Nursing home
Margate Health and Rehab Center
540 Waugh Street, Jefferson, NC 28640 · Map
For profit - Limited Liability company · 210 certified beds
Margate Health and Rehab Center is a Medicare-certified nursing home in Jefferson, North Carolina. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.12 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Feb 13, 2026 cited 5 deficiencies.
- 4 fines totaling $28,973In CMS records: 5 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Margate Health and Rehab Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.12 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.93 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 66.3% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 13, 2026 inspection was corrected by February 20, 2026
Penalties in CMS records: 4 fines totaling $28,973, 5 total penalties, 1 Medicare payment denial.
What inspectors found at Margate Health and Rehab Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jun 6, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 20, 2024 · Full report (PDF) - Immediate jeopardy
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 · Nov 20, 2024 · Full report (PDF) - Potential for harm
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 · Nov 20, 2024 · Full report (PDF) - Potential for harm
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 · Nov 20, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 20, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Nov 20, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Nov 20, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 540 Waugh Street
Jefferson, NC 28640 - CMS certification #
- 345296
- Ownership
- For profit - Limited Liability company
- Certified beds
- 210
- Avg residents/day
- 127.1
- Provider type
- Medicare and Medicaid
- First certified
- 1989-03-02
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Margate Health and Rehab Center using Google Maps.
Other public records
- Website says Transportation, pets allowed, couples welcome
Full public records, with dates and sources
Care and services
From the community’s website
What Margate Health and Rehab Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation services to get you to a doctor’s visit
(page, checked Oct 12, 2026) - Pets allowed.
Yes, we allow pets to visit with prior approval of the facility administrator.
(page, checked Oct 12, 2026) - Couples welcome.
SanStone also accommodates couples by offering care in the same room.
(page, checked Oct 12, 2026) - Apartment types named: private room.
Margate features private rooms, a gym, and rehabilitation services, including physical, occupational, and speech therapy, wound care, and more.
(page, checked Oct 12, 2026) - Smoke-free.
No, we are a tobacco-free facility.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ashe Memorial Hospital, Jefferson. 0.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Glenbridge Health And Rehabilitation, Boone. 19.0 miles away, straight line.
- Nearest home health agency office
- Medi Home Health And Hospice, Boone. 19.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28640 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 28640.
Medi Home Health And Hospice, office in Boone, 19.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Wake Forest University Health Sciences, N Wilkesboro. 24.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Margate Health and Rehab Center a good nursing home?
CMS gives Margate Health and Rehab Center an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Margate Health and Rehab Center staffed?
Margate Health and Rehab Center reports 3.12 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Margate Health and Rehab Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Margate Health and Rehab Center have?
Margate Health and Rehab Center is certified for 210 beds.