C
63/100

Margate Health and Rehabilitation, LLC Inspection Report, Violations & Safety Grade (Jefferson, North Carolina)

540 Waugh Street, Jefferson, North Carolina 28640

Phone: 3362465581

CMS Overall:3/5

Overview & Bed Count

Certified Beds
210
Avg Residents/Day
110.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Ashe
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.420.62-0.20
Total Nurse Hours per Resident per Day3.623.87-0.26
CMS Staffing Rating2/52.7/5-
Nursing Staff Turnover51.4%48.7%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2026-02-13Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2026-02-13Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2026-02-13Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-06-06Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-06-06Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-11-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-11-20Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.J – Immediate Jeopardy
2024-11-20Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E – Moderate Harm Potential
2024-11-20Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2024-11-20Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-11-20Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E – Moderate Harm Potential
2024-11-20Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E – Moderate Harm Potential
2024-11-20Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-11-20Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-11-20Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-11-20Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2023-10-25Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.G – Actual Harm
2023-10-25Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.G – Actual Harm
2023-06-15Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2023-06-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2023-06-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-06-15Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2023-06-15Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B – Minimal Harm Potential

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-13Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-11-20Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2023-06-15Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2023-06-15Egress DeficienciesAdd 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.D – Moderate Harm Potential
2023-06-15Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential

Total Penalties & Fines

$28,973
Total Fine Amount (CMS)
4
Number of Fines
5
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-20Fine$4,271-
2024-11-20Fine$8,400-
2024-11-20Fine$8,401-
2024-11-20Payment Denial-13 days starting 2024-12-21
2023-10-25Fine$7,901-
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