Home›North Carolina›Ashe County›Margate Health and Rehab Center
C
Below Standard

Margate Health and Rehab Center

540 Waugh Street · Jefferson, NC 28640

3362465581 · For profit - Individual

210 beds127.1 residents216 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Margate Health and Rehab Center receives an overall staffing grade of C (Below Standard). With 3.1272 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5068 HPRD, below the recommended 0.75. It is 0.77 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.52% compared to weekdays. The facility uses a moderate level of agency staff (12.86% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1272 HPRD — needs 0.35 more hours per resident per day.
⚠️RN staffing (0.5068 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1272hrs/resident/day▼ 0.77
CMS benchmark: 3.48
RN HPRD
0.5068hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
17.52%
3.2901 weekday → 2.7136 weekend
Agency Staff
12.86%
0.41% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8753hrs/resident/day
Direct care aides
LPN HPRD
0.685hrs/resident/day
Licensed practical nurses
Consistency
0.4248std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Ashe County Average+0.00 HPRD
3.13
03.13 HPRD
vs. North Carolina State Average-0.64 HPRD
3.77
03.13 HPRD
vs. National Average-0.77 HPRD
3.90
03.13 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Margate Health and Rehab Center ★
Jefferson · This facility
—
C
3.12720.5068★☆☆☆☆
Glenbridge Health And Rehabilitation
Boone
19 mi
D
3.25680.366★☆☆☆☆
Lotus Village Center for Nursing and Rehabilitatio
Sparta
19.2 mi
D
2.98350.2989★☆☆☆☆
The Foley Center at Chestnut Ridge
Blowing Rock
22 mi
C
3.87470.4694★★★☆☆
Ridge Valley Center for Nursing and Rehabilitation
Wilkesboro
25.3 mi
D
3.39410.3844★☆☆☆☆
Westwood Hills Nursing and Rehabilitation Center
Wilkesboro
25.7 mi
D
2.95980.7226★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$28,973
Fines Assessed
Jun 6, 2025Health
2 deficiencies cited
▼
Nov 20, 2024Health
11 deficiencies cited· Includes actual harm
▼
Oct 25, 2023Health
2 deficiencies cited· Includes actual harm
▼
Jun 15, 2023Health
5 deficiencies cited
▼

Penalty History

Nov 20, 2024Fine
$4,271
Nov 20, 2024Fine
$8,400
Nov 20, 2024Fine
$8,401
Nov 20, 2024Payment Denial
Oct 25, 2023Fine
$7,901
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.