Signature Healthcare of Roanoke RapidsCMS ratings, inspections and fines
- Address
- 305 East Fourteenth Street, Roanoke Rapids, NC 27870
- CCN
- 345336
- Ownership type
- For-profit, limited liability company
- Certified beds
- 108
- Chain
- Signature Healthcare
- Residents per day
- 82
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Signature Healthcare of Roanoke Rapids an overall rating of 2 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 10 health citations. The median for nursing homes in North Carolina is 3. CMS lists 1 fine of $9,110 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Halifax County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2026 | 10 | 3 |
| Cycle 2 | 8 Jan 2025 | 11 | 5 |
| Cycle 3 | No date | 3 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 May 2026 |
| 7 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 May 2026 |
| 7 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 27 May 2026 |
| 26 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Apr 2026 |
| 26 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 15 Apr 2026 |
| 26 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 15 Apr 2026 |
| 26 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 15 Apr 2026 |
| 11 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 Mar 2026 |
| 3 Dec 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 6 Jan 2026 |
| 3 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 6 Jan 2026 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 4 Apr 2025 |
| 8 Jan 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0761 | 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. | E | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 29 Jan 2025 |
| 8 Jan 2025 | F0838 | 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. | F | Standard survey | 29 Jan 2025 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 22 Nov 2023 |
| 9 Nov 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 27 Nov 2023 |
| 9 Nov 2023 | F0727 | 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. | E | Standard survey | 27 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 1 May 2025 | Fine | $9,110 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.25 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.49 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.56 | 0.89 | |
| Nurse aides | 2.19 | 2.34 | |
| All nurse staff, weekends | 2.68 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 66.7%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.6% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.7% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.9% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.1% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- LP Roanoke Rapids LLC
- Chain
- Signature Healthcare (67 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| SHC LP Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Aug 2014 |
| Asbr Holdings LLC | 5% or greater indirect ownership interest | 1 May 2018 | |
| Jjla LLC | 5% or greater indirect ownership interest | 1 Aug 2014 | |
| LPSNF LLC | 5% or greater indirect ownership interest | 1 Aug 2014 | |
| Wheaten LLC | 5% or greater indirect ownership interest | 1 Aug 2014 |
The site shows organisations only. It does not show the names of persons.
Other homes in Halifax County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Liberty Commons Nursing and Rehabilitation Center | Weldon | 4 of 5 | 1 | $0 | 25 Nov 2025 | |
| Bryan Health and Rehab | Scotland Neck | 5 of 5 | 2 | $0 | 17 Jun 2026 | |
| Scotland Manor Health and Rehabilitation Center | Scotland Neck | 4 of 5 | 3 | $7,361 | 20 Nov 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Signature Healthcare of Roanoke Rapids (CCN 345336). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/signature-healthcare-of-roanoke-rapids-roanoke-rapids-nc-345336/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Signature Healthcare of Roanoke Rapids last inspected?
- The latest inspection with a citation in the CMS record was on 7 May 2026. It was a standard survey and a complaint investigation. It gave 3 citations. The standard survey before the last one was on 8 Jan 2025.
- Who operates Signature Healthcare of Roanoke Rapids?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Signature Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Signature Healthcare of Roanoke Rapids a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.