkesboro · 24.3 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 111 beds · Medicaid
Wilkes Regional Medical Center SN North Wilkesboro · 24.7 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 10 beds · Medicaid

More nursing homes near Margate Health and Rehabilitation ›   All nursing homes in Jefferson ›

Compare Margate Health and Rehabilitation with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/north-carolina/jefferson/margate-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.