Signature Healthcare of Roanoke Rapids has an overall 2-star rating, with especially weak 1-star health inspection and staffing ratings even though quality measures are 5 stars. Reported nursing staffing is below the federal benchmark (3.31 vs. 4.1 hours per resident per day), and the home had $9,110 in fines in the last 24 months, including a recent federal penalty.
Last inspection: March 26, 2026Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3067.
Staffing detail
Registered nurses
0.48
Licensed practical nurses
0.67
Nurse aides
2.16
Weekend nursing
2.81
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 70%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.7%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
10.2%Steady
Residents with a urinary tract infection
0.9%Improving
Residents who lost too much weight
14.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.3%Worsening
Residents whose ability to walk got worse
28.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.1%Worsening
Short-stay residents newly given an antipsychotic
2.6%Worsening
Residents with a long-term catheter
0.2%Worsening
Residents with new or worsening incontinence
18.9%Improving
Residents with depressive symptoms
3.1%Steady
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
99.6%Steady
Short-stay residents given the seasonal flu vaccine
97.7%Steady
Short-stay residents given the pneumonia vaccine
96.3%Worsening
What the inspectors found
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2022 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $9,110 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $9,110 in total fines.
Federal fine
May 1, 2025
$9,110
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
76.8 residents on an average day (71% of 108 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.