nursing home in Roanoke Rapids, NC
Signature Healthcare of Roanoke Rapids
305 East Fourteenth Street, Roanoke Rapids, NC 27870 · (252) 537-6181
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Signature Healthcare of Roanoke Rapids at a glance
Signature Healthcare of Roanoke Rapids is a 108-bed for-profit nursing home in Roanoke Rapids, North Carolina (Halifax County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 7, 2026) found 10 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $9,110.
Nursing staff turnover is 66.7% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 108
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Signature Healthcare
- Medicare-certified since
- December 5, 1990
- Resident/family council
- Resident
- County
- Halifax County
- CMS Certification Number
- 345336
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 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) | 3.25 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.49 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.19 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.68 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 66.7% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 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) | 10 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 60 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,110 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 108 | 105 | 107 | |
| Average residents per day | 82 | 87 | 86 | |
| Occupancy | 75.7% | 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) | 0% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 10.9% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 6.1% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.6% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.7% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 17% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 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) | 13.2% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.1% | 20.7% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 92% | 93.6% | Better |
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) | 3% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97.7% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.1% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 7, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 27, 2026 |
| May 7, 2026 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 27, 2026 |
| May 7, 2026 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 May 27, 2026 |
| March 26, 2026 Complaint | 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 | E Potential harm, pattern | Corrected April 15, 2026 |
| March 26, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 15, 2026 |
| March 26, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected April 15, 2026 |
| March 26, 2026 Complaint | 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 April 15, 2026 |
| March 11, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 31, 2026 |
| December 3, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected January 6, 2026 |
| December 3, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected January 6, 2026 |
| May 1, 2025 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 | G Actual harm, isolated | Corrected April 4, 2025 |
| January 8, 2025 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | E Potential harm, pattern | Corrected March 24, 2025 |
| January 8, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 8, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected March 24, 2025 |
| January 8, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected January 29, 2025 |
| January 8, 2025 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 January 29, 2025 |
| January 8, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected January 29, 2025 |
| January 8, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected January 29, 2025 |
| January 8, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected January 29, 2025 |
| January 8, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected January 29, 2025 |
| January 8, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected January 29, 2025 |
| January 8, 2025 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 | D Potential harm, isolated | Corrected January 29, 2025 |
| January 8, 2025 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 January 29, 2025 |
| January 8, 2025 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 January 29, 2025 |
| November 9, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 9, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 9, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 9, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 9, 2023 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected November 27, 2023 |
| November 9, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 27, 2023 |
| November 9, 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 November 22, 2023 |
| August 25, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected October 17, 2022 |
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 1 federal penalty in the past three years, including $9,110 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 1, 2025 | Fine | $9,110 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SHC LP HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 08/01/2014 |
| ASBR HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2018 |
| JJLA LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2014 |
| LPSNF LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2014 |
| STEIER III, ELMER Individual | 5% or greater indirect ownership interest | — | 08/01/2014 |
| WHEATEN LLC Organization | 5% or greater indirect ownership interest | — | 08/01/2014 |
| HARRISON, JOHN Individual | corporate officer | NOT APPLICABLE | 08/01/2014 |
| HOUSTON, INGRID Individual | w-2 managing employee | NOT APPLICABLE | 06/11/2024 |
Other nursing homes near Signature Healthcare of Roanoke Rapids
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★★★★★4Above averageNorthampton Nursing and Rehabilitation Center
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★★★★★4Above averageEmporia Rehabilitation and Healthcare Center
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★★★★★2Below averageGreensville Health and Rehabilitation Center
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★★★★★3AverageRich Square Health & Rehabilitation Center
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- Special Focus candidate
★★★★★1Much below averageLawrenceville Health & Rehabilitation
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★★★★★1Much below average
All nursing homes in Roanoke Rapids, NC · Compare side by side
Frequently asked questions
What is Signature Healthcare of Roanoke Rapids's rating?
Signature Healthcare of Roanoke Rapids has 2 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 Signature Healthcare of Roanoke Rapids receive?
Its most recent standard health inspection found 10 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Signature Healthcare of Roanoke Rapids 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 Signature Healthcare of Roanoke Rapids?
It is for profit - limited liability company and part of Signature Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Signature Healthcare of Roanoke Rapids and how do I contact it?
Signature Healthcare of Roanoke Rapids is at 305 East Fourteenth Street, Roanoke Rapids, NC 27870. Phone: (252) 537-6181.
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.