nursing home in Jefferson, NC
Margate Health and Rehabilitation, LLC
540 Waugh Street, Jefferson, NC 28640 · (336) 246-5581
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Margate Health and Rehabilitation, LLC at a glance
Margate Health and Rehabilitation, LLC is a 210-bed for-profit nursing home in Jefferson, North Carolina (Ashe County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the North Carolina average of 2.9.
Residents receive about 3.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (February 13, 2026) found 3 health citations. The North Carolina average is 4.7.
Federal regulators fined it 4 times in the past three years, totaling $28,973.
Nursing staff turnover is 54.5% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 210
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 2, 1989
- Resident/family council
- Resident
- County
- Ashe County
- CMS Certification Number
- 345296
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.52 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.09 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.83 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 54.5% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 63.2% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 74.3 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $28,973 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 210 | 105 | 107 | |
| Average residents per day | 115 | 87 | 86 | |
| Occupancy | 54.8% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.4% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 15.7% | 14% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 2.3% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.6% | 15.6% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.8% | 18.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.9% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.5% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.6% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 77.6% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.5% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 90.8% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.1% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 13, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected May 1, 2026 |
| February 13, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 13, 2026 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 13, 2026 Standard | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected February 20, 2026 |
| June 6, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 15, 2025 |
| June 6, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 20, 2025 |
| November 20, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected January 24, 2025 |
| November 20, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 25, 2024 |
| November 20, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected December 31, 2024 |
| November 20, 2024 Standard | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Tag F0945 | E Potential harm, pattern | Corrected December 31, 2024 |
| November 20, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 3, 2025 |
| November 20, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected December 31, 2024 |
| November 20, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected December 31, 2024 |
| November 20, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected December 31, 2024 |
| November 20, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 31, 2024 |
| November 20, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 31, 2024 |
| November 20, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 31, 2024 |
| November 20, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 31, 2024 |
| October 25, 2023 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | G Actual harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | G Actual harm, isolated | Corrected November 3, 2023 |
| June 15, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 15, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 15, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 11, 2023 |
| June 15, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected July 26, 2023 |
| June 15, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected July 26, 2023 |
| June 15, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 26, 2023 |
| June 15, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 7, 2023 |
| June 15, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected July 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $28,973 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 20, 2024 | Payment Denial | 13 days from December 21, 2024 |
| November 20, 2024 | Fine | $8,401 |
| November 20, 2024 | Fine | $8,400 |
| November 20, 2024 | Fine | $4,271 |
| October 25, 2023 | Fine | $7,901 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
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★★★★★5Much above averageThe Foley Center at Chestnut Ridge
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Frequently asked questions
What is Margate Health and Rehabilitation, LLC's rating?
Margate Health and Rehabilitation, LLC has 3 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Margate Health and Rehabilitation, LLC receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Margate Health and Rehabilitation, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Margate Health and Rehabilitation, LLC?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Margate Health and Rehabilitation, LLC and how do I contact it?
Margate Health and Rehabilitation, LLC is at 540 Waugh Street, Jefferson, NC 28640. Phone: (336) 246-5581.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.