Nursing homeActive
Margate Health and Rehabilitation, LLC
540 Waugh Street, Jefferson, NC 286403362465581210 certified beds · 115 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
23
● 2● 17● 4
Penalties · 3 yrs
$28,973
4 fines · 1 action
Last survey
2026-02-13
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-13 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-06-06 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-11-20 | Standard | 092 | CMS-2567 (Care Compare) | — |
| 2023-10-25 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2023-06-15 | Standard | 230 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345296-20260213-F602
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345296-20260213-F607
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345296-20260213-F880
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-20Record 345296-20250606-F641
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 345296-20250606-F695
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-09-25Record 345296-20241120-F689
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-31Record 345296-20241120-F726
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F561
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F565
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F658
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F695
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 345296-20241120-F880
F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F945
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 345296-20241120-F947
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-03Record 345296-20231025-F604
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-03Record 345296-20231025-F607
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-26Record 345296-20230615-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-26Record 345296-20230615-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-26Record 345296-20230615-F812
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-07-07Record 345296-20230615-F623
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-07-07Record 345296-20230615-F732
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-11-20 | Civil money penalty | $4,271 | CMS · Penalties |
| 2024-11-20 | Civil money penalty | $8,400 | CMS · Penalties |
| 2024-11-20 | Civil money penalty | $8,401 | CMS · Penalties |
| 2024-11-20 | Denial of payment for new admissions Payment denial for 13 days, from 2024-12-21 | — | CMS · Penalties |
| 2023-10-25 | Civil money penalty | $7,901 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.52
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.83
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover55%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover63%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.3% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.7% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.6% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.9% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.5% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)No ownership records in the data we hold from CMS (Provider Enrollment).
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Ashe.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Glenbridge Health And Rehabilitation Boone | 19.0 mi | 2026-03-27 | 2381 |
| Lotus Village Center for Nursing and Rehabilitatio Sparta | 19.2 mi | 2026-05-15 | 1447 |
| The Foley Center at Chestnut Ridge Blowing Rock | 22.1 mi | 2025-07-31 | 0164 |
| Grayson Health and Rehabilitation Independence | 21.6 mi | 2025-11-20 | 090 |
| Mountain City Care & Rehabilitation Center Mountain City | 20.3 mi | 2026-04-22 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |