Signature Healthcare of Roanoke Rapids
305 East Fourteenth Street · Roanoke Rapids, NC · 27870 · 2525376181
108 certified beds For profit - Limited Liability company Chain: Signature Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 1 · $9,110 |
Inspection citations (26 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D December 3, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 6, 2026 · Nursing and Physician Services
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Potential for harm · E December 3, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 6, 2026 · Pharmacy Service
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Actual harm · G May 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D January 8, 2025
Assess the resident when there is a significant change in condition
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2025
Ensure each resident receives an accurate assessment.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · D January 8, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · E January 8, 2025
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.
Corrected January 29, 2025 · Pharmacy Service
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Potential for harm · E January 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 29, 2025 · Nutrition and Dietary
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Potential for harm · E January 8, 2025
Dispose of garbage and refuse properly.
Corrected January 29, 2025 · Nutrition and Dietary
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Potential for harm · F January 8, 2025
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.
Corrected January 29, 2025 · Administration
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No harm found · B January 8, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D November 9, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 27, 2023 · Resident Assessment and Care Planning
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Potential for harm · E November 9, 2023
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.
Corrected November 27, 2023 · Nursing and Physician Services
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No harm found · B November 9, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 22, 2023 · Resident Rights
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Immediate jeopardy · J August 25, 2022
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 3, 2022 · Environmental
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Potential for harm · E August 25, 2022
Ensure each resident receives an accurate assessment.
Corrected September 20, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 25, 2022
Plan the resident's discharge to meet the resident's goals and needs.
Corrected September 20, 2022 · Resident Assessment and Care Planning
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Potential for harm · E August 25, 2022
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 20, 2022 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2025 | Fine | $9,110 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345336 · certified since December 5, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.