Nursing HomeInspections

Signature Healthcare of Roanoke Rapids

Nursing home in Roanoke Rapids, NC

Medicare & Medicaid certified2★ overall (CMS)

Call (252) 537-6181Send a messageMap ↗

Public-record details

Address
305 East Fourteenth Street, Roanoke Rapids, NC 27870
Phone
(252) 537-6181
Listed under
For-profit
Medicare CCN
345336
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
108
Average residents per day
82
Ownership
For-profit, limited Liability company
Legal business name
LP Roanoke Rapids LLC
Chain
Signature Healthcare (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 5, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345336. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 9, 2023 to May 7, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
May 7, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 26, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 11, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 3, 2025Provide 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 3, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
May 1, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jan 8, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		B
Potential for minimal harm, pattern

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $9,110 in the last three years.

May 1, 2025Fine: $9,110

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.25 hours
Registered nurse (RN) time per resident per day
0.49 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
2.68 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
60%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.